ATI LPN
ATI LPN Mental Health Exam Questions
Extract:
Question 1 of 5
A suicidal client tells a nurse that he has a plan to kill himself. The nurse asks why he has not already put the plan into action. This is an example of which nontherapeutic communication technique?
Correct Answer: C
Rationale: Being defensive is a nontherapeutic communication technique, but it doesn't seem to apply in this context. The nurse's question doesn't suggest that they are being defensive. Using stereotyped responses can be a nontherapeutic communication technique, but it doesn't seem to apply in this context. The nurse's question doesn't suggest that they are using stereotyped responses. Challenging is the most appropriate answer. The nurse's question could be seen as challenging the client's statement about their plan to kill themselves. Failure to explore the client's point of view is a nontherapeutic communication technique, but it's not the most fitting description for the scenario. The nurse's question doesn't necessarily indicate a failure to explore the client's point of view.
Question 2 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 3 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 4 of 5
An adult male client is admitted to a mental health facility with the diagnosis of depression following the end of a long-term engagement. He states that he couldn't 'commit to marriage.' During his admission assessment, the nurse learns that he did not feel guided, nurtured, or accepted by his parents during his childhood. One of the goals for this client is to help him develop a positive personal identity. Which intervention should the nurse implement to meet this goal?
Correct Answer: D
Rationale: Developing the ability to establish and maintain an intimate relationship is an important aspect of personal growth. However, it might not directly help the client develop a positive personal identity. Improving his strength in the ability to adapt to new situations can enhance the client's coping skills. However, it might not directly help the client develop a positive personal identity. Outlining his life's dream can provide direction and purpose to the client's life. However, it might not directly help the client develop a positive personal identity. Discerning his feelings about relationship choices and level of commitment can help the client understand his own values and beliefs. This self-understanding is crucial for developing a positive personal identity.
Question 5 of 5
Children with disruptive behavioral disorders, such as conduct disorder and oppositional defiant disorder, will benefit most from parents' implementation of early interventions with consistent what?
Correct Answer: B
Rationale: Therapy can be beneficial for children with disruptive behavioral disorders, but it is not the most effective intervention when implemented alone. Therapy often works best when combined with other strategies, such as consistent limit-setting. Limit-setting is a crucial component of early interventions for children with disruptive behavioral disorders like conduct disorder and oppositional defiant disorder. Consistent limit-setting provides structure and clear expectations, which can help these children understand the consequences of their actions and learn to control their behavior. It is considered the most effective strategy because it directly addresses the behavioral issues that these children often struggle with. While rewarding good behavior can be a useful strategy in managing disruptive behavioral disorders, it is not the most effective intervention when used alone. Rewards can encourage positive behavior, but without the structure provided by consistent limit-setting, children may not fully understand the connection between their actions and the consequences. Punishment can sometimes be a part of the strategy for managing disruptive behavioral disorders, but it is not the most effective intervention. Over-reliance on punishment can actually exacerbate behavioral problems, as it does not teach children appropriate behaviors or help them understand the consequences of their actions.