ATI LPN
ATI LPN Mental Health Level 2 Exam Questions
Extract:
Question 1 of 5
The nurse asks the client 'What was it like for you when you first knew you had no place to go?' The client looks down and pauses for some time. What actions by the nurse is the most therapeutic?
Correct Answer: A
Rationale: Sit quietly until the client responds is the most therapeutic as it allows the client time to process and respond, showing patience and support. Tell the client they must express the unpleasant feelings is coercive and not therapeutic. Apologize for asking such a personal question undermines the therapeutic process and suggests discomfort with the topic. Change the subject to something the client will discuss avoids addressing the client's feelings and is not therapeutic.
Question 2 of 5
Which of the following statements would be an empathetic response in a client interaction?
Correct Answer: C
Rationale: Why do you think your father chose that time and place to yell at you?' might come across as blaming or accusatory. 'Well it sounds like your father has difficulty controlling his temper.' focuses on the father's behavior rather than the client's feelings, lacking empathy. 'You must have been embarrassed when your father yelled at you in the grocery store.' acknowledges and validates the client's feelings, demonstrating empathy. 'You really should find your own housing and get out of the situation with your father.' is advice-giving and lacks empathy.
Question 3 of 5
A nurse in an acute care mental health facility is talking with a client who is depressed. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Express sympathy for the client during interaction can create a sense of pity and isn’t as effective as empathy. Assist the client in decision-making by giving sound advice can undermine the client’s autonomy. Tell the client that he should make direct eye contact when communicating verbally can be intimidating for someone who is depressed. Watch the client for nonverbal cues can provide valuable information about the client’s emotional state and needs.
Question 4 of 5
A nurse is communicating with a client who was just admitted for treatment of a substance use disorder. Which of the following communication techniques should the nurse identify as a barrier to therapeutic communication?
Correct Answer: D
Rationale: Giving information is a key component of therapeutic communication, helping clients understand their situation. Listening attentively is fundamental to effective therapeutic communication. Reflecting helps the client explore their feelings and thoughts. Offering advice can create a barrier because it may come across as judgmental or directive, undermining the client’s autonomy.
Question 5 of 5
A nurse is observing a newly licensed nurse as she assists in providing family therapy for a client regarding relationship concerns with his spouse. Which of the following statements to the client by the newly licensed nurse requires intervention by the nurse?
Correct Answer: B
Rationale: Tell me about the concerns that you have regarding your relationship.' is appropriate as it encourages sharing. 'I think you should try to see your wife’s point of view as well as your own.' provides advice and can appear to take sides, requiring intervention. 'We should invite your partner to be a part of our discussion.' is appropriate for family therapy. 'Relationship difficulties are stressful and require effort to resolve.' validates the client’s experience and is appropriate.