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Mental Health ATI /135 Questions with complete solutions
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Mental Health ATI /135 Questions withcomplete solutions
A charge nurse is conducting a class on therapeutic communication to a
group of newly licensed nurses.
Which of the following responses by the newly licensed nurse requires
additional teaching regarding
nonverbal communication?
A. Personal space
B. Posture
C. Eye contact
D. Intonation - -D. Intonation
Intonation is the tone of one's voice and can communicate a variety of
feelings.
-A nurse is communicating with a client on the acute mental health facility.
The client states, "I can't
sleep. I stay up all night." The nurse responds, "You are having difficulty
sleeping?" Which of the following
therapeutic communication techniques is the nurse demonstrating?
A. Offering general leads
B. Summarizing
C. Focusing
D. Restating - -D. Restating
Restating allows the nurse to repeat the main idea expressed.
-A nurse is communicating with a newly admitted client. Which of the
following is a barrier to
therapeutic communication?
A. Offering advice
B. Reflecting meaning
C. Listening attentively
D. Giving information - -A. Offering advice
Offering advice to a client is a barrier to therapeutic communication and
should be
avoided. Advice tends to interfere with the client's ability to make personal
decisions and choices.
-A nurse is conducting therapy with a several clients and their families.
Effective communication with
clients and families is based on
A. discussing in-depth topics with which the client feels comfortable.
B. using silence to avoid unpleasant or difficult topics.
C. attending to verbal and nonverbal behaviors.
,D. requiring the client and family to ask for feedback. - -C. attending to
verbal and nonverbal behaviors
-When a family asks a nurse for reassurance about a client's condition,
which of the following is an
appropriate response?
A. "I think your son is getting better. What have you noticed?"
B. "I'm sure everything will be okay. It just takes time to heal."
C. "I'm not sure what's wrong. Have you asked the doctor about your
concerns?"
D. "I understand you're concerned. Let's discuss what concerns you
specifically." - -D. "I understand you're concerned. Let's discuss what
concerns you specifically."
A therapeutic response reflects upon, and accepts, the family's feelings, and
it allows the
members to clarify what they are feeling.
-A nurse is caring for a client who smokes and has lung cancer. The client
reports, "I'm coughing because
I have that cold that everyone has been getting." Which of the following
defense mechanisms is the
client using?
A. Reaction formation
B. Denial
C. Displacement
D. Sublimation - -B. Denial
pretending the truth is not reality to manage the
anxiety of acknowledging what is real.
-A nurse is obtaining informed consent for a client who has just learned she
must have a breast biopsy.
The client is perspiring and pale, has a respiratory rate 30/min, and says, "I
don't quite understand what
you're trying to tell me." The nurse should assess the client's anxiety as
which of the following?
A. Mild
B. Moderate
C. Severe
D. Panic - -B. Moderate
Moderate anxiety decreases problem-solving and may hamper one's ability
to
understand information. Vital signs may increase somewhat, and the person
is visibly anxious.
-A nurse is caring for a client who is experiencing moderate anxiety. Which
of the following is an
,appropriate nursing intervention when trying to give necessary information
to the client?
A. Reassure the client that everything will be okay.
B. Use a low-pitched voice and speak slowly.
C. Ignore the client's anxiety so that she will not be embarrassed.
D. Demonstrate a calm manner while using simple and clear language. - -D.
Demonstrate a calm manner while using simple and clear language.
giving information simply and calmly will help the client grasp essential
facts.
-A nurse is talking with a client who is at risk for suicide following the death
of his spouse. Which of the
following statements by the nurse is appropriate?
A. "I feel very sorry for the loneliness you must be experiencing."
B. "Suicide is not the appropriate way to cope with loss."
C. "Losing someone close to you must be very upsetting."
D. "I know how difficult it is to lose a loved one." - -C. "Losing someone close
to you must be very upsetting."
This statement is an empathetic response that attempts to understand the
client's feelings.
-A nurse is in the working phase of a therapeutic relationship with a client
who has methamphetamine
use disorder. Which of the following indicates transference behavior?
A. The client asks the nurse whether she will go out to dinner with him.
B. The client accuses the nurse of telling him what to do just like his ex-
girlfriend.
C. The client reminds the nurse of a friend who died from a substance
overdose.
D. The client becomes angry and threatens harm to himself. - -B. The client
accuses the nurse of telling him what to do just like his ex-girlfriend.
When a client views the nurse as having characteristics of another person
who has been
significant to his personal life, such as his ex-girlfriend, this indicates
transference.
-A charge nurse is discussing the characteristics of a nurse-client
relationship with a newly licensed nurse.
Which of the following are appropriate to include in the discussion? (Select
all that apply.)
A. The needs of both participants are met.
B. An emotional commitment exists between the participants.
C. It is goal-directed.
D. Behavioral change is encouraged.
E. A termination date is established. - -C. It is goal-directed.
D. Behavioral change is encouraged.
, E. A termination date is established.
-A nurse is planning care for the termination phase of a nurse-client
relationship. Which of the following
actions is appropriate to include in the plan of care?
A. Discussing ways to use new behaviors
B. Practicing new problem-solving skills
C. Developing goals
D. Establishing boundaries - -A. Discussing ways to use new behaviors.
Discussing ways for the client to incorporate new healthy behaviors into life
is an
appropriate task for the termination phase.
-A nurse is orienting a new client to a mental health unit. When explaining
the unit's community
meetings, which of the following statements by the nurse is appropriate?
A. "You and a group of other clients will meet to discuss your treatment
plans."
B. "Community meetings have a specific agenda that is established by staff."
C. "You and the other clients will meet with staff to discuss common
problems."
D. "Community meetings are an excellent opportunity to explore your
personal mental health issues." - -C. "You and the other clients will meet
with staff to discuss common problems."
Community meetings are an opportunity for clients to discuss common
problems or
issues affecting all members of the unit.
-A nurse is teaching a client who has an anxiety disorder and is scheduled to
begin classical
psychoanalysis. Which of the following client statements indicates an
understanding of this form
of therapy?
A. "Even if my anxiety improves, I will need to continue this therapy for 6
weeks."
B. "The therapist will focus on my past relationships during our sessions."
C. "Psychoanalysis will help me reduce my anxiety by changing my
behaviors."
D. "This therapy will address my conscious feelings about stressful
experiences." - -B. "The therapist will focus on my past relationships during
our sessions."
Classical psychoanalysis places a common focus on past relationships to
identify the
cause of the anxiety disorder.
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