ATI RN
Psychiatric Mental Health Nursing Practice Questions Questions
Question 1 of 5
A client is trying to explore and solve a problem. Which nursing statement would be an example of verbalizing the implied?
Correct Answer: A
Rationale: Step 1: A is correct as it reflects active listening and shows empathy towards the client. Step 2: By stating "You seem to be motivated to change your behavior," the nurse acknowledges the client's feelings and encourages further exploration. Step 3: This statement helps the client feel understood and supported in their journey towards change. Summary: B: Focuses on family relationships, not the client's motivation. C: Suggests a directive approach rather than exploring the client's feelings. D: Imposes a specific recommendation without considering the client's readiness or motivation.
Question 2 of 5
Which therapeutic communication technique should the nurse use when communicating with a client who is experiencing auditory hallucinations?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates empathy and validation without reinforcing the hallucinations. By acknowledging the client's experience while maintaining reality orientation, the nurse can build trust and rapport. Choice A may unintentionally normalize the hallucinations. Choice C could dismiss the client's experience and avoid addressing the underlying issue. Choice D minimizes the client's distress and relies solely on medication without addressing the client's emotional needs.
Question 3 of 5
During a therapeutic group, two clients engage in an angry verbal exchange. The nurse leader interrupts the exchange and excuses both of the clients from the group. The nurse has demonstrated which leadership style?
Correct Answer: A
Rationale: The correct answer is A: Autocratic. This leadership style is characterized by making decisions independently and enforcing them without input from the group. In this scenario, the nurse leader interrupted the exchange and made the decision to excuse both clients without consulting the group. This approach is necessary in situations requiring immediate intervention to maintain order and ensure the safety of all group members. Summary of other choices: B: Democratic - In a democratic leadership style, decisions are made through group discussion and input from all members. This was not demonstrated in the scenario. C: Laissez-faire - In a laissez-faire leadership style, the leader takes a hands-off approach and allows group members to make decisions. This was not demonstrated as the nurse leader took immediate action. D: Bureaucratic - Bureaucratic leadership involves following strict rules and procedures. The scenario did not involve following predetermined rules but rather a quick decision made by the nurse leader.
Question 4 of 5
A man diagnosed with alcohol dependence experiences his first relapse. During his AA meeting, another group member states, I relapsed three times, but now have been sober for 15 years. Which of Yaloms curative group factors does this illustrate?
Correct Answer: B
Rationale: The correct answer is B: Instillation of hope. This statement by the group member provides hope by showing that despite relapses, long-term sobriety is achievable. This aligns with Yalom's curative group factor of instillation of hope, where group members inspire and motivate each other through their own successes. The other choices are incorrect because: A: Imparting of information focuses on sharing knowledge, not personal experiences. C: Catharsis involves the release of emotions, not necessarily about hope for the future. D: Universality is about realizing shared experiences, not specifically about hope for recovery.
Question 5 of 5
During a group session, which client statement demonstrates that the group has progressed to the middle, or working, phase of group development?
Correct Answer: B
Rationale: The correct answer is B because it shows the client actively engaging in problem-solving and considering specific strategies, indicating progress to the working phase. Choice A reflects the initial phase where trust and sharing are still developing. Choice C suggests a dependency on professional advice, not group collaboration. Choice D demonstrates resistance and a lack of ownership over personal growth, indicating an earlier phase of group development.