ATI LPN Mental Health Exam | Nurselytic

Correct Answer: B

Rationale: A therapeutic area refers to a specific location or setting where therapeutic activities or treatments occur. However, it doesn't necessarily imply a comprehensive environment designed to assist patients in replacing inappropriate behaviors with more effective personal and psychosocial skills. A therapeutic environment, also known as a therapeutic milieu, is a broad term that describes settings designed to help patients replace inappropriate behaviors with more effective personal and psychosocial skills. A therapeutic unit could refer to a specific department or team within a healthcare facility that provides therapeutic services. However, it doesn't necessarily denote an environment designed for behavioral and psychosocial skill development. A therapeutic setting could refer to any location where therapeutic services are provided. It's a more general term and doesn't specifically denote an environment designed to help patients replace inappropriate behaviors with more effective personal and psychosocial skills.

Correct Answer: C

Rationale: The primary nursing care intervention for an adolescent patient diagnosed with schizophrenia involves educating the patient and their family about the importance of medication adherence. Schizophrenia is a chronic condition that often requires long-term medication management. Ensuring adherence to prescribed medication regimens can significantly improve symptom management and overall quality of life.

Correct Answer: D

Rationale: When a patient exhibits suspicious behavior and specifically warns the nurse to stay away from a particular area, such as a closet, the most appropriate action is to avoid approaching the closet. This approach respects the patient's personal space and can help de-escalate potential agitation or aggression.

Correct Answer: C

Rationale: According to Maslow's hierarchy of needs, a person must satisfy their basic physiological needs (e.g., food, water, sleep) and safety needs (e.g., security, stability) before they can fulfill their needs for love/belonging and self-esteem.
Therefore, security is a basic need that must be satisfied before a person can achieve self-esteem.

Correct Answer: A

Rationale: Rejecting is a non-therapeutic communication technique where the nurse refuses to discuss certain topics with the patient. In this case, the nurse telling the patient not to talk about her history of childhood sexual abuse is an example of rejecting. This approach can make the patient feel unheard or invalidated, which can hinder the therapeutic relationship and impede the patient's healing process. Providing inadequate responses is another non-therapeutic communication technique. It involves giving vague or insufficient responses to the patient's concerns or questions. However, in this scenario, the nurse is not providing an inadequate response but rather refusing to engage in the conversation altogether, which is more aligned with rejecting. Being judgmental is a non-therapeutic communication technique where the nurse makes negative judgments or evaluations about the patient. In this scenario, the nurse is not making any judgments about the patient or her experiences. Instead, the nurse is avoiding the topic, which is indicative of rejecting. Failing to probe is a non-therapeutic communication technique that involves not seeking further information from the patient, thereby missing important details. While the nurse in this scenario is not seeking more information about the patient's history, the behavior is more accurately described as rejecting because the nurse is actively discouraging the patient from discussing her experiences.