ATI LPN
ATI LPN Mental Health Level 2 Exam Questions
Extract:
Question 1 of 5
Hospitals established by Dorothea Dix were designed to provide which of the following?
Correct Answer: C
Rationale: Public safety was not the primary aim of Dix’s hospitals. Confinement was used in earlier institutions, not her focus. Therapeutic milieu aligns with Dix’s goal of improving mental health care in a therapeutic environment. Asylum was a result, but her focus was on better care, not just housing.
Question 2 of 5
A nurse is assisting in a group therapy meeting and is sharing a humorous story unrelated to anyone in the group. When the group laughs at the story, a client who has schizophrenia jumps up and runs out while yelling, 'You are all making fun of me!' Which of the following behaviors is this client displaying?
Correct Answer: A
Rationale: Ideas of reference involve believing common elements relate to oneself, fitting the client’s belief the laughter was about them. Somatic delusion involves false beliefs about the body, not applicable. Erotomania involves believing someone loves them, not relevant. Grandeur involves exceptional abilities, not fitting here.
Question 3 of 5
A nurse is assisting with the admission of a client who is about to undergo surgery for benign prostatic hypertrophy. The client states, 'I don’t know what I will do if they discover I have cancer.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Why do you think you might have cancer when your diagnosis is a benign condition?' is dismissive and could increase anxiety. 'I think that’s something you need to discuss further with your doctor.' deflects without support. 'I have reviewed your history and I don’t see any reason for you to worry about that.' minimizes concerns. 'I’m hearing that you are concerned that you could have cancer.' acknowledges fears and offers support.
Question 4 of 5
A nurse is caring for an older adult client who has a fractured hip. The client says, 'I guess I’ve lived long enough and my time is up.' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: You are in really good shape for your age.' minimizes the client’s feelings. 'This is just a minor setback. You will be back on your feet in no time.' downplays the client’s concerns. 'You feel as though your life is ending?' acknowledges and validates feelings, encouraging exploration. 'The doctors are going to take good care of you. There is nothing to worry about.' reassures but doesn’t address emotional concerns.
Question 5 of 5
The primary purpose of the Community Mental Health Center Act of 1963 was
Correct Answer: C
Rationale: Getting better treatment in larger, more urban areas is incorrect; the Act aimed to decentralize care. Providing former patients with employment opportunities was not the primary goal. Moving patients to their home community for treatment is correct, integrating care locally. Removing the stigma of living in an institution was a factor, but not the primary goal.