ATI LPN
LPN ATI Mental Health Psychosocial Questions
Extract:
Question 1 of 5
A young client diagnosed with major depressive disorder recently had their engagement broken off by their fiancé, who claimed the client was too fat and ugly. During a one-on-one interaction with the nurse, the client says, 'My fiancé is really wonderful and is not to blame for calling off the engagement. I look awful and I'm not much good for anything.' What is the most appropriate response by the nurse?
Correct Answer: A
Rationale: The nurse’s response, 'Tell me how you felt when your fiancé broke up with you,' is the most therapeutic because it encourages the client to express feelings, fostering a supportive environment.
Question 2 of 5
What are the goals of therapeutic communication?
Correct Answer: C
Rationale: The primary goals of therapeutic communication are to focus on the client and to build a rapport. This involves understanding the client's needs, concerns, and emotions effectively, fostering trust and collaboration to improve patient outcomes.
Question 3 of 5
A score of 1 to 10 on the Global Assessment Functioning (GAF) scale would indicate that a client was at risk for:
Correct Answer: A,B
Rationale: A score of 1 to 10 on the Global Assessment Functioning (GAF) scale indicates that a client is in persistent danger of severely hurting self or others or has a persistent inability to maintain minimal personal hygiene, which includes serious impairment in functioning.
Question 4 of 5
Feelings of worthlessness, guilt, and despair are expressed in a female client's every thought, movement, and activity. Her physical health has declined and she is often unable to eat. What is the client experiencing?
Correct Answer: C
Rationale: The feelings of worthlessness, guilt, and despair expressed in every thought, movement, and activity, along with a decline in physical health and often being unable to eat, indicate that the client is experiencing severe depression.
Question 5 of 5
In a medical-surgical unit, the nurse is monitoring several patients. Which patient does the nurse identify as being at the highest risk for developing delirium?
Correct Answer: D
Rationale: An 80-year-old patient with chronic obstructive pulmonary disease, chronic respiratory failure, and urosepsis is at the highest risk for developing delirium due to advanced age and multiple severe comorbidities.