ATI LPN
ATI LPN Mental Health Exam Questions
Extract:
Question 1 of 5
A female patient expresses anger about her recent divorce. What is the most appropriate response from the healthcare provider?
Correct Answer: A
Rationale: Expressing understanding and empathy is generally the most appropriate response when a patient is expressing anger or distress about a personal situation. It validates the patient's feelings and shows that the healthcare provider is listening and cares about their well-being. Telling the patient to 'look on the bright side' could be perceived as dismissive of her feelings. It's important to acknowledge her feelings of anger and allow her to express them. Saying 'I know exactly how you feel' can come across as presumptuous. Even if the healthcare provider has experienced a similar situation, everyone's experiences and feelings are unique. While it's true that many people experience strong feelings after a divorce, stating this might not be helpful to the patient in the moment. It's more important to acknowledge her individual feelings and experience.
Question 2 of 5
A male adolescent patient is admitted to a mental health facility due to repeated school fights, multiple instances of running away, and theft from family members. He has been diagnosed with a conduct disorder. What history might the nurse expect to find in this patient?
Correct Answer: B
Rationale: Parents who were very lenient disciplinarians may not necessarily lead to conduct disorder in their children. While lack of discipline can contribute to some behavioral issues, it is not specifically associated with conduct disorder. Harsh parental discipline and physical punishment can contribute to the development of conduct disorder. Children who experience harsh discipline may learn to use aggressive behavior as a way of dealing with conflict and may have difficulty developing pro-social behavior. This can lead to a pattern of violating the rights of others and societal norms, which is characteristic of conduct disorder. Schizophrenia is a chronic mental disorder characterized by distortions in thinking, perception, emotions, language, sense of self, and behavior. While some individuals with conduct disorder may also have schizophrenia, the presence of schizophrenia does not necessarily indicate that an individual will develop conduct disorder. Autism is a developmental disorder characterized by difficulties with social interaction and communication, and by restricted and repetitive behavior. It is not typically associated with the aggressive and rule-breaking behavior seen in conduct disorder.
Question 3 of 5
Which group is at the highest risk for suicide?
Correct Answer: A
Rationale: According to various studies, white adolescent males who have expressed intentions to die are at the highest risk for suicide. This group has been found to have higher suicide rates compared to other racial and age groups. While African American males who have expressed intentions to die are also at risk for suicide, the rates are not as high as those for white adolescent males. Asian adolescent males who have expressed intentions to die also face a risk of suicide, but again, the rates are not as high as those for white adolescent males. Hispanic American males who have expressed intentions to die are at risk for suicide, but the rates are not as high as those for white adolescent males.
Question 4 of 5
A nurse is educating a patient about the side effects of a prescribed medication. What role is the nurse playing in this scenario?
Correct Answer: A
Rationale: When a nurse is educating a patient about the side effects of a prescribed medication, they are playing the role of a teacher. In this role, the nurse provides information and guidance to help the patient understand their medication and manage its side effects. The role of a change agent involves facilitating changes in behavior or perspectives, often in relation to lifestyle changes or health behaviors. While education can be a part of this role, it is not the primary focus when a nurse is educating a patient about medication side effects. The role of a therapist involves providing therapeutic interventions, often in relation to mental health issues. While a nurse can play this role, it is not the primary role when educating a patient about medication side effects. The role of a technician involves performing technical tasks and procedures. While a nurse can play this role, it is not the primary role when educating a patient about medication side effects.
Question 5 of 5
A nurse becomes hostile and angry with a patient who has sexually abused a child. What is this an example of?
Correct Answer: B
Rationale: Transference refers to a situation where the feelings, desires, and expectations of a person are unconsciously redirected and applied to another person. In this case, the nurse is not redirecting their feelings towards the patient, but rather reacting to the patient's actions. Countertransference refers to the emotional reaction of the healthcare provider towards the patient. In this case, the nurse's hostility and anger towards the patient who has sexually abused a child is an example of countertransference. Resistance refers to an attempt to prevent undesirable thoughts from becoming conscious. In this case, the nurse is not trying to prevent undesirable thoughts, but rather reacting to the patient's actions. Noncompliance refers to a patient's failure to follow medical advice. In this case, the nurse is not failing to follow medical advice, but rather reacting to the patient's actions.