LPN ATI Mental Health Psychosocial

Extract:

Question 1 of 5

A spouse brings a client to an extremely busy emergency department due to erratic behavior and expressions of despair. When the triage registered nurse asks if the client feels suicidal now, the client shrugs their shoulders. Based on these findings, which nursing responsibility is the practical nurse expected to be assigned?

A. Ask the client to make a verbal contract to not harm self. B. Return the client to the waiting room with the spouse. C. Document that the client is not currently suicidal. D. Place the client in an inside hallway with one-on-one observation.

Correct Answer: D

Rationale: Placing the client in an inside hallway with one-on-one observation ensures safety, allows continuous monitoring, and provides an opportunity for further assessment given the client’s erratic behavior and ambiguous response.

Question 2 of 5

A client who recently went through an upsetting divorce is threatening to commit suicide with a handgun. The client is voluntarily admitted to the psychiatric unit. Which of the following nursing diagnoses has the highest priority?

A. Ineffective coping related to inadequate stress management. B. Hopelessness related to recent divorce. C. Spiritual distress related to conflicting thoughts about suicide and sin. D. Risk for suicide related to highly lethal plan.

Correct Answer: D

Rationale: Risk for suicide related to a highly lethal plan is the highest priority nursing diagnosis. The client has a clear plan (using a handgun) and means (access to a handgun), indicating an immediate life-threatening risk.

Question 3 of 5

What are the goals of therapeutic communication?

A. Foster a social relationship. B. Focus on the attitude of the client. C. Focus on the client and build a rapport. D. Focus on the staff member and build rapport.

Correct Answer: C

Rationale: Focusing on the client and building a rapport is the main goal of therapeutic communication in nursing. It helps nurses build trust with patients while promoting efficient and effective patient care, improving outcomes.

Question 4 of 5

A nurse is assessing a client who has posttraumatic stress disorder (PTSD) following a sexual assault. Which of the following is an expected finding?

A. Increasing feelings of anger. B. Sleeping 12 hours or more each day. C. Increasing sense of attachment to others. D. Constant need to talk about the event.

Correct Answer: A

Rationale: Anger is a common and expected response to trauma like sexual assault, stemming from feelings of violation, betrayal, or injustice. Other options like excessive sleep or attachment are less universally indicative of PTSD.

Question 5 of 5

A nurse is providing a community health education class about suicide prevention. Which of the following should the nurse identify as risk factors for suicide? (Select all that apply)

A. Currently pregnant. B. Schizophrenia. C. Alcohol use disorder. D. Substance use disorder. E. Currently married. F. Age greater than 65 years old.

Correct Answer: B,C,D,F

Rationale: Schizophrenia (
B), alcohol use disorder (
C), substance use disorder (
D), and age greater than 65 (F) are significant risk factors for suicide due to their association with mental illness, impulsivity, and isolation. Pregnancy and marriage are generally protective factors.

LPN ATI Mental Health Psychosocial | Nurselytic

Nurselytic

ATI LPN

ATI LPN