ATI LPN
Introduction to Professional Nursing Practice Questions
Question 1 of 5
When the preoperative client tells the nurse that he cannot sleep because he keeps thinking about the surgery, an appropriate reflection of the statement by the nurse is:
Correct Answer: D
Rationale: Therapeutic communication involves reflecting the client's feelings to validate them and encourage expression. Option D restates the client's concern surgery-related thoughts disrupting sleep in a neutral, open-ended way, inviting elaboration without judgment. Option A dismisses his anxiety with reassurance, shutting down dialogue. Option B assumes fear, which he hasn't explicitly stated, risking misinterpretation. Option C minimizes his feelings, invalidating his experience. Reflection aligns with active listening principles, fostering trust and allowing the nurse to assess anxiety further, making it the most appropriate response in this preoperative context.
Question 2 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 3 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 4 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.
Question 5 of 5
A client hospitalized after a myocardial infarction is restlessly moving about in bed. The client's pulse, blood pressure, and respiratory rate are elevated. In a shaky voice, the client tells the nurse 'I think I am going to die. The pain is gone, but it could come back anytime. Where is the doctor? Why isn't the doctor here with me?' The nurse should analyze this behavior as suggesting the nursing diagnosis of
Correct Answer: D
Rationale: Elevated vitals, restlessness, and fear of death suggest Anxiety , a common post-MI reaction. Noncompliance lacks evidence, breathing issues are secondary, and spiritual distress isn't indicated. Anxiety fits NANDA criteria, driving care, making it the diagnosis.