ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 12 Questions
Question 1 of 5
A nurse who is working with a patient being treated for depression is using solution-focused brief therapy (SFBT) during the patient?s brief psychiatric hospitalization. The nurse decides to use an exception question. Which question would the nurse most likely use?
Correct Answer: B
Rationale: In SFBT, an exception question asks about times when the problem (depression) is absent or less severe, as in 'When do you not feel depressed?' This helps identify strengths and solutions. Other options focus on the problem?s onset or causes, which are less aligned with SFBT?s solution-oriented approach.
Question 2 of 5
A group of nursing students is reviewing information about cognitive processes and the development of mental disorders. The students demonstrate a need for additional review when they identify which of the following as being involved?
Correct Answer: D
Rationale: Cognitive processes in mental disorders include the cognitive triad, cognitive distortions, and schemas, which shape negative thought patterns. Compliments (
D) are unrelated to cognitive processes in this context, indicating a misunderstanding by the students.
Question 3 of 5
A nurse is working with an adolescent girl who describes herself as a compulsive overeater and presents with a history of using food to cope with stress. The nurse decides to use journaling as an intervention for this patient based on the rationale that journaling will help the patient identify which of the following?
Correct Answer: D
Rationale: Journaling helps patients reflect on thoughts, emotions, and patterns, promoting insight into self-perception and stress responses, as in option D. It?s less about quantifying eating frequency (
A), scheduling patterns (
B), or others? behaviors (
C), but rather fostering deeper self-awareness.
Question 4 of 5
A patient is being treated in an interdisciplinary clinic. During interactions with a patient who is receiving cognitive behavior therapy, which of the following would the nurse concentrate on first?
Correct Answer: C
Rationale: In CBT, the first step is identifying the patient?s underlying beliefs that drive negative thoughts and behaviors. This precedes exploring evidence (
B), alternative explanations (
A), or implications (
D), as understanding the core beliefs guides subsequent interventions.
Question 5 of 5
During a staff meeting, a therapist mentions planning to use bibliotherapy with a patient. Later that morning, the patient approaches the nurse and says his therapist just talked to him but that he is having trouble understanding what his therapist wants him to do. When the nurse asks him to clarify his concern, he asks what bibliotherapy really means. Which response by the nurse would be most appropriate?
Correct Answer: D
Rationale: Bibliotherapy involves reading materials to gain insight, cope with challenges, or change perspectives on life events, as in option D. Option A misrepresents it as a reference task, option B is incorrect and trivializes it, and option C focuses on the therapist?s role, not the patient?s engagement.