ATI LPN Mental Health Exam | Nurselytic

Correct Answer: D

Rationale: While anxiety disorder can cause physical symptoms such as stomach aches, the fact that all labs and x-rays relevant to his abdominal discomfort have been normal suggests that the boy's symptoms may not be due to anxiety. Acute stress disorder is characterized by severe anxiety, dissociative, and other symptoms that occur within one month after exposure to an extreme traumatic stressor. Given the information provided, it is unlikely that the boy's stomach aches are due to acute stress disorder. Personality disorders are characterized by enduring maladaptive patterns of behavior, cognition, and inner experience. Given the information provided, it is unlikely that the boy's stomach aches are due to a personality disorder. Somatoform disorders are characterized by physical symptoms that suggest physical illness or injury, but which cannot be explained fully by a general medical condition. Given that the boy's stomach aches persist despite normal lab and x-ray results, a somatoform disorder may be a possible explanation.

Correct Answer: B

Rationale: While understanding a patient's past experiences can provide context for their current emotional state, it may not directly address the immediate risk of suicide. It's important to focus on the present situation and the patient's current feelings. If a patient has a specific plan for suicide, it indicates a higher level of risk. By asking about their plan, the nurse can assess the immediacy and severity of the patient's suicidal intent. This information is crucial for determining the appropriate level of care and intervention. This question could be interpreted as validating or encouraging the patient's suicidal thoughts. It's essential to promote safety and positive coping strategies, rather than focusing on the perceived benefits of suicide. While it's important to understand the feelings driving a patient's suicidal thoughts, asking why they want to end their life can come across as judgmental. It's more helpful to ask about their feelings and listen empathetically.

Correct Answer: B

Rationale: A therapeutic area refers to a specific location or setting where therapeutic activities or treatments occur. However, it doesn't necessarily imply a comprehensive environment designed to assist patients in replacing inappropriate behaviors with more effective personal and psychosocial skills. A therapeutic environment, also known as a therapeutic milieu, is a broad term that describes settings designed to help patients replace inappropriate behaviors with more effective personal and psychosocial skills. A therapeutic unit could refer to a specific department or team within a healthcare facility that provides therapeutic services. However, it doesn't necessarily denote an environment designed for behavioral and psychosocial skill development. A therapeutic setting could refer to any location where therapeutic services are provided. It's a more general term and doesn't specifically denote an environment designed to help patients replace inappropriate behaviors with more effective personal and psychosocial skills.

Correct Answer: C

Rationale: The primary nursing care intervention for an adolescent patient diagnosed with schizophrenia involves educating the patient and their family about the importance of medication adherence. Schizophrenia is a chronic condition that often requires long-term medication management. Ensuring adherence to prescribed medication regimens can significantly improve symptom management and overall quality of life.

Correct Answer: D

Rationale: When a patient exhibits suspicious behavior and specifically warns the nurse to stay away from a particular area, such as a closet, the most appropriate action is to avoid approaching the closet. This approach respects the patient's personal space and can help de-escalate potential agitation or aggression.