ATI LPN
ATI LPN Mental Health Level 2 Exam Questions
Extract:
Question 1 of 5
What would be the most appropriate action by the student nurse when the client asked the student nurse to keep it a secret that the client plans to kill a family member?
Correct Answer: A
Rationale: The student nurse must tell the client that he/she cannot keep that secret and report it to the instructor and/or staff member is correct; the student nurse has a duty to report any threats of harm to others. The student nurse must tell the client that he/she will keep the secret and then tell the instructor and/or staff is dishonest and unethical. The student must respect the client's privacy and not tell anyone is incorrect; the nurse has a duty to report threats to safety. The student nurse must tell the instructor and then ask the instructor to keep it a secret is incorrect; the instructor also has a duty to report threats to safety.
Question 2 of 5
A nurse is caring for an older adult client who has dementia and is agitated. The client says, 'I have to go home and see my mother.' The nurse replies, 'You miss your mother.' Which of the following therapeutic techniques is the nurse using?
Correct Answer: D
Rationale: Guided imagery involves creating mental images to promote relaxation, not applicable here. Orientation to reality involves correcting misperceptions about time, place, and person, not used in this context. Remotivation involves stimulating a client's interest in the environment and is not applicable here. Validation acknowledges the client's feelings and emotions, supporting their sense of reality, which is correct.
Question 3 of 5
Which of the following is true regarding mental health?
Correct Answer: D
Rationale: Persons who engage in fantasies are mentally ill is incorrect; engaging in fantasies is a normal part of human cognition. It is easy to determine if a person is mentally healthy or mentally ill is incorrect; mental health is complex and multifaceted. Behavior that may be viewed as acceptable in one culture is always unacceptable in other cultures is incorrect; cultural norms vary widely, and acceptability is not absolute. In most cases, mental health is a state of emotional, psychological, and social wellness evidenced by satisfying interpersonal relationships, effective behavior and coping, positive self-concept, and emotional stability accurately describes the holistic nature of mental health.
Question 4 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 5 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.