ATI RN
Adult Behavioral Health Nursing Questions
Question 1 of 5
Six months ago, a woman had a prophylactic double mastectomy because of a family history of breast cancer. One week ago, this woman learned her husband was involved in an extramarital affair. The woman says tearfully, "What else can happen?" If the woman's immediate family is unable to provide sufficient support, the nurse should
Correct Answer: B
Rationale: The assessment of situational supports should continue. Even though the patient's nuclear family may not be supportive, other situational supports may be available. If they are adequate, admission to an inpatient unit will be unnecessary. Psychotherapy is not appropriate for crisis intervention. Advice is usually nontherapeutic.
Question 2 of 5
A younger patient in a therapy group says to an older patient, "You remind me of my mother, always trying to control me with your observations and suggestions." Which therapeutic factor of a group is evident by this behavior?
Correct Answer: D
Rationale: The younger patient is demonstrating an emotional attachment to the older patient that mirrors patterns within her own family of origin, a phenomenon called corrective recapitulation of the primary family group. Feedback from the group then helps the member gain insight about this behavior and leads to more effective ways of relating to her family members. Installation of hope involves conveying optimism and sharing progress. Existential resolution refers to the realization that certain existential experiences such as death are part of life, aiding the adjustment to such realities. Development of socializing techniques involves gaining social skills through the group's feedback and practice within the group.
Question 3 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 4 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 5 of 5
What social factor is likely to have a significant influence on grief and loss responses?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.