ATI RN
Mental Health Nursing Practice Questions Questions
Question 1 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 2 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.
Question 3 of 5
A client has undergone psychological testing. With which member of the interdisciplinary team should a nurse collaborate to review these results?
Correct Answer: C
Rationale: When a client has undergone psychological testing, collaborating with the clinical psychologist on the interdisciplinary team to review these results would be most appropriate. Clinical psychologists are experts in psychological assessment and are trained to interpret and provide insights on the results of psychological tests. Collaborating with the clinical psychologist ensures that the nurse is getting an expert opinion on the testing results, which can help in planning and executing appropriate care interventions for the client based on the test findings. Additionally, the clinical psychologist can provide valuable recommendations for further evaluation or treatment strategies based on the results of the psychological testing.
Question 4 of 5
A wife brings her husband to an emergency department after an attempt to hang himself. He is a full- time student and works 8 hours at night to support his family. He states, I cant function any longer under all this stress. Which type of crisis is the client experiencing?
Correct Answer: C
Rationale: In this scenario, the husband is experiencing an anticipated life transition crisis. This type of crisis occurs when an individual is unable to cope with expected changes in life, such as balancing work, studies, and family responsibilities. The husband's statement, "I can't function any longer under all this stress," indicates that he is overwhelmed by the demands of his current situation and is struggling to adapt to the changes. Anticipated life transition crises are common during periods of significant life changes, such as starting a new job, moving to a new place, or taking on additional responsibilities. In this case, the husband's suicide attempt is a result of his inability to manage the stress associated with his role as a full-time student and night shift worker supporting his family.
Question 5 of 5
A college student who was nearly raped while jogging completes a series of appointments with a rape crisis nurse. At the final session, which client statement most clearly suggests that the goals of crisis intervention have been met?
Correct Answer: D
Rationale: The statement "I carry mace when I jog. It makes me feel safe and secure" indicates that the client has taken steps to enhance her safety and security following the traumatic incident. This suggests that the client has progressed from a state of vulnerability and fear to a sense of empowerment and confidence in addressing her safety concerns. It reflects the goals of crisis intervention, which include helping the individual regain a sense of control and ability to cope effectively with the aftermath of a crisis.