ATI LPN
ATI LPN Mental Health Exam Questions
Extract:
Question 1 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 2 of 5
Which of the following conditions have a higher incidence among refugees?
Correct Answer: B
Rationale: While personality disorders can occur among refugees, they are not reported to have a higher incidence among this population compared to the host population. Depression is reported to have a higher incidence among refugees compared to the host population. The stressful and traumatic experiences that refugees often endure can contribute to the development of mental health issues such as depression. Sexual abuse can occur among refugees, but it is not reported to have a higher incidence among this population compared to the host population. Schizophrenia can occur among refugees, but it is not reported to have a higher incidence among this population compared to the host population.
Question 3 of 5
A suicidal client tells a nurse that he has a plan to kill himself. The nurse asks why he has not already put the plan into action. This is an example of which nontherapeutic communication technique?
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.
Question 4 of 5
In which of the following examples should mental health assistance be immediately sought?
Correct Answer: D
Rationale: Maintaining friendships is an important aspect of mental health, but failure to do so does not necessarily indicate a need for immediate mental health assistance. People may have difficulty maintaining friendships for a variety of reasons, including personal choice, lifestyle changes, or conflicts. While failure to complete school can be a sign of underlying issues such as learning disabilities, mental health problems, or socio-economic factors, it does not necessarily indicate a need for immediate mental health assistance. It's important to consider the individual's circumstances and other potential factors. Failure to achieve developmental tasks of age could be a sign of a developmental disorder or delay. However, it does not necessarily indicate a need for immediate mental health assistance. It's important to consider the individual's overall development and other potential factors. Failure to comply with societal rules can be a sign of antisocial behavior or conduct disorders, which may require immediate mental health assistance. This can include behaviors that harm others, violate the rights of others, or majorly violate societal norms.
Question 5 of 5
A nurse is providing care for a patient who has expressed suicidal intentions. Which should the nurse ask the patient?
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.