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ATI LPN · Mental Health Nursing · Mental Health Crisis Scenario-Based Questions for PNs

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A hospital-based adult psychiatric and mental health nurse practitioner collaborates with a multidisciplinary team that is charged with establishing a psychiatric outpatient clinic. Advocating for the role of advanced practice nurses, the nurse practitioner initially educates the team that advanced practice nurses:

A. are readily available to meet patient needs.
B. can autonomously provide a full range of comprehensive services.
C. can perform case management functions.
D. provide cost-effective care delivery.

Expert Explanatory Rationale

Correct Answer: can autonomously provide a full range of comprehensive services.

Question 2 of 5

Which assessment finding most clearly indicates that a patient may be experiencing a mental illness? The patient

A. reports occasional sleeplessness and anxiety.
B. reports a consistently sad, discouraged, and hopeless mood.
C. is able to describe the difference between as if and for real.
D. perceives difficulty making a decision about whether to change jobs.

Expert Explanatory Rationale

Correct Answer: reports a consistently sad, discouraged, and hopeless mood.

Question 3 of 5

A client tells a nurse. 'Everyone would be better off if I wasn't alive.' Which nursing diagnosis would be made based on this statement?

A. Disturbed thought processes
B. Ineffective coping
C. Risk for self-directed violence
D. Impaired social interaction

Expert Explanatory Rationale

Correct Answer: Risk for self-directed violence

Question 4 of 5

The nurse is reviewing the assessment data of a client admitted to the mental health unit. The nurse notes that the admission nurse documented that the client is experiencing anxiety as a result of situational crisis. The nurse plans care for the client, determining that this type of crisis could be caused by which event?

A. witnessing a murder
B. the death of a loved one
C. a fire that destroyed the client's home
D. a recent rape episode experienced by the client

Expert Explanatory Rationale

Correct Answer: the death of a loved one

Question 5 of 5

Which defense mechanism is MOST characteristics of the client with paranoid schizophrenia?

A. Undoing
B. Rationalization
C. Projection
D. Suppression

Expert Explanatory Rationale

Correct Answer: Projection

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