ATI RN
Adult Behavioral Health Nursing Questions
Question 1 of 5
An adult has cared for a debilitated parent for 10 years. The health care provider recently recommended transfer of the parent to a skilled nursing facility. The adult says, "I've always been able to care for my parents. Nursing home placement goes against everything I believe." Successful resolution of this adult's crisis will most closely relate to
Correct Answer: A
Rationale: The adult's crisis clearly relates to a loss of (or threatened change in) self-concept. Her capacity to care for her parents, regardless of the parent's condition, has been challenged. Crisis resolution will involve coming to terms with the feelings associated with this loss. Identifying situational supports is relevant, but less so than coming to terms with the threat to self-concept. Reliance on lessons from role models can be helpful but not the primary factor associated with resolution in this case. Automatic relief behaviors include withdrawal or flight and will not be helpful. Automatic relief behaviors are part of the third phase of crisis.
Question 2 of 5
A therapy group adds new members as others leave. What type of group is evident?
Correct Answer: A
Rationale: An open group is a group that adds members throughout the life of the group as other members leave and as more persons who would benefit from the group become available. A closed group does not add new members; the membership is established at the beginning and, except for the occasional losses as some members leave, does not change thereafter. A homogeneous group includes members who are similar, and a heterogeneous group includes dissimilar members; not enough data are provided here to determine which applies in this case.
Question 3 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 4 of 5
What social factor is likely to have a significant influence on grief and loss responses?
Correct Answer: A
Rationale: In the context of adult behavioral health nursing, the correct answer to the question "What social factor is likely to have a significant influence on grief and loss responses?" is A) socioeconomic status. Socioeconomic status plays a crucial role in how individuals experience and cope with grief and loss. Individuals with lower socioeconomic status may have limited access to resources such as mental health services, therapy, or social support networks, which can impact their ability to effectively navigate the grieving process. Financial stressors related to socioeconomic status can also exacerbate feelings of loss and contribute to mental health challenges. Height, eye color, and shoe size are not social factors and are not likely to have a significant influence on grief and loss responses. It is important for nurses in the field of behavioral health to understand the complex interplay between social determinants of health, such as socioeconomic status, and mental health outcomes. By recognizing and addressing these factors, nurses can provide more holistic and effective care to individuals experiencing grief and loss.
Question 5 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.