ATI LPN Mental Health Exam | Nurselytic

Correct Answer: C

Rationale: The primary nursing care intervention for an adolescent patient diagnosed with schizophrenia involves educating the patient and their family about the importance of medication adherence. Schizophrenia is a chronic condition that often requires long-term medication management. Ensuring adherence to prescribed medication regimens can significantly improve symptom management and overall quality of life.

Correct Answer: D

Rationale: When a patient exhibits suspicious behavior and specifically warns the nurse to stay away from a particular area, such as a closet, the most appropriate action is to avoid approaching the closet. This approach respects the patient's personal space and can help de-escalate potential agitation or aggression.

Correct Answer: C

Rationale: According to Maslow's hierarchy of needs, a person must satisfy their basic physiological needs (e.g., food, water, sleep) and safety needs (e.g., security, stability) before they can fulfill their needs for love/belonging and self-esteem.
Therefore, security is a basic need that must be satisfied before a person can achieve self-esteem.

Correct Answer: A

Rationale: Rejecting is a non-therapeutic communication technique where the nurse refuses to discuss certain topics with the patient. In this case, the nurse telling the patient not to talk about her history of childhood sexual abuse is an example of rejecting. This approach can make the patient feel unheard or invalidated, which can hinder the therapeutic relationship and impede the patient's healing process. Providing inadequate responses is another non-therapeutic communication technique. It involves giving vague or insufficient responses to the patient's concerns or questions. However, in this scenario, the nurse is not providing an inadequate response but rather refusing to engage in the conversation altogether, which is more aligned with rejecting. Being judgmental is a non-therapeutic communication technique where the nurse makes negative judgments or evaluations about the patient. In this scenario, the nurse is not making any judgments about the patient or her experiences. Instead, the nurse is avoiding the topic, which is indicative of rejecting. Failing to probe is a non-therapeutic communication technique that involves not seeking further information from the patient, thereby missing important details. While the nurse in this scenario is not seeking more information about the patient's history, the behavior is more accurately described as rejecting because the nurse is actively discouraging the patient from discussing her experiences.

Correct Answer: D

Rationale: Actively seeking is a stage of chemical dependency where the individual actively seeks out the substance. In this scenario, the teenager is not just seeking heroin, but is using it to prevent withdrawal symptoms, which suggests a more advanced stage of dependency. Experimentation is the initial stage of chemical dependency where the individual first tries the substance. However, the teenager in this scenario is past the experimentation stage as she is using heroin regularly to prevent withdrawal symptoms. Burnout is a stage of chemical dependency characterized by physical and mental exhaustion due to prolonged substance use. While the teenager may be experiencing burnout, the scenario specifically mentions her use of heroin to prevent withdrawal symptoms, which is more indicative of the preoccupation stage. Preoccupation is a stage of chemical dependency where the individual is consumed by thoughts of the substance and uses it to prevent withdrawal symptoms. The teenager's belief that she cannot cope without heroin and her use of it to prevent withdrawal symptoms align with this stage.