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
The ability to share in a client's life is defined by which of the following terms?
Correct Answer: D
Rationale: Sympathy refers to the ability to understand what a person is feeling. However, it doesn't necessarily involve sharing in a client's life. Trust is an essential component of a therapeutic relationship, but it doesn't specifically define the ability to share in a client's life. Mutuality might suggest a reciprocal relationship, but it doesn't specifically refer to the ability to share in a client's life. Empathy in nursing is the ability to see, understand, and share your patient's feelings and views on a more personal level and without being judgmental. This makes it the most fitting answer as it involves sharing in a client's life.
Question 3 of 5
A 30-year-old man is admitted to the mental health inpatient unit diagnosed with schizophrenia. His clothes are dirty, his hair is unkempt, he hasn't shaved for several days, and his teeth are chipped with several cavities visible. He is experiencing hallucinations and delusions. What is the primary concern for this client?
Correct Answer: A
Rationale: The description of the man's appearance and behavior suggests that he is struggling with basic self-care activities, such as maintaining personal hygiene and taking care of his physical health. This is a common issue for individuals with schizophrenia. While refusal to participate in self-care activities could be a concern, the information provided doesn't indicate that the man is refusing to engage in these activities. Rather, it seems he may be unable to do so. Difficulty in social interactions can be a symptom of schizophrenia, but the primary concern in this case, based on the information given, appears to be the man's inability to engage in self-care activities. Resistance to medication therapy could be a concern for individuals with schizophrenia, but the information provided doesn't indicate that this is the primary concern in this case.
Question 4 of 5
In which phase of the therapeutic relationship is the establishment of a working caregiver-client agreement a step?
Correct Answer: C
Rationale: The preparation phase is the initial stage of the therapeutic relationship where the groundwork for the rest of the relationship is laid. However, the establishment of a working caregiver-client agreement is not a step in this phase. The assessment phase involves gathering information about the client, but it does not typically involve the establishment of a working caregiver-client agreement. The working phase of the therapeutic relationship is where nursing interventions frequently take place. Problems and issues are identified and plans to address these are put into action. This phase includes the establishment of a working caregiver-client agreement. The orientation phase defines the problem and identifies the type of service needed by the patient. However, the establishment of a working caregiver-client agreement is not a step in this phase.
Question 5 of 5
At what point should the process of preparing for client discharge begin?
Correct Answer: D
Rationale: While consultation is an important part of the discharge planning process, it is not the point at which the process of preparing for client discharge should begin. The point of termination is when the discharge process is completed, not when it begins. The rehabilitation phase is a part of the recovery process, but it is not the point at which the process of preparing for client discharge should begin. The process of preparing for client discharge should ideally begin upon admission. This allows for comprehensive planning and coordination of care post-discharge.