ATI LPN
Pediatrics Mental Health Cognition Questions Questions
Question 1 of 5
The nurse has taught a chronically anxious client the procedure for using muscle relaxation and deep breathing as calming techniques. Which comment by the client indicates that more teaching is needed?
Correct Answer: D
Rationale: Practicing only during anxiety (D) limits effectiveness; daily practice (A) builds skill and reduces baseline anxiety (C), indicating more teaching is needed for proactive use.
Question 2 of 5
What symptom would the nurse expect to find when assessing a client with OCPD?
Correct Answer: C
Rationale: OCPD clients struggle with completing projects (C) due to perfectionism and indecision. They suppress feelings (not A), lack spontaneity (not B), and can’t tolerate mistakes (not D).
Question 3 of 5
A client tells the nurse that his co-workers are sabotaging the computer. When the nurse asks questions, the client becomes argumentative. What is the most appropriate intervention for the nurse to implement?
Correct Answer: C
Rationale: Clear and consistent speech (C) de-escalates paranoia and argumentation by providing calm, predictable communication, avoiding confrontation. Venting (A) may escalate, denial (B) invalidates, and isolation (D) is punitive.
Question 4 of 5
What is the most appropriate short-term goal for a client with paranoid personality disorder and impaired social skills?
Correct Answer: D
Rationale: Identifying feelings hindering social interaction (D) targets mistrust and improves skills in paranoid PD. Feedback (A) may overwhelm, anxiety (B) is secondary, and self-mutilation (C) is irrelevant.
Question 5 of 5
A couple in counseling reports fighting with their son when they are angry with each other. This behavior typifies:
Correct Answer: D
Rationale: Triangulation (D) involves pulling a third party (son) into a conflict, as seen here. Coalition (A) is an alliance, indirect communication (B) lacks a third party, and transference (C) is emotional projection.