ATI LPN Mental Health Exam | Nurselytic

Correct Answer: A

Rationale: Flight of ideas is a symptom often seen in conditions like bipolar disorder, particularly during manic episodes. It involves a rapid shift in thoughts and ideas, often with loose or no associations between them. The statement 'her car is gray, and her dog died last week' could be an example of this, as the two ideas are unrelated. Verbigeration refers to the constant repetition of certain words or phrases. This is not demonstrated in the client's statement. Loose associations involve a disorganized thinking pattern where the person jumps from one topic to another that is seemingly unrelated. While the client's statement might seem to have loose associations, it is more indicative of flight of ideas. Circumstantiality involves excessive, unnecessary detail that delays getting to the point. The client's statement is not an example of this, as it is brief and does not contain unnecessary details.

Correct Answer: A,B,C,D

Rationale: Mutuality involves a shared understanding and agreement between the nurse and the client about the goals and direction of therapy. Caring involves showing kindness, concern, and support for the client. Empathy involves understanding and sharing the feelings of the client. Genuineness involves being open, honest, and authentic in interactions with the client.

Correct Answer: C

Rationale: Being defensive is a nontherapeutic communication technique, but it doesn't seem to apply in this context. The nurse's question doesn't suggest that they are being defensive. Using stereotyped responses can be a nontherapeutic communication technique, but it doesn't seem to apply in this context. The nurse's question doesn't suggest that they are using stereotyped responses. Challenging is the most appropriate answer. The nurse's question could be seen as challenging the client's statement about their plan to kill themselves. Failure to explore the client's point of view is a nontherapeutic communication technique, but it's not the most fitting description for the scenario. The nurse's question doesn't necessarily indicate a failure to explore the client's point of view.

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: A

Rationale: Schizophrenia can develop at any age, but it most commonly begins in adolescence or early adulthood. Judgment and insight are typically significantly impaired in individuals with schizophrenia, not mildly impaired. Hospitalization can be common for individuals with schizophrenia, particularly during acute episodes or when medication adjustments are needed. While antipsychotics are a common treatment for schizophrenia, it would be an oversimplification to say they are the best treatment. Treatment plans are individualized and may include a combination of medication, therapy, and support services.