ATI Mental Health Theories & Therapies Assessment

A nurse in a mental health facility is caring for a client who asks, "Why can't you be my therapist?" Which of the following therapeutic responses should the nurse give? A. "I am glad you are comfortable talking with me, but your therapy is most beneficial from a therapist with additional training to best guide and talk with you." B. "That is not part of my current role. I work more with ensure you take your medications." C. "The therapist is the only person who can conduct the therapy session while in the facility." D. "Therapy must be conducted by a licensed therapist. I do not understand the techniques they do with you."

A. "I am glad you are comfortable talking with me, but your therapy is most beneficial from a therapist with additional training to best guide and talk with you." Often, the nurse will not be performing the therapy. Instead, the nurse might be collecting initial data, recognizing the client's need for therapy, or even advocating for the client's right to treatment.

A nurse is explaining to a client who has a mental illness why mental health promotion is important. The nurse should inform the client that mental health promotion has a wide variety of benefits including which of the following? A. "Mental health promotion promotes positive mental health, which in turn helps prevent you from missing work due to mental illness." B. "Mental health promotion can assist you in getting off of your medication." C. "Mental health promotion guides you to a variety of therapies to treat your mental illness." D. "Mental health promotion increases the changes of you having to be hospitalized every time your mental illness symptoms manifest."

A. "Mental health promotion promotes positive mental health, which in turns helps prevent you from missing work due to mental illness." Mental illness can cause a client to miss work. By promoting mental health, the client is less likely to miss work due to mental illness.

A nurse is discussing the different forms of complementary and alternative therapy with another nurse. Which of the following treatments would be considered in the list? (Select all that apply.) - Individual therapy - Pet therapy - Meditation - Yoga - Group therapy

- Pet Therapy - Meditation - Yoga

A nurse is explaining to a newly hired nurse how mental health promotion can be used for clients. Which of the following examples should the nurse use in the explanation? (Select all that apply.) - Administering client medications on an inpatient unit. - Following suicide precautions for a client. - Allowing a client to skip individual therapy if they are tired. - Assisting the client in using adaptive coping skills. - Allowing the client to use exercise equipment when becoming anxious in group therapy.

- Following suicide precautions. - Assisting the client in using adaptive coping skills - Allowing the client to use exercise equipment when anxious

A nurse is reinforcing teaching with a client about the purpose of psychoanalytic therapy. Which of the following statements should the nurse include in the teaching? A. "Psychoanalytic therapy helps you see yourself as an individual and learn adaptive coping skills." B. "Psychoanalytic therapy is a change for you to meet with others and discuss similar diagnoses." C. "Psychoanalytic therapy is aimed at helping you meet your family needs." D. "Psychoanalytic therapy allows you to complete your therapy from home once you are discharged."

A. "Psychoanalytic therapy helps you see yourself as an individual and learn adaptive coping skills." The purpose of psychoanalytic therapy is to help the client to be able to learn adaptive coping skills. Psychoanalytic therapy is conducted by examining the unconscious mind and how it influences a person's thoughts, feelings, and behaviors.

A nurse is teaching a newly licensed nurse about psychodynamic theory. Which of the following should the nurse include as an example related to this theory? A. A client who reports being afraid of storms because they experienced a tornado as a child. B. A client who reports they recently fractured their leg in a car accident. C. A client who was an active military member for 10 years and engaged in combat. D. A client who is currently going through a divorce and is struggling to accept the loss of their marriage.

A. A client who reports being afraid of storms because they experienced a tornado as a child. The nurse should include this as an example because the psychodynamic theory is based on Freud's psychoanalytic theory that human behavior is influenced by childhood experiences.

A nurse is caring for an adolescent who had an adverse childhood experience and was admitted to the inpatient unit with behavioral problems. The nurse should anticipate the provider prescribing which of the following types of treatment? A. Cognitive therapy B. Seclusion C. Electroconvulsive therapy (ECT) D. Restraints

A. Cognitive therapy Cognitive therapy can examine the adolescent's past experiences and how it is impacting their current behaviors. This therapy can be used with both adolescents and children, and it assists in helping them understand current behaviors and responses.

A nurse is assisting a client in getting ready to have their first telehealth appointment with their therapist. Which of the following actions should the nurse take to assist the client with this type of therapy? A. Ensure the client's computer is connected to the internet. B. Make sure the client has no one else in the room during their appointment. C. Verify the client's history and medication list. D. Have the client come to the clinic to meet the therapist before the initial appointment.

A. Ensure the client's computer is connected to the internet. To assist the client in setting up telehealth services, the nurse should ensure the client's computer or electronic device is connected to the internet. If the client cannot virtually connect from home, they are unable to attend their appointment.

A nurse and a newly licensed nurse in a mental health facility are discussing their roles related to therapy. Which of the following interventions should the nurse discuss with the newly licensed nurse? A. Ensuring a therapeutic nurse-client relationship with those on the unit. B. Leading family group therapy sessions. C. Giving clients medications before each therapy session. D. Instructing the clients to select which types of therapy they would like to use.

A. Ensuring a therapeutic nurse-client relationship with those on the unit. The nurse should discuss ensuring a therapeutic nurse-client relationship with clients on the unit because it builds trust with the clients and promotes their wellbeing.

A nurse is observing a group of children interacting. The nurse notes anytime a question is asked, all the children want to answer and will often talk over each other. The nurse should recognize that this behavior is indicative of which of the following stages of Kohlberg's theory? A. Instrumental relativity orientation B. Postconvention C. Conventional D. Preconventional

A. Instrumental relativity orientation In stage two, instrumental relativity orientation, behaviors are guided by a concern for self and wanting to satisfy an individual's own needs, with others' needs being a secondary consideration.

A nurse is planning to teach a client about behavioral therapy. Which of the following statements should the nurse plan to include? A. "Behavioral therapy is based on the belief that problems are rooted in a person's past." B. "Behavioral therapy is a type of psychotherapy that helps you modify your maladaptive behavioral patterns." C. "Behavioral therapy holds that the unconscious mind influences your thoughts and feelings." D. "Behavioral therapy is working one-on-one with a therapist through talk therapy."

B. "Behavioral therapy is a type of psychotherapy that helps you modify your maladaptive behavioral patterns." Behavioral therapy is a type of psychotherapy that focuses on modifying a client's maladaptive behaviors, patterns, and responses, instead of using adaptive behaviors. The therapy follows the concept that behaviors are learned and can have negative consequences.

A nurse is planning care for a group of clients. Which of the following clients would benefit from cognitive behavioral therapy (CBT)? A. A client who has an intellectual development disability B. A client who has Tourette's syndrome C. A client who has dementia D. A client who has insomnia

B. A client who has Tourette's syndrome CBT is a form of therapy that is effective for a variety of mental illnesses, including depression, anxiety, and eating disorders. It assists clients in adapting and changing their thinking patterns. Tourette's syndrome is a nervous system disorder with tics, and CBT can be used to assist the person in adapting to functioning with tics.

A nurse is reviewing humanistic theorists. Which of the following theorists were primarily involved in developing the humanistic theory? A. Sigmund Freud B. Abraham Maslow C. Erik Erikson D. John Watson

B. Abraham Maslow The humanistic theory is based on humanism. Abraham Maslow contributed to the concept of this theory. Sigmund Freud developed the psychodynamic theory. Erik Erickson developed the psychosocial stages of development. John Watson developed the behavioral theory.

A nurse is caring for an older adult client who has major depressive disorder. The client states, "I don't think I am financially prepared for retirement, yet I am eligible to retire this year." The nurse should identify that the client is in which of the following stages of Erikson's stages of development? A. Transcendence B. Ego integrity vs. despair C. Generativity vs. stagnation or self-absorption D. Intimacy vs. isolation

B. Ego integrity vs. despair The client is currently in this stage of development. Life experiences provide a sense of dignity. Life goals have been completed and death is not feared. Failure to meet these stages results in disappointment in how the person's life has gone.

A newly licensed nurse asks a charge nurse, "What is the difference between a suicide attempt and self-harm?" Which of the following responses should the charge nurse give? A. "When a client attempts suicide, they do so in a manner by causing self-harm." B. "The two terms are the same and can be used interchangeably." C. "A suicide attempt is when a person harms themselves with the intent to die but does not. Self-harm is when a client intentionally inflicts harm on themselves but does not have intention to kill themselves." D. "A suicide attempt is the manner in which someone kills themselves. Self-harm is just the person acting out."

C. "A suicide attempt is when a person harms themselves with the intent to die by does not. Self-harm is when a client intentionally inflicts harm on themselves but does not have intention to kill themselves." A suicide attempt is when a person harms themselves with the intent to die, but a person who self-harms has no intention of killing themselves.

A nurse is planning to add a client to an established therapy group on the unit. The group currently includes a 13-year-old adolescent who has depression, a 15-year-old adolescent who has a history of self-harm, and a 14-year-old adolescent who recently threatened to kill themselves. Which of the following adolescents should the nurse add to this group? A. A 16-year-old adolescent who has schizophrenia. B. A 17-year-old adolescent who has a substance use disorder. C. A 12-year-old adolescent who has anxiety and depression. D. A 14-year-old adolescent who has borderline personality disorder.

C. A 12-year-old adolescent who has anxiety and depression. Group therapy is a psychosocial therapy in which multiple clients meet with a therapist. In this setting, ideas and insights are shared for the purpose of assisting in improving one's coping skills. This client would fit in with a group of adolescents managing depression and self-harm.

A nurse is caring for a group of clients as a mental health facility. The nurse should identify that which of the following clients is exhibiting a warning sign of suicide? A. A client who states that they are stopping their medication. B. A client who states they have been sleeping 12 hr a day C. A client who is giving away their possessions. D. A client requests an appointment to discuss their depression.

C. A client who is giving away their possessions. When a client beings to give away their possessions, it can be a warning sign that they are planning to kill themselves. The nurse should further explore the client's behaviors and symptoms.

A nurse is teaching another nurse about Freud's psychoanalytic theory related to human behavior. Which of the following statements regarding the id should the nurse include in the teaching? A. "The id is the rational part of the person's personality." B. "The id is the part that guides a person's morals or why they follow rules." C. "The id helps teach clients what is right versus wrong regarding their behavior." D. "The id is often an area that is used for instant gratification."

D. "The id is often an area that is used for instant gratification." The first part of one's personality is the id, known for instant gratification. This can include gratification of physical needs or desires.

A nurse is teaching a client about therapy. Which of the following statements should the nurse include? A. "You can refuse therapy. We are just required to offer it to you." B. "You can select to do therapy, but this must be decided on admission." C. "Your provider requires you to attend therapy in both an individual and group setting while on the unit." D. "Therapy can be used in conjunction with your medications to improve your health."

D. "Therapy can be used in conjunction with your medications to improve your health."

A nurse is reviewing the physical environment of a child inpatient unit. Which of the following contradicts milieu therapy? A. A seclusion room with nothing in it. B. A quiet room with music and warm lighting. C. An exercise room with bikes and treadmills. D. A craft room with scissors and other art supplies.

D. A craft room with scissors and other art supplies. A craft room with scissors could be a safety risk and dose not prevent self-destructive behaviors, which is a contradiction of milieu therapy.