ATI LPN
ATI LPN Mental Health Exam Questions
Extract:
Question 1 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.
Question 2 of 5
A teenager employs problem-solving skills grounded in scientific reasoning and logic. This is an example of what type of thought process?
Correct Answer: D
Rationale: Intellectual thought process involves the ability to analyze, evaluate, and synthesize information. It is not specifically tied to problem-solving skills grounded in scientific reasoning and logic. Basic thought process refers to the fundamental cognitive operations such as perception, memory, and language comprehension. It does not specifically involve problem-solving skills grounded in scientific reasoning and logic. Concrete thought process is characterized by literal and immediate thinking. It involves thinking on the surface and not looking into the deeper meaning of things. It does not involve problem-solving skills grounded in scientific reasoning and logic. Abstract thought process involves higher-level thinking and reasoning skills. It includes problem-solving skills grounded in scientific reasoning and logic. A teenager employing problem-solving skills grounded in scientific reasoning and logic is demonstrating an abstract thought process.
Question 3 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 4 of 5
A hospitalized client, who is paranoid, believes that all food served in the hospital is poisoned. What would be an appropriate intervention by the nurse?
Correct Answer: C
Rationale: Leaving the client alone to eat might not address the client's paranoid belief that the food is poisoned. It could potentially exacerbate the client's anxiety and paranoia. Asking the client's family to bring in favorite foods might not be feasible in all situations. Moreover, the client might still harbor paranoid beliefs about the food being poisoned. Allowing the client to observe other clients eating the same food can help alleviate the client's paranoid belief that the food is poisoned. Seeing others safely consuming the same food can provide reassurance. Giving the client an 'anti-poison' placebo prior to meals is not an ethical practice. It can potentially undermine the trust in the therapeutic relationship.
Question 5 of 5
A female client with severe depression is about to be discharged from an inpatient mental health unit. The client's highest level of education is seventh grade, and she reads at a fifth-grade level. The nurse is giving her discharge instructions. Which instruction is most appropriate for this client?
Correct Answer: A
Rationale: Given the client's educational background and reading level, it's important to provide instructions that are simple and straightforward. Telling the client when to take her medication in a clear, concise manner is most appropriate. Using medical terms like 'MAOI' (Monoamine Oxidase Inhibitor) could confuse the client, especially considering her educational background and reading level. Using abbreviations like 'q.d.' (which stands for 'quaque die', meaning 'once a day' in Latin) could also confuse the client. While this instruction is accurate, it might be too complex for the client to understand.