ATI LPN
Introduction to Professional Nursing Practice Questions
Question 1 of 5
Trust may develop in the nurse/client relationship when the nurse:
Correct Answer: A
Rationale: Trust is foundational in a therapeutic nurse-client relationship and hinges on reliability and predictability. Consistency in approach fosters trust by demonstrating dependability, allowing the client to feel secure. Encouraging 'testing' behaviors might occur in some therapeutic contexts but can erode trust if it feels manipulative. Telling the client how to behave undermines autonomy and rapport, while avoiding limit setting may lead to boundary issues, reducing trust. Consistency aligns with Peplau's theory, where predictable interactions build a safe environment, reducing anxiety and enhancing the client's willingness to engage, making it the most effective strategy for trust-building.
Question 2 of 5
Which of the following statements, made by a senior citizen who has taken a class on stress reduction, would indicate to the nurse the need for further instruction?
Correct Answer: D
Rationale: Statement D suggests a misconception requiring further instruction. Aging doesn't inherently reduce stress; seniors face unique stressors like health decline or loss, often increasing stress. Statements A, B, and C are accurate: adults use lifelong coping skills, family can provide support, and stress can be eustress (positive) or distress (negative). Misunderstanding stress in aging could lead to inadequate preparation for challenges, necessitating education on how stress persists or shifts, not diminishes, with age, ensuring realistic expectations and effective coping strategies.
Question 3 of 5
A client comes to the emergency department after a car accident in a severe state of anxiety. What is the most appropriate nursing intervention at this time?
Correct Answer: A
Rationale: In acute anxiety post-accident, the nurse's presence provides immediate safety and reassurance, grounding the client. Seclusion might isolate them, worsening panic. Deep breathing is helpful, but rapid walking could escalate agitation. Talking about the trauma may overwhelm them initially. Staying with the client aligns with crisis intervention principles, reducing fear through human connection, stabilizing them for further care, making it the priority intervention.
Question 4 of 5
Clients reactions of intense hostility or dependence toward the nurse are common forms of:
Correct Answer: D
Rationale: Transference occurs when clients project feelings (e.g., hostility, dependence) onto the nurse, based on past experiences. Emotional catharsis is emotional release, not projection. Counter-resistance isn't a term; counter-transference is the nurse's reaction. Transference is common in therapeutic settings, requiring the nurse to manage it professionally, making it the correct answer.
Question 5 of 5
A 34 year old single male client has very few close friends and relatives. He was very dependent on his mother before her death, although he often complained about her intrusiveness. What statement best describes his risk for problems in resolving his grief?
Correct Answer: D
Rationale: High risk fits due to dependency, ambivalence, and poor support, complicating grief resolution. Parental death isn't risk-free , independence isn't assured , and moderate risk underestimates factors. Dependency and unresolved feelings predict prolonged grief, per attachment theory, making it the best description.