During a solution-focused behavior therapy session, the therapist asks a patient to use his imagination based on a scenario in which a patient awakens and all his problems have disappeared. The therapist then asks the patient, 'How would your life be different?' Which type of question is the therapist using?

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RN Mental Health 2023 ATI Proctored Questions

Question 1 of 5

During a solution-focused behavior therapy session, the therapist asks a patient to use his imagination based on a scenario in which a patient awakens and all his problems have disappeared. The therapist then asks the patient, 'How would your life be different?' Which type of question is the therapist using?

Correct Answer: B

Rationale: The correct answer is B: Miracle question. This question is used to help clients envision a future where their problems have miraculously disappeared, allowing them to explore how their life would be different without those issues. It encourages clients to imagine a positive change and helps them identify their desired outcomes. A: Exception question focuses on times when the problem did not occur. C: Relationship question explores how relationships may be impacting the issue. D: Scaling question involves rating progress or motivation levels, not imagining a problem-free scenario.

Question 2 of 5

A patient experiencing moderate anxiety says, "I feel undone." An appropriate response for the nurse would be:

Correct Answer: C

Rationale: Rationale: Choice C is correct as it demonstrates active listening and encourages the patient to elaborate on their feelings, promoting therapeutic communication. It acknowledges the patient's emotions and seeks clarification to better understand their experience. This response shows empathy and validates the patient's feelings, fostering trust and rapport. Choices A and D lack empathy and may come off as dismissive or directive. Choice B focuses on the cause of anxiety rather than addressing the immediate emotional distress.

Question 3 of 5

Which client situation is an example of normal ego development?

Correct Answer: C

Rationale: The correct answer is C because the client exhibiting the ability to assert themselves without anger or aggression reflects a healthy ego development. This behavior demonstrates assertiveness and self-confidence, which are essential components of normal ego development. In contrast, option A indicates dependency, B shows low self-esteem, and D suggests issues with guilt and morality, all of which are not indicative of normal ego development.

Question 4 of 5

A nursing student expresses concerns that mental health nurses 'lose all their clinical nursing skills.' Select the best response by the mental health nurse.

Correct Answer: B

Rationale: The correct answer is B because psychiatric nurses require complex communication skills and critical thinking to assess, support, and intervene effectively with patients experiencing mental health issues. This is crucial for building therapeutic relationships and promoting recovery. Choice A is incorrect because the safety of the environment does not determine the need for clinical skills. Choice C is incorrect as mental health nursing typically involves more therapeutic communication than the use of high-tech equipment. Choice D is incorrect because psychiatric nurses often work with individuals experiencing significant emotional pain and distress, requiring a high level of clinical skill and empathy.

Question 5 of 5

The nurse is preparing to interview a 6-year-old girl and her mother in an outpatient psychiatric setting. To establish a treatment alliance with the child, the nurse should:

Correct Answer: C

Rationale: Rationale: Option C is correct as it demonstrates empathy and acknowledges the child's emotions, helping to establish trust and a therapeutic alliance. By recognizing the child's potential fear, the nurse shows understanding and provides reassurance. This approach creates a safe environment for the child to open up and build rapport with the nurse. Summary: A: Incorrect. Sharing personal information might not be relevant or comforting to the child, and it does not focus on the child's feelings. B: Incorrect. Standing and looking down can be intimidating and may not promote a sense of safety and trust in the child. D: Incorrect. Asking to interview the child alone without considering the child's comfort and feelings may lead to distrust and hinder the therapeutic relationship.

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