ATI RN
Psychiatric Mental Health Nursing Practice Questions Questions
Question 1 of 5
Which therapeutic communication technique should the nurse use when communicating with a client who is experiencing auditory hallucinations?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates empathy and validation without reinforcing the hallucinations. By acknowledging the client's experience while maintaining reality orientation, the nurse can build trust and rapport. Choice A may unintentionally normalize the hallucinations. Choice C could dismiss the client's experience and avoid addressing the underlying issue. Choice D minimizes the client's distress and relies solely on medication without addressing the client's emotional needs.
Question 2 of 5
A man diagnosed with alcohol dependence experiences his first relapse. During his AA meeting, another group member states, I relapsed three times, but now have been sober for 15 years. Which of Yaloms curative group factors does this illustrate?
Correct Answer: B
Rationale: The correct answer is B: Instillation of hope. This statement by the group member provides hope by showing that despite relapses, long-term sobriety is achievable. This aligns with Yalom's curative group factor of instillation of hope, where group members inspire and motivate each other through their own successes. The other choices are incorrect because: A: Imparting of information focuses on sharing knowledge, not personal experiences. C: Catharsis involves the release of emotions, not necessarily about hope for the future. D: Universality is about realizing shared experiences, not specifically about hope for recovery.
Question 3 of 5
During a group session, which client statement demonstrates that the group has progressed to the middle, or working, phase of group development?
Correct Answer: B
Rationale: The correct answer is B because it shows the client actively engaging in problem-solving and considering specific strategies, indicating progress to the working phase. Choice A reflects the initial phase where trust and sharing are still developing. Choice C suggests a dependency on professional advice, not group collaboration. Choice D demonstrates resistance and a lack of ownership over personal growth, indicating an earlier phase of group development.
Question 4 of 5
During the sixth week of a 10-week parenting skills group, a nurse observes as several members get into a heated dispute about spanking. As a group, they decide to create a pros-and-cons poster on the use of physical discipline. At this time, what is the role of the group leader?
Correct Answer: D
Rationale: The correct answer is D: To encourage the group to solve the problem collectively. The role of the group leader in this situation is to promote group cohesion and problem-solving skills. By encouraging the group to collectively address the issue of differing opinions on spanking, the leader fosters open communication, respect for diverse perspectives, and teamwork. This approach allows group members to explore the topic in a constructive manner, learn from each other, and reach a consensus or understanding. Choice A is incorrect because the leader's role is not to referee or take sides in the debate. Choice B is incorrect as the leader should not impose personal views but facilitate a balanced discussion. Choice C is incorrect as avoiding controversial topics hinders group growth and learning.
Question 5 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.