Which principle should guide the nurse in determining the extent of silence to use during patient interview sessions?

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RN ATI Capstone Mental Health Quiz Questions

Question 1 of 5

Which principle should guide the nurse in determining the extent of silence to use during patient interview sessions?

Correct Answer: C

Rationale: The correct answer is C because utilizing silence during patient interviews allows for meaningful moments of reflection, fostering a deeper connection and promoting patient introspection. This principle aligns with therapeutic communication techniques that encourage patients to explore their thoughts and feelings. Choice A is incorrect because nurses should respect and utilize silence when appropriate. Choice B is incorrect as prolonged silences can encourage patient self-reflection. Choice D is incorrect because silence is not solely about confirming understanding, but also about creating a space for patients to process their thoughts.

Question 2 of 5

A nurse is applying King's model to a nurse-patient interaction by identifying the outcome as which of the following?

Correct Answer: A

Rationale: The correct answer is A: Transaction. In King's model, the nurse-patient interaction is viewed as a transaction where both parties influence each other. This is correct as the nurse and patient exchange information, thoughts, and feelings during the interaction. Choice B, Adaptation, focuses more on the patient adapting to changes, not the interaction itself. Choice C, Transpersonal caring, emphasizes the nurse's caring relationship with the patient but doesn't capture the interactive nature of the model. Choice D, Self-system, refers to the patient's perception of self, which is not the main focus of King's model.

Question 3 of 5

A person was supposed to meet a friend at a local theatre to see a movie. The friend never showed up. The person's initial thought was, 'My friend didn't come because she doesn't like me.' This automatic thought was most likely inferred from which irrational belief?

Correct Answer: A

Rationale: The correct answer is A: "I'm worthless, so no one could really want to be my friend." This automatic thought reflects the irrational belief of personal worthlessness leading to the assumption that others do not genuinely like or care about the person. This cognitive distortion is known as personalization, where the individual attributes external events to themselves in a negative way. In this scenario, the person's immediate conclusion that the friend didn't show up because of a personal flaw is an example of personalization. Other choices are incorrect because: B: "Movies are a waste of time and money anyway." - This choice introduces a different irrational belief about movies, not about personal worthiness. C: "I'm sure she just got confused and thought we were going to a different movie." - This choice reflects a more neutral assumption without negative self-evaluation. D: "I'm so forgetful and confused sometimes; I probably wrote down the wrong time." - This choice involves self-blame for a practical

Question 4 of 5

A nurse is participating as a speaker in a public workshop on the topic of promoting mental health in young and middle-aged adults. The nurse tells the audience that age, unemployment, and lower education are risk factors associated with mental illness. A woman raises her hand and asks, 'Does that mean because I only have a 10th grade education and am unemployed that I will develop a mental illness?' Which response by the nurse would be most appropriate?

Correct Answer: A

Rationale: Correct Answer: A Rationale: 1. The response acknowledges the increased chance of developing mental illness but does not definitively state that the woman will develop one. 2. It provides a balanced and realistic perspective without causing unnecessary fear or alarm. 3. It emphasizes the importance of recognizing risk factors without making absolute predictions. Summary of Other Choices: B. Incorrect because it deflects the question by making irrelevant statements about rural areas and large cities. C. Incorrect because it is overly pessimistic and lacks evidence-based support for claiming the woman will develop a mental illness. D. Incorrect because it oversimplifies the issue by solely focusing on medication as a solution, neglecting the complexity of mental health risks.

Question 5 of 5

A nursing instructor is describing uncomplicated grief to a class. Which of the following would the instructor most likely include in the discussion?

Correct Answer: B

Rationale: The correct answer is B because uncomplicated grief is a common response to loss that does not result in significant disruption to daily life or functioning. The instructor would likely include this in the discussion to emphasize that most individuals experiencing grief will go through a period of uncomplicated grief. It is important for students to understand that uncomplicated grief is a normal and expected part of the grieving process. Choice A is incorrect because the duration of grief does not determine whether it is uncomplicated or not. Choice C is incorrect because uncomplicated grief can be associated with various types of losses, not just death. Choice D is incorrect because uncomplicated grief can still be painful and disruptive, even though it is less severe than complicated grief.

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