ATI RN
Behavioral Theory of Mental Health Questions
Question 1 of 5
Which nursing statement is a good example of the therapeutic communication technique of focusing?
Correct Answer: D
Rationale: The correct answer is D because it demonstrates the therapeutic communication technique of focusing by redirecting the conversation back to a specific topic, the relationship with the father. This helps the client explore their thoughts and feelings on a particular issue in depth. Choice A is incorrect as it does not focus on a specific topic. Choice B is incorrect as it does not guide the conversation towards a particular subject. Choice C is incorrect as it does not involve redirecting the conversation to a specific issue for exploration.
Question 2 of 5
Which communication strategy would be most effective for a nurse to use during an assessment interview with an adult Native American patient?
Correct Answer: C
Rationale: The correct answer is C because it aligns with effective communication strategies in Native American culture. Soft voice respects the patient's preference for calm and gentle interactions. Breaking eye contact occasionally shows respect and humility, as prolonged eye contact can be interpreted as confrontational. General leads and reflective techniques promote a more holistic and patient-centered conversation. In Native American culture, indirect communication is valued, and reflective techniques encourage the patient to share their thoughts and feelings at their own pace. Overall, choice C prioritizes building rapport, demonstrating respect, and fostering a collaborative and inclusive conversation.
Question 3 of 5
An experienced psychiatric nurse plans to begin a new job in a community-based medication clinic. The clinic sees culturally diverse patients. Which action should the nurse take first to prepare for this position?
Correct Answer: A
Rationale: The correct answer is A: Investigate cultural differences in patients' responses to psychotropic medications. This is the first step the nurse should take to prepare for the new position. Understanding cultural differences in medication responses is crucial for providing safe and effective care. By researching this information, the nurse can tailor treatment plans to individual patients, minimizing risks of adverse reactions and improving outcomes. The other choices are incorrect because: B: Contacting the clinical nurse specialist for guidelines is helpful but not the first step. It is important to have a foundational understanding of cultural differences first. C: Examining literature on health beliefs is valuable but may not directly address medication responses. D: Completing an online course on psychopharmacology is beneficial but does not specifically focus on cultural considerations.
Question 4 of 5
The nurse administers medications to a culturally diverse group of patients on a psychiatric unit. What expectation should the nurse have about pharmacokinetics?
Correct Answer: A
Rationale: Step 1: Pharmacokinetics refers to how the body processes medications, including absorption, distribution, metabolism, and excretion. Step 2: Cultural factors such as genetics, diet, and lifestyle can influence how individuals metabolize medications. Step 3: Different cultural groups may have variations in enzyme activity and genetic polymorphisms affecting drug metabolism. Step 4: Therefore, patients of different cultural groups may indeed metabolize medications at different rates. Summary: Choice A is correct because cultural diversity can impact pharmacokinetics. Choice B is incorrect as metabolism can vary among cultural groups. Choice C is incorrect as hepatic enzyme differences may not always be solely based on cultural factors. Choice D is irrelevant to the pharmacokinetics of medications.
Question 5 of 5
Which underlying cause of this client's personality disorder should the nurse recognize?
Correct Answer: B
Rationale: The correct answer is B because personality disorders often stem from maladaptive patterns of behavior learned in childhood. In this case, the client received exclusive nurturance from one source, leading to dependency and discouragement of independent behaviors. This can contribute to the development of a personality disorder characterized by reliance on others for validation and support. Choices A, C, and D all involve a mix of multiple sources of nurturance and encouragement or discouragement of independent behaviors, which do not align with the typical underlying cause of a personality disorder rooted in dependency on a single source of nurturance.