ATI LPN
LPN ATI Mental Health Psychosocial Questions
Extract:
Question 1 of 5
During the mental status examination, the nurse observes that the client rapidly shifts from one idea to another related thought. Which disordered thinking process is the client displaying?
Correct Answer: C
Rationale: Flight of ideas is a symptom of a thought disorder that causes a rapid shift from one idea to another, often seen in manic episodes of bipolar disorder. This matches the described behavior.
Question 2 of 5
A client is brought to a busy emergency department by their spouse due to erratic behavior and expressions of despair. If the client shrugs their shoulders when asked by the triage registered nurse if they feel suicidal now, what nursing responsibility is the practical nurse expected to be assigned?
Correct Answer: D
Rationale: Placing the client under one-on-one observation ensures safety given the erratic behavior and ambiguous response to suicidal intent questions.
Question 3 of 5
What are the goals of therapeutic communication?
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
The night nurse reports that the client, who is hospitalized with major depressive disorder, has been unable to sleep until late at night. The client gets up, paces the hallway, wrings their hands, and appears teary. Which interventions should the nurse advocate to add to the care plan? Select all that apply.
Correct Answer: C,D,E
Rationale: Arranging for the client to receive at least 20 minutes of natural sunlight each day can improve sleep patterns. Serving the client a glass of warm milk in the evening can promote comfort and relaxation to aid sleepiness. Suggesting that the client take a warm bath before going to bed can be a part of a relaxing activity before bedtime. Naps can disrupt sleep patterns, and exercise before bed can increase alertness.
Question 5 of 5
What are the negative symptoms of psychosis?
Correct Answer: A
Rationale: Negative symptoms of psychosis include anergia (lack of energy), flat affect (reduced emotional expression), and anhedonia (inability to feel pleasure). Illusions are perceptual, not negative, but A is closest to correct.