Mental Health ATI chp. 5,3,8,31

A nurse is in the working phase of a therapeutic relationship with a client who has methamphetamine use disorder. Which of the following actions indicates transference behavior? A. The client asks the nurse if they will go out to dinner together B. The client accuses the nurse of being controlling just like an ex-partner C. The client reminds the nurse of a friend who died from substance toxicity D. The client becomes angry and threatens to engage in self harm

B. The client accuses the nurse of being controlling just like an ex-partner

A nurse is talking with the caregiver of a child who has demonstrated recent changes in behavior and mood. When the caregiver of the child asks the nurse for reassurance about their child's condition, which of the following responses should the nurse take? A. I think your child 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 charge nurse is discussing the characteristics of a nurse-client relationship with a newly licensed nurse. Which of the following characteristics should the nurse include in the discussion? 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

C. it is goal-directed D. behavioral change is encouraged

A nurse is caring for a client in an inpatient mental health facility who gets up from a chair and throws it across the day room. Which of the following is the priority nursing action? A. encourage the client to express feelings out loud B. maintain eye contact with the client C. move the client away from others D. tell the client that the behavior is not acceptable

C. move the client away from others

A nurse on an acute mental health unit forms a group to focus on self-management of medications. At each of the meetings, two of the members conspire together to exclude the rest of the group. This is an example of which of the following concepts? A. triangulation B. group process C. subgroup D. hidden agenda

C. subgroup

A nurse is planning care for the termination phase of a nurse-client relationship. Which of the following actions should the nurse 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

A nurse is communicating with a client who was admitted for treatment of a substance abuse disorder. Which of the following communication techniques should the nurse identify as a barrier to therapeutic communication? A. offering advice B. reflecting C. listening actively D. giving information

A. offering advice

A nurse is caring for a client who is screaming at staff members and other clients. Which of the following is a therapeutic response by the nurse to the client? A. stop screaming, and walk with me outside B. why are you so angry and screaming at everyone C. you will not get your way by screaming D. what was going through your mind when you started screaming

A. stop screaming, and walk with me outside

A nurse caring for a client who has anorexia nervosa. Which of the following examples demonstrates the nurses use of interpersonal communication? A. the nurse discusses the client's weight loss during a health care team meeting B. the nurse examines their own personal feelings about clients who have anorexia nervosa C. the nurse asks the client about personal body image perception D. the nurse presents an educational session about anorexia nervosa to a large group of adolescents

C. the nurse asks the client about personal body image perception

A nurse is assessing a client in an inpatient mental health unit. Which od the following findings should the nurse expect if the client is in the preassaultive stage of violence? (SATA) A. lethargy B. defensive responses to questions C. disorientation D. facial grimacing E. agitation

B. defensive responses to questions D. facial grimacing E. agitation

A nurser is planning group therapy for clients dealing with bereavement. Which of the following activities should the nurse include in the initial phase? (SATA) A. encourage the group to work towards goals B. define the purpose of the group C. discuss termination of the group D. identify informal roles of members within the group E. establish an expectation of confidentiality within the group

B. define the purpose of the group C. discuss termination of the group E. establish an expectation of confidentiality within the group

A nurse is conducting a family therapy session. The younger child tells the nurse about plans to make the older sibling look bad, believing this will earn more freedom and privileges. The nurse should identify this dysfunctional behavior as which of the following? A. placation B. manipulation C. blaming D. distraction

B. manipulation

A nurse is caring for a client who is speaking in a loud voice with clenched fists. Which of the fol owing actions should the nurse take? A. insist that the client stops yelling B. request that other staff members remain close by C. moves as close to the client as possible D. walk away from the client

B. request that other staff members remain close by

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."

A nurse is talking with a client who is at risk for suicide following their partner's death. Which of the following statement should the nurse make? 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

A nurse is working with an established group and identifies various member roles. Which of the following should the nurse identify as an individual role? A. a member who praises input from other members B. a member who follows the direction of other members C. a member who brags about accomplishments D. a member who evaluates the group's performance toward a standard

C. a member who brags about accomplishments

A nurse wants to use democratic leadership with a group whose purpose is to learn appropriate conflict resolution techniques. The nurse is correct in implementing this form of group leadership when demonstrating which of the following actions? A. observes group techniques without interfering with the group process B. discusses a technique and then directs members to practice the technique C. asks for group suggestions of technique and then supports discussion D. suggests techniques and asks group members to reflect on their use

C. asks for group suggestions of technique and then supports discussion

A nurse is an acute mental health facility is communicating with a client. 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. restarting

D. restating

A nurse is conducting group therapy with a group of clients. Which of the following statements made by a client is an example of aggressive communication? A. i wish you would not make me angry B. i feel angry when you leave me C. it makes me angry when you interrupt me D. you'd better listen to me

D. you'd better listen to me

A charge nurse is conducting a class on therapeutic communication with a group of newly licensed nurses. Which of the following aspects of communication should the nurse identify as a component of verbal communication? A. personal space B. posture C. eye contact D. intonation

D. intonation