Practice Question
A nurse in a mental health facility is collecting a blood specimen from a client. The client is hallucinating and states, "That looks like a snake, and I won't let it take all of my blood." Which of the following responses should the nurse make?
Answer Choices:
Correct Answer:
I don't see a snake, but that must be scary for you.
Rationale:
🟢 This response uses therapeutic communication by acknowledging the client’s emotional experience without reinforcing the hallucination.
🟢 It demonstrates empathy and validation, which helps build trust while maintaining reality orientation.
🟢 The nurse does not argue or deny the client’s perception but gently reorients them to what is real.
🟢 This approach is essential when communicating with clients experiencing psychotic symptoms, as it de-escalates fear while promoting grounding.
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This question is from ATI PN Mental Health~2023 Version which contains 50 questions.
More Questions from This Exam
A nurse is assisting in the care of a client who is scheduled to receive electroconvulsive therapy (ECT). Which of the following is the nurse's role during the informed consent process?
Answer Choices:
A. Discuss the benefits of ECT with the client.
B. Witness the client signing the form.
C. Determine if the client is competent to give consent.
D. Discuss alternative treatment options with the client.
A nurse is collecting data from a client who has antisocial personality disorder. Which of the following findings should the nurse expect? (Select all that apply)
Answer Choices:
A. Lack of empathy
B. Manipulative behaviors
C. Splitting
D. Preoccupation with details
E. Impulsiveness
A nurse is caring for a client who becomes extremely agitated. The nurse should document which of the following de-escalation techniques?
Answer Choices:
A. Therapeutic hold
B. Restraint
C. Diversion
D. Time-out
A nurse is assisting with teaching a group of older adult clients about behavioral expectations. Which of the following actions should the nurse take to help eliminate barriers to learning?
Answer Choices:
A. Schedule the teaching sessions for a longer duration to promote participation.
B. Assist the clients with establishing long-term goals.
C. Use "I" statements rather than "you" statements.
D. Ensure the teaching sessions occur right before bedtime.
A nurse is collecting data from a client who is taking lithium. Which of the following findings should the nurse identify as early manifestations of lithium toxicity? (Select all that apply)
Answer Choices:
A. Confusion
B. Nausea
C. Convulsions
D. Polyuria
E. Incoordination
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Mental Health
- Answer Choices: 4