ATI RN
Mental Health Nursing Practice Questions Questions
Question 1 of 5
A single, pregnant teenager in a parenting class discloses her ambivalence toward the pregnancy and the subsequent guilt that these thoughts generate. A mother of three admits to having felt that way herself. Which of Yaloms curative group factors does this illustrate?
Correct Answer: D
Rationale: This scenario illustrates the curative group factor of Universality. Universality involves the realization that one is not alone in their struggles and that others in the group have experienced similar feelings or thoughts. In this case, the pregnant teenager is able to see that she is not the only one who has felt ambivalent about their pregnancy, as the mother of three also admits to having had similar feelings. This sense of shared experiences can help reduce feelings of isolation, shame, and guilt, ultimately fostering a sense of connection and mutual understanding within the group.
Question 2 of 5
When planning group therapy, a nurse should identify which configuration as most optimal for a therapeutic group?
Correct Answer: A
Rationale: The most optimal configuration for a therapeutic group in group therapy is open-ended membership with a circle of chairs and a group size of 5 to 10 members. Open-ended membership allows for flexibility in attendance, which is important in group therapy where individuals may have varying schedules and needs. A circle of chairs promotes equality and encourages interaction among group members, fostering a sense of community and support. A group size of 5 to 10 members is considered ideal as it allows for a diversity of perspectives and experiences while still maintaining an intimate setting where each member can actively participate and receive adequate attention. This configuration promotes a safe and engaging environment for group therapy sessions.
Question 3 of 5
Which of the following observed client behaviors would lead a nurse to evaluate a member as assuming a maintenance group role? Select all that apply.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A client diagnosed with schizophrenia functions well and is bright, spontaneous, and interactive during hospitalization but then decompensates after discharge. What does the milieu provide that may be missing in the home environment?
Correct Answer: B
Rationale: The milieu provides structured programming that offers a routine and consistency in the daily activities of the client. This structure can help stabilize and provide a sense of security for individuals with schizophrenia. The predictability and purpose of activities in the hospital setting are often more clearly defined and implemented than in a home environment where routines may be more variable or lacking altogether. Without this structured programming at home, the client may struggle to maintain stability and functioning once they are discharged from the hospital.
Question 5 of 5
A client has undergone psychological testing. With which member of the interdisciplinary team should a nurse collaborate to review these results?
Correct Answer: C
Rationale: When a client has undergone psychological testing, collaborating with the clinical psychologist on the interdisciplinary team to review these results would be most appropriate. Clinical psychologists are experts in psychological assessment and are trained to interpret and provide insights on the results of psychological tests. Collaborating with the clinical psychologist ensures that the nurse is getting an expert opinion on the testing results, which can help in planning and executing appropriate care interventions for the client based on the test findings. Additionally, the clinical psychologist can provide valuable recommendations for further evaluation or treatment strategies based on the results of the psychological testing.