ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
What principle about nurse-patient communication should guide a nurse’s fear about “saying the wrong thing†to a patient?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale: Effective nurse-patient communication is based on building trust, empathy, and understanding. Patients value sincerity, respect, and genuine concern from their healthcare providers. By conveying acceptance and respect, nurses can establish a positive rapport with patients, which is essential for effective communication. Patients are more likely to open up and trust a nurse who demonstrates empathy and understanding. This approach helps create a supportive environment for the patient to express their concerns and feel heard.
Choices B, C, and D do not address the fundamental principles of building a therapeutic nurse-patient relationship through effective communication.
Choice B assumes the patient is not likely to be offended, which may not always be the case.
Choice C focuses on potential harm, which is not the primary concern in effective communication.
Choice D makes a generalization about individuals with mental illness, which is not relevant to the principle of communication in nursing.
Question 2 of 5
You have been working closely with a patient for the past month. Today he tells you he is looking forward to meeting with his new psychiatrist but frowns and avoids eye contact while reporting this to you. Which of the following responses would most likely be therapeutic?
Correct Answer: B
Rationale: The correct answer is B. This response acknowledges the patient's non-verbal cues and reflects back to the patient what you observed, showing empathy and understanding. It validates the patient's emotions and opens up the opportunity for the patient to further elaborate on their feelings.
Choice A minimizes the patient's feelings and may come off as dismissive.
Choice C puts the patient on the spot and may make them defensive.
Choice D makes an assumption about the patient's feelings without giving them a chance to express themselves.
Question 3 of 5
Which student behavior is consistent with therapeutic communication?
Correct Answer: B
Rationale: The correct answer is B: Summarizing the essence of the patient's comments in your own words. This behavior is consistent with therapeutic communication as it shows active listening and understanding of the patient's feelings and thoughts. By summarizing, the healthcare provider demonstrates empathy and helps clarify any misunderstandings.
A: Offering your opinion when asked to convey support may not always align with therapeutic communication, as it can shift the focus from the patient to the provider's perspective.
C: Interrupting periods of silence before they become awkward for the patient can disrupt the patient's thought process and hinder open communication.
D: Telling the patient he did well when you approve of his statements or actions may come across as judgmental and can limit the patient's ability to express themselves fully.
Question 4 of 5
James is a 42-year-old patient with schizophrenia. He approaches you as you arrive for day shift and anxiously reports, “Last night, demons came to my room and tried to rape me.†Which response would be most therapeutic?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates empathy and active listening. By acknowledging James's feelings and inviting him to share more about his experience, the response validates his emotions and fosters trust. This approach helps build a therapeutic relationship and allows for a deeper exploration of his hallucinations. Options A and B invalidate James's experience and may increase his distress. Option D offers reassurance but lacks the immediate emotional support James needs.
Question 5 of 5
Therapeutic communication is the foundation of a patient-centered interview. Which of the following techniques is not considered therapeutic?
Correct Answer: D
Rationale: As a tutor, the correct answer is D. Asking 'why' questions is not considered a therapeutic communication technique as it can come off as confrontational or judgmental, potentially making the patient feel defensive or pressured to justify their feelings. Therapeutic communication aims to create a safe and supportive environment for patients to express themselves openly without feeling judged. Restating, encouraging description of perceptions, and summarizing are all therapeutic techniques that help patients feel heard and understood, fostering trust and empathy in the patient-provider relationship.