ATI LPN
LPN ATI Mental Health Psychosocial Questions
Extract:
Question 1 of 5
A confused older adult patient in a skilled nursing facility was asleep when unlicensed assistive personnel (UAP) entered the room quietly and touched the bed to see if it was wet. The patient awakened and hit the UAP in the face. Which statement best explains the patient's action?
Correct Answer: A
Rationale: The patient likely interpreted the UAP's behavior as potentially harmful. This is a common reaction in confused older adults, especially when awakened unexpectedly, leading to a defensive response out of fear or confusion.
Question 2 of 5
A 60-year-old individual strays from a football game during halftime and is discovered 48 hours later, sleeping on a park bench 100 miles away. The individual is brought to the emergency department by the police. The individual can state their name and address but has no memory of the past 2 days. What is the priority nursing action?
Correct Answer: C
Rationale: Assessing vital signs is the priority nursing action. The individual has been missing for 48 hours, potentially exposed to harsh conditions, and may be dehydrated or hypothermic. Physical health must be stabilized first.
Question 3 of 5
A patient is pacing the hall near the nurse's station, swearing loudly. What would be an appropriate initial intervention for the nurse?
Correct Answer: B
Rationale: By expressing a desire to understand the patient's feelings, the nurse opens up a line of communication and shows empathy. This can help de-escalate the situation and make the patient feel heard and understood.
Question 4 of 5
During the mental status examination, the nurse observes that the client rapidly shifts from one idea to another related thought. Which disordered thinking process is the client displaying?
Correct Answer: C
Rationale: Flight of ideas is a symptom of a thought disorder that causes a rapid shift from one idea to another, often seen in manic episodes of bipolar disorder. This matches the described behavior.
Question 5 of 5
In communicating with the psychiatric patient, which nurse responses could obstruct effective communication with a client? (Select all that apply)
Correct Answer: C,D
Rationale: Telling the patient what they should do (
C) and offering false reassurance (
D) can obstruct effective communication by dismissing the patient's feelings or imposing the nurse's opinions, rather than fostering open dialogue.