ATI RN
Adult Behavioral Health Nursing Questions
Question 1 of 5
Which of the following are nontherapeutic techniques?Select one that does not apply.
Correct Answer: A
Rationale: In Adult Behavioral Health Nursing, therapeutic communication techniques are essential for building rapport and fostering a therapeutic relationship with patients. Nontherapeutic techniques hinder effective communication and may impede the patient's progress. Silence, the correct answer (A), can be a therapeutic technique when used appropriately to allow the patient time to process thoughts and feelings. However, prolonged silence without purpose can be nontherapeutic as it may make the patient feel uncomfortable or ignored. Voicing doubt (B) is a nontherapeutic technique as it conveys a lack of trust in the patient's statements or experiences, potentially undermining their confidence and hindering open communication. Agreeing (C) is a nontherapeutic technique when used indiscriminately without considering the patient's perspective. Blind agreement can lead to a false sense of understanding and may dismiss the patient's true feelings or experiences. Challenging (D) is also a nontherapeutic technique as it can create defensiveness in the patient and hinder a collaborative approach to problem-solving or exploring emotions. Educationally, understanding the nuances of therapeutic communication techniques is crucial for nurses working in behavioral health settings. By recognizing and avoiding nontherapeutic techniques, nurses can build trust, facilitate open communication, and support patients in their healing journey effectively.
Question 2 of 5
The client stated, 'I was so upset about my sister ignoring me when I was talking about being ashamed.' Which nontherapeutic communication technique would the nurse be using if the nurse would state, 'How are your stress reduction classes going?'
Correct Answer: A
Rationale: The correct answer is A) Changing the subject. In this scenario, the nurse is using a nontherapeutic communication technique by changing the subject from the client's emotional expression to stress reduction classes. This response dismisses the client's feelings and fails to address the underlying issues the client is experiencing. Option B) Offering advice is incorrect because the nurse is not providing guidance or suggestions to the client in this situation. Option C) Challenging is incorrect as the nurse is not questioning or pushing back against the client's statements. Option D) Disapproving is also incorrect as there is no indication of the nurse expressing disapproval in the given scenario. In an educational context, it is crucial for nurses to understand and utilize therapeutic communication techniques effectively. Changing the subject can hinder the development of a therapeutic nurse-client relationship and may prevent the client from feeling heard and understood. Nurses should be trained to actively listen, acknowledge client's feelings, and respond empathetically to encourage open communication and trust in the therapeutic relationship.
Question 3 of 5
A client’s prognosis is said to be good due to a high degree of self-efficacy. Which of the following is evidence of a high degree of self-efficacy?
Correct Answer: A
Rationale: In the context of adult behavioral health nursing, self-efficacy refers to an individual's belief in their ability to successfully execute the behaviors necessary to produce specific outcomes. Option A, "The client is self-motivated and asks for help when needed," is evidence of high self-efficacy because it demonstrates a proactive approach to problem-solving and seeking assistance when necessary. This behavior reflects a strong belief in one's ability to overcome challenges and achieve positive outcomes. Option B, "The client is able to resist illness when under stress," does not directly relate to self-efficacy. Resisting illness under stress may involve factors beyond self-efficacy, such as physical resilience or immune system functioning. Option C, "The client responds well in stressful situations," is a broad statement that does not specifically address self-efficacy. Responding well to stress could be influenced by various factors, including coping mechanisms or support systems, rather than just self-belief in one's capabilities. Option D, "The client uses good problem-solving abilities," is a related but not direct indicator of self-efficacy. While problem-solving skills can be a component of self-efficacy, the ability to ask for help and being self-motivated (as in option A) more directly reflect an individual's belief in their own efficacy. In an educational context, understanding the concept of self-efficacy in behavioral health nursing is crucial for assessing and supporting clients' abilities to manage their conditions effectively. By recognizing behaviors that indicate high self-efficacy, nurses can tailor interventions to empower clients, enhance their confidence, and promote positive health outcomes.
Question 4 of 5
Which of the following situations would most likely provide social support to a client?
Correct Answer: A
Rationale: In the context of adult behavioral health nursing, social support plays a crucial role in promoting mental well-being. Option A, a friend who will share his or her perspective on an issue, is most likely to provide social support to a client. This is because sharing perspectives fosters emotional connections, offers empathy, and creates a sense of belonging and understanding, which are essential components of effective social support. Option B, the transportation service providing access to daily rehabilitation services, may offer practical support but lacks the emotional and psychological elements that define social support. Option C, fellow teammates in a community softball league, while providing social interaction, may not necessarily offer the deep emotional support needed in behavioral health settings. Option D, a teacher assisting a client to obtain a GED, focuses more on academic support rather than emotional or social support needed in this context. Educationally, understanding the nuances of different types of support is vital for nurses working in behavioral health settings. By recognizing the significance of emotional connections and empathy in social support, nurses can better assess and address the holistic needs of their clients, ultimately improving patient outcomes and overall well-being.
Question 5 of 5
Beliefs about the causes of pain and illness vary among cultures. In the United States (Western culture), pain and illness are generally attributed to
Correct Answer: C
Rationale: In the context of adult behavioral health nursing, understanding cultural beliefs about pain and illness is crucial for providing effective care. The correct answer, option C - physiologic causes, aligns with the predominant Western biomedical model where pain and illness are often attributed to biological factors such as genetics, anatomy, or physiology. This perspective is rooted in the scientific understanding of disease processes and is commonly taught in Western medical education. Option A - economic class, is not a typical attribution in Western culture for pain and illness, although socioeconomic status can impact access to healthcare and health outcomes. Option B - psychological influences, while important in the biopsychosocial model of health, is not the primary attribution for pain and illness in Western culture. Option D - sociocultural factors, while influential in shaping health beliefs and behaviors, is a broader category that encompasses various aspects of culture beyond just the causes of pain and illness. Understanding and respecting diverse cultural beliefs about health is essential in providing culturally competent care in adult behavioral health nursing, as it can impact treatment adherence, communication, and overall patient outcomes.