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
In which of the following examples should mental health assistance be immediately sought?
Correct Answer: D
Rationale: Maintaining friendships is an important aspect of mental health, but failure to do so does not necessarily indicate a need for immediate mental health assistance. People may have difficulty maintaining friendships for a variety of reasons, including personal choice, lifestyle changes, or conflicts. While failure to complete school can be a sign of underlying issues such as learning disabilities, mental health problems, or socio-economic factors, it does not necessarily indicate a need for immediate mental health assistance. It's important to consider the individual's circumstances and other potential factors. Failure to achieve developmental tasks of age could be a sign of a developmental disorder or delay. However, it does not necessarily indicate a need for immediate mental health assistance. It's important to consider the individual's overall development and other potential factors. Failure to comply with societal rules can be a sign of antisocial behavior or conduct disorders, which may require immediate mental health assistance. This can include behaviors that harm others, violate the rights of others, or majorly violate societal norms.
Question 3 of 5
A female client states that her car is gray, and her dog died last week. This is an example of which type of speech pattern?
Correct Answer: A
Rationale: Flight of ideas is a symptom often seen in conditions like bipolar disorder, particularly during manic episodes. It involves a rapid shift in thoughts and ideas, often with loose or no associations between them. The statement 'her car is gray, and her dog died last week' could be an example of this, as the two ideas are unrelated. Verbigeration refers to the constant repetition of certain words or phrases. This is not demonstrated in the client's statement. Loose associations involve a disorganized thinking pattern where the person jumps from one topic to another that is seemingly unrelated. While the client's statement might seem to have loose associations, it is more indicative of flight of ideas. Circumstantiality involves excessive, unnecessary detail that delays getting to the point. The client's statement is not an example of this, as it is brief and does not contain unnecessary details.
Question 4 of 5
A female client with severe depression is about to be discharged from an inpatient mental health unit. The client's highest level of education is seventh grade, and she reads at a fifth-grade level. The nurse is giving her discharge instructions. Which instruction is most appropriate for this client?
Correct Answer: A
Rationale: Given the client's educational background and reading level, it's important to provide instructions that are simple and straightforward. Telling the client when to take her medication in a clear, concise manner is most appropriate. Using medical terms like 'MAOI' (Monoamine Oxidase Inhibitor) could confuse the client, especially considering her educational background and reading level. Using abbreviations like 'q.d.' (which stands for 'quaque die', meaning 'once a day' in Latin) could also confuse the client. While this instruction is accurate, it might be too complex for the client to understand.
Question 5 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.