ATI RN
Adult Behavioral Health Nursing Questions
Question 1 of 5
A younger patient in a therapy group says to an older patient, "You remind me of my mother, always trying to control me with your observations and suggestions." Which therapeutic factor of a group is evident by this behavior?
Correct Answer: D
Rationale: The younger patient is demonstrating an emotional attachment to the older patient that mirrors patterns within her own family of origin, a phenomenon called corrective recapitulation of the primary family group. Feedback from the group then helps the member gain insight about this behavior and leads to more effective ways of relating to her family members. Installation of hope involves conveying optimism and sharing progress. Existential resolution refers to the realization that certain existential experiences such as death are part of life, aiding the adjustment to such realities. Development of socializing techniques involves gaining social skills through the group's feedback and practice within the group.
Question 2 of 5
The next-to-last meeting of an interpersonal therapy group is taking place. The leader should take which actions? (Select all that apply.)
Correct Answer: B
Rationale: The goals for the termination phase of groups are to prepare the group for separation, resolve related feelings, and prepare each member for the future. Contributions and accomplishments of members are elicited, post-group goals are identified, and feelings about the group's ending are discussed. Group norms are the focus of the orientation phase, and conflict and problem solving are emphasized in the working phase.
Question 3 of 5
What social factor is likely to have a significant influence on grief and loss responses?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
The nurse is assessing the factors contributing to the well-being of a newly admitted client. Which of the following would the nurse identify as having a positive impact on the individual's mental health?
Correct Answer: B
Rationale: Individual factors influencing mental health include biologic makeup, autonomy, independence, self-esteem, capacity for growth, vitality, ability to find meaning in life, emotional resilience or hardiness, sense of belonging, reality orientation, and coping or stress management abilities. Interpersonal factors such as intimacy and a balance of separateness and connectedness are both needed for good mental health, and therefore a healthy person would need others for companionship. A family history of mental illness could relate to the biologic makeup of an individual, which may have a negative impact on an individual's mental health, as well as a negative impact on an individual's interpersonal and social/cultural factors of health. Total self-reliance is not possible, and a positive social/cultural factor is access to adequate resources.
Question 5 of 5
A significant change in the treatment of people with mental illness occurred in the 1950s when
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.