Questions 67

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ATI LPN nsp 130 Psychosocial Exam Questions

Extract:


Question 1 of 5

A young man with malaria spikes a temperature of $105 \mathrm{~F}\left(40.5^{\circ} \mathrm{C}\right)$ and begins to hallucinate. How should the nurse assess this?

Correct Answer: B

Rationale: Delirium, triggered by acute illness like malaria and high fever, causes sudden hallucinations and confusion. Anxiety, dementia, or psychosis are less likely given the acute physical cause.

Question 2 of 5

The majority of people function in a relatively healthy manner. What can most strongly diminish their functional capacity?

Correct Answer: A

Rationale: Chronic physical diseases significantly impair functional capacity by affecting physical and mental health, more than temporary crises or support system absence.

Question 3 of 5

A 40-year-old patient cries and has a tantrum when the health care provider refuses to give her a prescription for diet pills. The nurse realizes that this is the use of which defense mechanism?

Correct Answer: D

Rationale: Crying and tantrums reflect regression to childlike behavior under stress, unlike projection, repression, or denial, which involve different coping mechanisms.

Question 4 of 5

A nurse enters the community room of an acute mental health unit and observes a client yelling at another client. Which of the following statements should the nurse make to the client?

Correct Answer: A

Rationale: Addressing the behavior directly by stating that yelling is unacceptable sets a clear expectation for conduct without escalating the situation. Assuming physical violence, imposing immediate punishment, or referencing disappointment from others could escalate tensions or fail to address the immediate issue constructively.

Question 5 of 5

A nurse is caring for a client who is 2 weeks postpartum. The client tells the nurse, 'I feel really down and sad lately. I have no energy and I feel like I'm going to cry.' Which of the following actions should the nurse take first?

Correct Answer: B

Rationale: Screening for postpartum depression first assesses symptom severity, guiding appropriate interventions like counseling or medication, rather than assuming rest or treatment needs.

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