ATI LPN
ATI LPN Mental Health Level 2 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for an older adult client who has a fractured hip. The client says, 'I guess I’ve lived long enough and my time is up.' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: You are in really good shape for your age.' minimizes the client’s feelings. 'This is just a minor setback. You will be back on your feet in no time.' downplays the client’s concerns. 'You feel as though your life is ending?' acknowledges and validates feelings, encouraging exploration. 'The doctors are going to take good care of you. There is nothing to worry about.' reassures but doesn’t address emotional concerns.
Question 2 of 5
The primary purpose of the Community Mental Health Center Act of 1963 was
Correct Answer: C
Rationale: Getting better treatment in larger, more urban areas is incorrect; the Act aimed to decentralize care. Providing former patients with employment opportunities was not the primary goal. Moving patients to their home community for treatment is correct, integrating care locally. Removing the stigma of living in an institution was a factor, but not the primary goal.
Question 3 of 5
Which of the following is a concrete message?
Correct Answer: B
Rationale: When is she coming home?' is specific but open-ended, not as concrete. 'Help me put this pile of books on Marsha’s desk' provides specific instructions, making it concrete. 'Get this out of here' is ambiguous, lacking detail. 'They said it is too early to get in.' is vague about who and what.
Question 4 of 5
When developing a therapeutic nurse-client relationship, building trust with the client is begun in:
Correct Answer: C
Rationale: The exploitation subphase is when the client uses the relationship, not the trust-building stage. The resolution phase is the end of the relationship. The orientation phase is the initial stage where trust is established. The problem identification subphase involves clarifying issues, not the initial trust-building.
Question 5 of 5
Which of the following would indicate a duty to warn a third party?
Correct Answer: C
Rationale: I’m going to get them before they get to me' is vague and requires assessment but not an immediate duty to warn. 'A client says he plans to blow up the government.' is serious but not specific to a third party, requiring authority notification. 'If I can’t have my girlfriend back, then no one can have her.' is a direct threat to a specific person, triggering a duty to warn. 'I hate all police' shows hostility but not a specific threat.