ATI LPN
ATI LPN nsp 130 Psychosocial Exam Questions
Extract:
Question 1 of 5
Which client exhibits signs and symptoms of delirium and not dementia or depression?
Correct Answer: A
Rationale: Delirium is marked by a sudden onset of confusion, unlike the gradual progression of dementia or the mood-based symptoms of depression. Intact ADLs, hidden changes, or apathy are not typical of delirium.
Question 2 of 5
A nurse is caring for a client who has major depressive disorder. Which of the following actions should the nurse take when developing a relationship with the client?
Correct Answer: B
Rationale: Setting boundaries maintains a professional therapeutic relationship, ensuring trust and focus on the client’s needs. Sharing personal information, comparing to others, or emotional over-involvement can blur boundaries.
Question 3 of 5
A client is depressed and has attempted suicide tells the nurse, 'I should have died because I am totally worthless' which of $t$ responses should the nurse make?
Correct Answer: B
Rationale: Reflecting the client’s feelings validates their emotions and encourages further dialogue, essential for addressing suicidal thoughts. Dismissing, reassuring prematurely, or questioning defensively may alienate them.
Question 4 of 5
Suicide attempts by are more successful because one out of every two attempts results in death.
Correct Answer: C
Rationale: Older adults have higher suicide completion rates due to using more lethal methods and higher intent. Adolescents and young adults tend to use less fatal means, reducing success rates.
Question 5 of 5
A nurse is preparing to change the dressing on the lower leg of an older adult client who is in a wheelchair, and has a history of maladaptive coping skills. The client begins swearing at and verbally abusing the nurse. Which of the following actions should the nurse to take?
Correct Answer: D
Rationale: Leaving temporarily de-escalates the situation, giving the client time to calm down while maintaining safety. Restraints, explaining, or seclusion could escalate agitation or be inappropriate.