ATI LPN Mental Health Exam | Nurselytic

Correct Answer: C

Rationale: Asperger's syndrome is a type of pervasive developmental disorder. It is characterized by difficulties in social interaction and nonverbal communication, along with restricted and repetitive patterns of behavior and interests. However, it does not typically involve significant issues with imaginative use. Rett syndrome is a rare genetic disorder that primarily affects girls and leads to severe cognitive and physical impairments. It does not match the description given in the question. Autism is a developmental disorder characterized by difficulties with social interaction and communication, and by restricted and repetitive behavior. Children with autism often have significant issues with social interaction, communication, imaginative use, and a limited range of activities, which matches the description given in the question. Childhood disintegrative disorder is a rare condition characterized by late onset of developmental delays—or severe and sudden reversals—in language, social function, and motor skills. While it involves issues with social interaction and communication, it does not typically involve issues with imaginative use.

Correct Answer: D

Rationale: While loss of interest in activities can be a symptom of depression, it is not the most common behavior exhibited by adolescents with depression. Mood swings can occur in adolescents with depression, but they are not the most common behavior. Depressed mood is a symptom of depression, but it is not the most common behavior exhibited by adolescents with depression. Irritable moods and acting out are the most common behaviors exhibited by adolescents with depression, as per the school health nurse's knowledge.

Correct Answer: C

Rationale: While trying to look on the bright side can be a helpful strategy, it does not necessarily demonstrate empathy. Empathy involves understanding and sharing the feelings of another person. Telling someone they will feel better soon can be seen as dismissive of their current feelings and does not demonstrate empathy. Saying 'It must be difficult for you going through this' is an empathetic response because it acknowledges the person's feelings and shows understanding of their situation. While expressing sorrow for someone's loss can be seen as sympathetic, it does not necessarily demonstrate empathy. Empathy involves understanding and sharing the feelings of another person.

Correct Answer: D

Rationale: Control of obesity is not the primary issue with anorexia nervosa and bulimia. These disorders involve much more complex psychological issues. While food plays a central role in these disorders, it is not the primary issue. The primary issue is more related to body image and control. Depression can be a symptom or result of these disorders, but it is not the primary issue. Body image is the primary issue with anorexia nervosa and bulimia. Individuals with these disorders have a distorted body image and extreme fear of gaining weight, which leads to harmful behaviors such as extreme food restriction or binge eating and purging.

Correct Answer: A

Rationale: The nurse's response of asking the client, 'How do you feel about being discharged?' is the most therapeutic. This open-ended question encourages the client to express their feelings and concerns about being discharged. It allows the nurse to assess the client's readiness for discharge and to provide appropriate education or referrals if needed. It also demonstrates empathy and respect for the client's feelings, which are key components of a therapeutic relationship. Telling the client, 'I will send you a note in a few weeks,' is not the best response. While it may seem like a kind gesture, it could potentially blur the boundaries of the therapeutic relationship. Nurses must maintain professional boundaries with clients to ensure that the focus remains on the client's needs and not the personal feelings or needs of the nurse. Saying, 'I know you will do well living out in the community,' is an assumption and does not invite the client to share their feelings or concerns. It's important for the nurse to encourage the client to express their feelings about discharge and to provide support and education based on the client's individual needs. Asking the client, 'Aren't you excited about being discharged today?' is a closed-ended question that assumes the client is excited about discharge. This type of question does not encourage the client to share their feelings or concerns. It's important for the nurse to use open-ended questions to encourage the client to express their feelings about discharge.