ATI RN
Mental Health Nursing Practice Questions Questions
Question 1 of 5
During a therapeutic group, a client talks about personal accomplishments in an effort to gain attention. Which group role, assumed by this client, should the nurse identify?
Correct Answer: B
Rationale: The client talking about personal accomplishments to gain attention is displaying the individual role of a recognition seeker within the therapeutic group. Recognition seekers often seek attention and approval from others by focusing on themselves, their achievements, or their experiences. This behavior can detract from the therapeutic process and group dynamics, as the focus shifts to the individual rather than the group as a whole. It is important for the nurse to identify this role and address it appropriately to ensure the group remains focused on therapeutic goals and mutual support among group members.
Question 2 of 5
A nurse believes that the members of a parenting group are in the initial, or orientation, phase of group development. Which group behaviors would support this assumption?
Correct Answer: D
Rationale: In the initial, or orientation, phase of group development, members are typically focused on building relationships, establishing trust, and getting to know each other and the leader. In this stage, there is a sense of positivity, support, and cooperation among the members. The fact that the group members initially trust one another and the leader supports the assumption of being in the orientation phase. Complimenting the leader and competing for the role of recorder also indicate an early stage of group development where members are trying to establish roles and understand the dynamics within the group.
Question 3 of 5
When planning group therapy, a nurse should identify which configuration as most optimal for a therapeutic group?
Correct Answer: A
Rationale: The most optimal configuration for a therapeutic group in group therapy is open-ended membership with a circle of chairs and a group size of 5 to 10 members. Open-ended membership allows for flexibility in attendance, which is important in group therapy where individuals may have varying schedules and needs. A circle of chairs promotes equality and encourages interaction among group members, fostering a sense of community and support. A group size of 5 to 10 members is considered ideal as it allows for a diversity of perspectives and experiences while still maintaining an intimate setting where each member can actively participate and receive adequate attention. This configuration promotes a safe and engaging environment for group therapy sessions.
Question 4 of 5
Which of the following observed client behaviors would lead a nurse to evaluate a member as assuming a maintenance group role? Select all that apply.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A client diagnosed with schizophrenia functions well and is bright, spontaneous, and interactive during hospitalization but then decompensates after discharge. What does the milieu provide that may be missing in the home environment?
Correct Answer: B
Rationale: The milieu provides structured programming that offers a routine and consistency in the daily activities of the client. This structure can help stabilize and provide a sense of security for individuals with schizophrenia. The predictability and purpose of activities in the hospital setting are often more clearly defined and implemented than in a home environment where routines may be more variable or lacking altogether. Without this structured programming at home, the client may struggle to maintain stability and functioning once they are discharged from the hospital.