ATI RN
Psychiatric Mental Health Nursing Practice Questions Questions
Question 1 of 5
Which of the following behavioral skills should a nurse implement when leading a group that is functioning in the orientation phase of group development? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Encouraging members to provide feedback to each other about individual progress. In the orientation phase of group development, it is crucial for the nurse leader to foster open communication and trust within the group. Encouraging members to provide feedback helps promote mutual understanding and support, which can enhance cohesion and collaboration. This also helps in identifying individual strengths and areas for improvement. Explanation of why the other choices are incorrect: B: Ensuring that rules established by the group do not interfere with goal fulfillment - This choice could be more suitable for the norming or performing phase, where balancing rules with achieving goals is essential. C: Working with group members to establish rules that will govern the group - This is more relevant for the initial phase of group development, not specifically the orientation phase. D: Emphasizing the need for and importance of confidentiality within the group - While confidentiality is important throughout group development, it may not be the primary focus during the orientation phase.
Question 2 of 5
In the role of milieu manager, which activity should the nurse prioritize?
Correct Answer: D
Rationale: The correct answer is D, searching newly admitted clients for hazardous objects. As a milieu manager, ensuring the safety of clients is a top priority. Searching for hazardous objects upon admission is crucial to prevent harm. Setting schedules (A) can be important but not as urgent as ensuring safety. Evaluating medication effectiveness (B) is important but not the primary role of a milieu manager. Conducting group sessions (C) is valuable for therapy but ensuring physical safety takes precedence.
Question 3 of 5
A client comes to a psychiatric clinic, experiencing sudden extreme fatigue and decreased sleep and appetite. The client works 12 hours a day and rates anxiety as 8/10 on a numeric scale. What correctly written long-term outcome is realistic in addressing this clients crisis?
Correct Answer: D
Rationale: The correct answer is D. Developing and implementing a self-care routine to improve sleep and appetite within 4 weeks is the most realistic long-term outcome in addressing the client's crisis. Rationale: 1. Self-care routines can positively impact sleep and appetite. 2. Improvements in sleep and appetite can help alleviate fatigue and other symptoms. 3. Realistic timeline of 4 weeks allows for gradual changes and adjustments. 4. It focuses on tangible actions the client can take to improve their well-being. Incorrect Choices: A: Changing personality traits is a complex and long-term process, unlikely to occur within a week. B: Completely eliminating anxiety within 2 weeks is unrealistic and may not address the underlying causes. C: Immediate reduction of work hours may not be feasible or necessary for addressing the client's crisis.
Question 4 of 5
A despondent client, who has recently lost her husband of 30 years, tearfully states, Ill feel a lot better if I sell my house and move away. Which nursing reply is most appropriate?
Correct Answer: B
Rationale: The correct answer is B because it acknowledges the client's emotions and gently suggests caution in making a big decision during a vulnerable time. It shows empathy and encourages the client to reconsider the decision later. Choice A lacks exploration of client's feelings, Choice C introduces unnecessary guilt, and Choice D focuses on the change rather than the emotional state.
Question 5 of 5
A nursing instructor is teaching about specific phobias. Which student statement should indicate that learning has occurred?
Correct Answer: B
Rationale: The correct answer is B because it accurately describes a key feature of specific phobias: individuals experience intense panic symptoms when exposed to the phobic stimulus. This indicates learning as it demonstrates understanding of the characteristic behavioral response in specific phobias. Choice A is incorrect as it describes characteristics of agoraphobia, not specific phobias. Choice C is incorrect as it describes symptoms of a stroke, not specific phobias. Choice D is incorrect as it lists symptoms that are not typically associated with specific phobias.