ATI LPN Mental Health Exam | Nurselytic

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.

Correct Answer: D

Rationale: While compromise can be a part of a therapeutic environment, it is not the primary goal. The goal of a therapeutic environment is to facilitate healing and recovery, which often involves collaboration between the patient and healthcare providers. Participation can be a part of a therapeutic environment, but it is not the primary goal. The goal of a therapeutic environment is to facilitate healing and recovery, which often involves collaboration between the patient and healthcare providers. Education can be a part of a therapeutic environment, but it is not the primary goal. The goal of a therapeutic environment is to facilitate healing and recovery, which often involves collaboration between the patient and healthcare providers. Collaboration is a key goal of a therapeutic environment. This involves working together with the patient to facilitate their healing and recovery.

Correct Answer: A

Rationale: Diagnostic data is a crucial part of a mental health admission assessment. This includes information about the patient's current and past mental health issues, as well as any relevant medical conditions. While orientation (awareness of time, place, and person) is often assessed during a mental health admission assessment, it is not the primary component of the assessment. Intelligence testing is not typically included in a mental health admission assessment. The focus of the assessment is on the patient's mental health needs, not their intellectual abilities. While a diagnosis may be determined as a result of a mental health admission assessment, the diagnosis itself is not included in the assessment. The assessment is used to gather the information needed to make a diagnosis.

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.