ATI RN Mental health 2019 NGN II | Nurselytic

Correct Answer: D

Rationale: The correct answer is D: Establish a rapport with group members. During the orientation phase of a support group, it is crucial for the nurse to build trust and connection with the adolescents who have cancer. This helps create a safe and supportive environment for sharing experiences and emotions. By establishing a rapport, the nurse can gain the group members' confidence and encourage open communication. This sets a positive tone for the group sessions and promotes a sense of belonging and understanding among the participants.

A: Maintaining the group's focus on identified issues is important but typically done during the working phase of the group.
B: Encouraging the use of problem-solving skills is more relevant during the working phase when addressing specific challenges.
C: Managing conflict within the group is essential but is typically addressed during the working phase when conflicts arise.

Correct Answer: B

Rationale: The correct answer is B: Reacting to the nurse as though she were his mother. In transference, the client projects feelings onto the nurse based on past relationships. This behavior is common in clients with personality disorders.
Choice A is incorrect as it relates to general frustration, not transference.
Choice C is incorrect as it pertains to avoidance, not transference.
Choice D is incorrect as it involves negativity towards staff, not transference. In summary, only choice B aligns with the concept of transference in this scenario.

Correct Answer: D

Rationale: The correct answer is D: Methylphenidate. This medication is commonly prescribed for attention-deficit hyperactivity disorder (ADH
D) in school-age children. Methylphenidate is a central nervous system stimulant that helps improve focus and reduce impulsivity in individuals with ADHD. It works by increasing the levels of dopamine and norepinephrine in the brain.


Choice A: Lithium is not typically prescribed for ADHD. Lithium is more commonly used to treat bipolar disorder.

Choice B: Valproate is an anticonvulsant medication used for epilepsy and bipolar disorder, not ADHD.

Choice C: Risperidone is an antipsychotic medication used to treat conditions like schizophrenia and bipolar disorder, not ADHD.

In summary, Methylphenidate is the appropriate choice for treating ADHD in school-age children due to its stimulant properties that help improve focus and reduce impulsivity.

Correct Answer: C

Rationale: The correct answer is C: Insomnia. Antidepressants often affect sleep patterns, leading to difficulty falling or staying asleep. This is a common side effect due to the medications' impact on neurotransmitters in the brain. Increased appetite (
A) is usually associated with certain antidepressants, but insomnia is more commonly linked. Hypertension (
B) is not a typical side effect of antidepressants, as they generally do not directly affect blood pressure. Excessive energy (
D) is not a common side effect of most antidepressants; in fact, they may initially cause fatigue or lethargy.

Correct Answer: B

Rationale: The correct answer is B: Reassure staff members that the debriefing is confidential. This should be the first intervention because it helps create a safe and trusting environment for staff members to openly share their experiences without fear of judgment or repercussions. By ensuring confidentiality, the nurse promotes psychological safety, which is crucial for effective debriefing and emotional processing.


Choice A is incorrect because asking staff members to describe their most traumatic memories may trigger distress without first establishing a sense of safety.
Choice C is also incorrect as discussing involvement without confidentiality may lead to reluctance in sharing, hindering the effectiveness of the debriefing.
Choice D is incorrect as providing stress-management exercises may be premature without addressing the need for confidentiality first.