ATI LPN
ATI LPN Mental Health Level 2 Exam Questions
Extract:
Question 1 of 5
Which of the following would indicate a duty to warn a third party?
Correct Answer: C
Rationale: I’m going to get them before they get to me' is vague and requires assessment but not an immediate duty to warn. 'A client says he plans to blow up the government.' is serious but not specific to a third party, requiring authority notification. 'If I can’t have my girlfriend back, then no one can have her.' is a direct threat to a specific person, triggering a duty to warn. 'I hate all police' shows hostility but not a specific threat.
Question 2 of 5
The nurse is working with a client who has quit several jobs and no longer sends financial support to his two children living with their mother. This behavior is in conflict with the nurse's values concerning responsible parenting. When discussing family roles with the client, the nurse shows positive regard through which statement?
Correct Answer: B
Rationale: Can the children's mother get by for a while until you get better?' is dismissive of the client's responsibility and does not show positive regard. 'How is not working right now affecting you?' shows empathy and concern for the client's well-being without passing judgment, reflecting positive regard. 'You need to somehow support your children.' is directive and judgmental, not reflecting positive regard. 'How do you expect your kids to be provided for?' is confrontational and does not demonstrate positive regard.
Question 3 of 5
Which is a positive aspect of treating clients with mental illness in a community-based care?
Correct Answer: B
Rationale: You will have to have supervision when you go out in the community.' implies a lack of independence, counterproductive in community-based care. 'You will be able to live in your own home while you receive therapy regularly.' highlights a key advantage, fostering normalcy and independence. 'You will not be allowed out with friends while in the program.' suggests restriction, not conducive to well-being. 'You will have someone in your home at all times to ask questions if you have any concerns.' can be intrusive rather than empowering.
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 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.