ATI Mental Health Cms for PN

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Sample questions from ATI Mental Health Cms for PN

This material has 60 questions with answers and rationales. Here are the first 5.

1. 1.During a home visit, an adolescent says, "My friends say I should just get over my parents' divorce, but I can't concentrate in school." Which response by the practical nurse is most therapeutic?

   • A."You will feel better once you get used to the change."
   • B."Have you told your parents that they are hurting you?"
   • C."Many adolescents have trouble concentrating when their parents separate."
   • D."It sounds like the divorce is affecting more than one part of your life."

   Rationale: Reflecting the client's concern acknowledges the impact of the divorce and invites the adolescent to share more. Reassuring that the client will adjust minimizes distress, while asking whether the parents are hurting the client introduces an assumption. Generalizing that many adolescents have this problem can shift attention away from this client's experience; use reflection before offering advice or education.

2. 2.Refer to the client's chart. Which responses by the practical nurse are appropriate when the client says, "I hear my deceased sister telling me I am worthless"? Select all that apply.

   • A."You are safe here, and I will stay with you while we notify the RN."
   • B."Why do you think you are hearing your sister's voice?"
   • C."What does the voice say, and do you feel you might act on what it says?"
   • D."I do not hear the voice, but I understand that it feels real to you."
   • E."Your sister would not want you to listen to that, so try to ignore it."

   Rationale: Acknowledging the client's experience without agreeing that the voice is real maintains reality-based communication, and asking about its content and commands helps identify immediate risk. Staying with the client and notifying the RN are appropriate when hallucinations may involve harm. Telling the client what the deceased sister would want offers unsupported reassurance, and asking why can sound blaming and does not first assess safety.

3. 3.A client states, "My partner has been gone for two months, and I still expect to hear the key in the door." Which response best uses therapeutic communication?

   • A."You need to accept that your partner is gone."
   • B."What do you miss most about your partner?"
   • C."You should keep busy so you do not think about the loss."
   • D."At least your partner is no longer suffering."

   Rationale: An open-ended question invites the client to describe the loss and feelings at the client's own pace. Telling the client to accept the death is directive, and the comments about relief or staying busy minimize grief. Therapeutic communication supports expression rather than setting a timetable or prescribing a coping response.

4. 4.In a long-term care facility, an older adult with moderate dementia repeatedly asks when a deceased spouse will arrive. Which response is most appropriate?

   • A."Your spouse died last year; you need to remember that."
   • B."Your spouse will be here soon, so try to rest."
   • C."You are missing your spouse. Tell me what you enjoyed doing together."
   • D."Why do you keep asking the same question?"

   Answer and rationale are in the full material.

5. 5.At change of shift, a client who recently attempted suicide says, "There is no point in being here, but I do not want to talk about it." What should the practical nurse say first?

   • A."Are you thinking about killing yourself right now?"
   • B."You have a lot to live for, so please do not think that way."
   • C."I will give you some time and check back after lunch."
   • D."Your family would be devastated if you hurt yourself."

   Answer and rationale are in the full material.