ATI RN
Mental Health Practice Questions Questions
Question 1 of 5
According to Peplau, which nursing intervention is most appropriate when the nurse is functioning in the role of a surrogate?
Correct Answer: A
Rationale: According to Peplau, in the role of a surrogate, the nurse is expected to function as a nurturing parent in order to build a trusting relationship with the client. This involves providing emotional support, guidance, and care similar to that of a parent figure. By assuming a nurturing role, the nurse can promote a therapeutic relationship where the client feels supported and understood, leading to better outcomes in the nursing care provided. Playing cards with a small group of clients, discussing childhood events, or providing a safe social environment may be important interventions in other nursing roles, but when functioning as a surrogate, creating a nurturing and trusting relationship is the most appropriate intervention according to Peplau's theory.
Question 2 of 5
Which therapeutic communication technique is being used in this nurseclient interaction? Client: When I am anxious, the only thing that calms me down is alcohol. Nurse: Other than drinking, what alternatives have you explored to decrease anxiety?
Correct Answer: A
Rationale: In this nurse-client interaction, the nurse is using the therapeutic communication technique of reflecting. Reflecting involves mirroring back to the client the feelings or thoughts they have expressed to encourage further exploration or clarification. By responding with "Other than drinking, what alternatives have you explored to decrease anxiety?" the nurse is reflecting back to the client the statement about using alcohol to calm down and is inviting the client to consider other ways to manage their anxiety. This response helps the client gain insight, explore additional options, and enhances the therapeutic relationship.
Question 3 of 5
A nurse maintains an uncrossed arm and leg posture. This nonverbal behavior is reflective of which letter of the SOLER acronym for active listening?
Correct Answer: C
Rationale: The letter "L" in the SOLER acronym stands for maintaining an uncrossed leg posture. In this case, the nurse maintaining an uncrossed arm and leg posture reflects the "L" of SOLER. This posture is important in active listening as it communicates openness and attentiveness to the speaker, which can help build rapport and facilitate effective communication.
Question 4 of 5
A client diagnosed with dependent personality disorder states, Do you think I should move from my parents house and get a job? Which nursing response is most appropriate?
Correct Answer: C
Rationale: The most appropriate nursing response is option C, "Let's discuss and explore all of your options." This response acknowledges the client's concerns and shows readiness to work with the client to consider different possibilities. It helps empower the client to actively participate in decision-making and reflects a collaborative approach to problem-solving, which can be beneficial for individuals with dependent personality disorder. Options A, B, and D are not as therapeutic or client-centered as option C.
Question 5 of 5
A client tells the nurse, I feel bad because my mother does not want me to return home after I leave the hospital. Which nursing response is therapeutic?
Correct Answer: C
Rationale: Option C, "Your mother seems like an understanding person. I'll help you approach her," is a therapeutic response as it validates the client's feelings and offers support in discussing the situation with the mother. This response shows empathy and willingness to facilitate communication between the client and their mother, which can help address any misunderstandings or concerns that may be present. It promotes open dialogue and collaboration in resolving the issue, fostering a sense of trust between the nurse and the client.