ATI LPN
Introduction to Practical Nursing Questions
Question 1 of 5
In the provision of care and the establishment of the therapeutic relationship, the nurse must first:
Correct Answer: C
Rationale: Establishing a therapeutic relationship requires self-awareness as the foundation. Being aware of one's personality and self-talk allows the nurse to manage biases and emotions, ensuring interactions remain client-centered. Avoiding labeling is important but secondary to self-awareness, which prevents labeling in the first place. A review of systems is clinical, not relational, and understanding the client's response comes after engaging with them. Self-awareness, per Peplau and therapeutic models, enables empathy and professionalism, preventing countertransference and fostering trust, making C the critical first step in care provision.
Question 2 of 5
Which defense mechanism describes a return to bed-wetting behavior in an older sibling when another child is born?
Correct Answer: C
Rationale: Regression involves reverting to earlier developmental behaviors, like bed-wetting, under stress here, a new sibling's arrival. Identification is adopting others' traits, rationalization is justifying actions, and repression is blocking memories. Regression fits as the child copes with jealousy or loss of attention by retreating to infantile behavior, a common psychological response to perceived threats, making C the correct mechanism.
Question 3 of 5
Which of the following is true about a therapeutic relationship?
Correct Answer: A
Rationale: A therapeutic relationship aims to support the client holistically physically and emotionally per nursing models like Peplau's. It ends when goals are met (B is false), isn't a friendship , and involves mutual goal-setting (D is false). Option A captures its purpose: facilitating healing through empathy and care, making it the true statement.
Question 4 of 5
A Native American client is admitted to an emergency department (ED) with an ulcerated toe secondary to uncontrolled diabetes mellitus. The client refuses to talk to a physician unless a shaman is present. Which nursing intervention is most appropriate?
Correct Answer: B
Rationale: Cultural sensitivity requires honoring the client's beliefs. Locating a shaman respects his values, facilitating care without coercion. Informing of rights is true but passive, questioning the shaman's role may offend, and dismissing it as ‘voodoo' is disrespectful. Option B bridges cultural gaps, enhancing trust and treatment adherence.
Question 5 of 5
A client has had a total knee replacement and will need assistance for several weeks after discharge. She tells the nurse caring for her 'I do not intend to assume the ‘sick role.' The nurse knows the client is objecting to:
Correct Answer: C
Rationale: The 'sick role' (Parsons) implies dependency and exemption from normal roles. The client resists losing independence , not financial duty , defense mechanisms , or care coordination . Her statement reflects autonomy, making C the objection.