As part of a client's treatment plan for borderline personality disorder, the client is engaged in dialectical behavior therapy. As part of the therapy, the client is learning how to control and change behavior in response to events. The nurse identifies the client as learning which type of skills?

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Mental Health ATI Proctored Exam Questions

Question 1 of 5

As part of a client's treatment plan for borderline personality disorder, the client is engaged in dialectical behavior therapy. As part of the therapy, the client is learning how to control and change behavior in response to events. The nurse identifies the client as learning which type of skills?

Correct Answer: D

Rationale: Rationale: Dialectical behavior therapy focuses on teaching clients skills to manage emotions, behavior, and thoughts effectively. Self-management skills involve regulating behavior in response to events, which aligns with the client's goal of controlling and changing behaviors. Emotion regulation skills focus on managing emotions, mindfulness skills involve being present in the moment, and distress tolerance skills focus on tolerating emotional distress. Therefore, self-management skills are the most appropriate choice in this scenario.

Question 2 of 5

The patient says, "My marriage is just great. My spouse and I always agree." The nurse observes the patient's foot moving continuously as the patient twirls a shirt button. The conclusion the nurse can draw is that the patient's communication is

Correct Answer: C

Rationale: The correct answer is C: incongruous. The patient's verbal statement about the marriage being great contradicts the nonverbal behavior of foot movement and button twirling, indicating incongruity between the verbal and nonverbal communication. This inconsistency suggests that the patient may not be entirely truthful or may be experiencing internal conflict. A: Clear - This choice is incorrect because the patient's communication is not clear due to the conflicting verbal and nonverbal cues. B: Distorted - This choice is incorrect as there is no indication of intentional distortion in the patient's communication. D: Inadequate - This choice is incorrect as inadequate communication refers to a lack of information or detail, which is not evident in this scenario.

Question 3 of 5

A nurse observes an AP providing care to a child who is in skeletal traction. Which of the following action requires intervention?

Correct Answer: D

Rationale: The correct answer is D because massaging pressure points can cause skin breakdown in a child in skeletal traction. The pressure exerted during massage can lead to tissue damage and compromise skin integrity. This can result in pressure ulcers or sores, which can be extremely detrimental to the child's recovery. Providing a high protein snack (A) is beneficial for healing, assisting the child to reposition (B) helps prevent complications, and placing weights as a child's bed (C) is necessary for maintaining traction and should not be changed without proper authorization.

Question 4 of 5

A new patient acts out so aggressively that seclusion is required before the admission assessment is completed or orders written. Immediately after safely secluding the patient, which action is the nurse's priority?

Correct Answer: B

Rationale: The correct answer is B: Notify the health care provider to obtain a seclusion order. This is the priority because seclusion should not be continued without a proper order from the health care provider. It ensures legal and ethical compliance, promotes patient safety, and protects the nurse from liability. Completing the physical assessment (A) can wait until after the seclusion order is obtained. Documenting the incident (C) is important but not the immediate priority. Explaining to the patient (D) can be done after ensuring the legal aspects are addressed.

Question 5 of 5

Which assessment question regarding a patient's report of pain demonstrates the nurse's attention to the principles of holistic nursing care?

Correct Answer: D

Rationale: The correct answer is D because it addresses the patient's physical, emotional, and social well-being, aligning with holistic nursing care principles. It shows the nurse's consideration of the pain's impact on the patient's daily life. Options A, B, and C focus on specific aspects but do not encompass the holistic approach. Option A focuses only on the pain's timeline, option B on herbal supplements, and option C on familial history, neglecting the patient's overall well-being.

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