Practice Question
A nurse is sitting with a client in the dayroom. The client jumps up and states. "There are snakes coming toward me!" Which of the following responses should the nurse make?
Answer Choices:
Correct Answer:
"l understand that you're seeing snakes, but I don't see any."
Rationale:
🟢 This response shows empathy without reinforcing hallucinations, which is crucial in managing perceptual disturbances.
🟢 It maintains therapeutic communication while also anchoring the client to objective reality.
🟢 Acknowledging the client's experience builds rapport and avoids confrontation or invalidation.
🟢 It allows further conversation while promoting reality testing and emotional de-escalation.
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This question is from PN Mental Health 2023 which contains 61 questions.
More Questions from This Exam
A nurse is assisting with the care of a client.
Answer Choices:
A. Role play responses to offensive behavior.
B. Use nonthreatening body language when addressing the client.
C. Provide structure and boundaries for the client.
D. Confront the clients aggressive behavior.
E. Teach behavior modification techniques.
F. Place the client in isolation.
G. Redirect the client to an appropriate activity.
H. Limit client privileges on the unit.
I. Touch the client's arm for reassurance.
A nurse is caring for an adolescent who was recently sexually assaulted. Which of the following statements by the adolescent's guardian represents the presence of a positive support system?
Answer Choices:
A. “I will have to do all I can to monitor my child's relationships."
B. "l anticipate that my child will feel some self-blame."
C. "l should encourage my child to focus solely on the future."
D. "l can encourage my child to think about what they did that allowed this event to happen.”
A nurse is caring for a client who has borderline personality disorder and recently used manipulation to gain access to a restricted area. Which of the following responses should the nurse make?
Answer Choices:
A. “You know that manipulation is not the appropriate thing to do."
B. “Why are you not following your treatment plan?"
C. "l can request that your provider decrease the restriction."
D. “Let's discuss the consequences of your actions."
A nurse is caring for a client who has a depressive disorder. Which of the following factors should the nurse identify as a risk factor for developing this condition?
Answer Choices:
A. Viral infections
B. Serotonin deficiency
C. High level of norepinephrine
D. Prior head trauma
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Mental Health
- Answer Choices: 4