ATI LPN
ATI LPN Mental Health Exam Questions
Extract:
Question 1 of 5
A nurse is working with three depressed clients in group therapy. The nurse yawns and keeps looking at her watch during the therapy time. This is an example of which nontherapeutic communication technique?
Correct Answer: C
Rationale: Failure to explore a client's point of view is a nontherapeutic communication technique, but it's not the most fitting description for the scenario. The nurse's yawning and frequent glancing at the watch doesn't necessarily indicate a lack of exploration of the clients' perspectives. Eliciting vague descriptions can be a nontherapeutic communication technique, but it doesn't seem to apply in this context. The nurse's actions don't suggest that they are eliciting vague descriptions from the clients. Failure to listen is the most appropriate answer. The nurse's yawning and frequent checking of the watch during therapy time could indicate a lack of attention or interest in what the clients are saying, which can be perceived as failing to listen. Failure to probe can be a nontherapeutic communication technique, but it doesn't seem to apply in this context. The nurse's actions don't suggest that they are failing to probe or ask further questions.
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
A nurse is providing care for a patient who states, 'I didn't take my medication because my partner forgot to remind me.' Which defense mechanism is the patient demonstrating?
Correct Answer: B
Rationale: Regression is a defense mechanism where an individual reverts to a previous stage of development in response to a stressful situation. This is not demonstrated in the patient's statement. Rationalization involves creating logical but untrue explanations to justify unacceptable behavior or feelings. In this scenario, the patient is rationalizing their failure to take their medication by blaming their partner's forgetfulness. Projection involves attributing one's own unacceptable thoughts or feelings to others. This is not demonstrated in the patient's statement. Repression involves unconsciously blocking out painful or uncomfortable thoughts or feelings. This is not demonstrated in the patient's statement.
Question 4 of 5
The parents of a 10-year-old girl have noticed that over the past couple of months, she has not been socializing with her friends, an activity she previously enjoyed. She often makes statements about how stressed she feels, and she no longer enjoys her classes at school. All she wants to do is stay in her room with her computer and phone. On the basis of these symptoms, the parents may suspect a(an):
Correct Answer: B
Rationale: Overinvolvement with unapproved friends could potentially lead to negative influences and behaviors, but it does not directly correlate with the symptoms described. Overinvolvement with social media could explain the girl's symptoms. Excessive use of social media can lead to social isolation, increased stress, and decreased enjoyment in previously loved activities. While attention-deficit disorder could explain some of the symptoms, such as a decrease in school performance, it does not typically result in social withdrawal or an increased desire to stay in her room. An eating disorder could potentially explain the girl's withdrawal and increased stress, but there is no mention of changes in eating habits or concerns about body image.
Question 5 of 5
A female client inquires about the number of children the nurse has. The nurse responds and then asks the client the same query. Which concept does this scenario exemplify?
Correct Answer: C
Rationale: Trust is an essential component of a therapeutic relationship, but it is not exemplified in this scenario. Trust involves believing in and relying on the honesty, integrity, and reliability of another person. Acceptance involves acknowledging and respecting the feelings, beliefs, and experiences of others without judgment. While acceptance is important in a therapeutic relationship, it is not demonstrated in this scenario. The therapeutic use of self involves using one's personality, insights, perceptions, and judgments as part of the therapeutic process. In this scenario, the nurse is using her personal experience (having children) to connect with the client, which is an example of the therapeutic use of self. Empathy involves understanding and sharing the feelings of another person. While empathy is crucial in a therapeutic relationship, it is not demonstrated in this scenario.