ATI RN Mental Custom Health Next Gen -Nurselytic

Correct Answer: E

Rationale: The correct answer is E. Asking about how much sleep the woman usually gets each night will provide the nurse with information regarding her circadian rhythms and their effects on her quality of life. Circadian rhythms are the body's natural cycles that influence sleep-wake patterns. By understanding her sleep habits, the nurse can assess if she is getting enough rest at the right times, which directly impacts her quality of life.


Choices A, B, C, and D are incorrect as they do not directly relate to circadian rhythms or sleep patterns.
Choice A focuses on general well-being, choice B on cardiac health, choice C on past illnesses, and choice D on urinary problems. These questions are not specific to circadian rhythms and do not address the effects on quality of life.

Correct Answer: D

Rationale: As a tutor, the correct answer is D: Asking 'why' questions. This is not considered a therapeutic communication technique because it can be perceived as challenging or confrontational, potentially making the patient defensive or uncomfortable. Instead, therapeutic communication focuses on creating a safe and supportive environment for the patient to express their thoughts and feelings without feeling judged. Restating, encouraging description of perception, and summarizing are all considered therapeutic techniques as they demonstrate active listening, empathy, and help the patient feel understood and validated. Asking 'why' questions may come across as interrogative and may hinder open communication.

Correct Answer: D

Rationale: The correct answer is D: Escort the client to his room. This intervention is appropriate as it addresses the behavior causing annoyance while also ensuring the client's needs are met in a compassionate and non-punitive manner. By escorting the client to his room, the nurse can provide a safe and quiet environment for the client to calm down and reduce the echolalia behavior. This approach respects the client's dignity and promotes a therapeutic environment. The other choices are incorrect because avoiding recognizing the behavior (
A) does not address the issue, isolating the client (
B) may worsen the client's symptoms and social isolation, administering a sedative (
C) should only be done as a last resort due to potential side effects and ethical considerations.

Correct Answer: C

Rationale: During the working phase of group development, the focus is on achieving the group's goals.
Choice C is correct as it involves discussing ways to use new coping skills learned, which aligns with the working phase where members actively engage in problem-solving and skill-building. This approach helps group members apply their learning to real-life situations and promotes personal growth.


Choice A is incorrect because establishing rapport typically occurs during the initial orientation phase.
Choice B is incorrect as clarifying roles and responsibilities is more relevant to the initial and transition phases.
Choice D is incorrect because helping clients identify problem areas is usually part of the exploration phase, not the working phase where active problem-solving occurs.

Correct Answer: A

Rationale: The correct answer is A: Change of shift report. During this time, crucial information is being transferred between nurses, which is critical for patient care. Miscommunication can lead to errors in medication administration, treatment plans, and patient assessments. Nurses must be alert to ensure accurate and complete information transfer.

Summary of other choices:
B: Admission interviews - Important for gathering initial patient information but typically less critical than shift changes.
C: One-to-one conversations with patients - Important for building rapport but less likely to result in significant harm if communication errors occur.
D: Conversations with patient families - Essential for involving families in care, but errors may not directly harm patients as much as shift report errors.