ATI LPN Mental Health Exam | Nurselytic

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.

Correct Answer: D

Rationale: Intellectual thought process involves the ability to analyze, evaluate, and synthesize information. It is not specifically tied to problem-solving skills grounded in scientific reasoning and logic. Basic thought process refers to the fundamental cognitive operations such as perception, memory, and language comprehension. It does not specifically involve problem-solving skills grounded in scientific reasoning and logic. Concrete thought process is characterized by literal and immediate thinking. It involves thinking on the surface and not looking into the deeper meaning of things. It does not involve problem-solving skills grounded in scientific reasoning and logic. Abstract thought process involves higher-level thinking and reasoning skills. It includes problem-solving skills grounded in scientific reasoning and logic. A teenager employing problem-solving skills grounded in scientific reasoning and logic is demonstrating an abstract thought process.

Correct Answer: C

Rationale: Leaving the client alone to eat might not address the client's paranoid belief that the food is poisoned. It could potentially exacerbate the client's anxiety and paranoia. Asking the client's family to bring in favorite foods might not be feasible in all situations. Moreover, the client might still harbor paranoid beliefs about the food being poisoned. Allowing the client to observe other clients eating the same food can help alleviate the client's paranoid belief that the food is poisoned. Seeing others safely consuming the same food can provide reassurance. Giving the client an 'anti-poison' placebo prior to meals is not an ethical practice. It can potentially undermine the trust in the therapeutic relationship.