Different types of therapy:
Reminiscence therapy is used to encourage the sharing of memories of past experiences and events.
Good therapy for patients with Dimentia.
Reality orientation programs are designed to reorient clients with cognitive deficits.
The goals of group therapy are to stimulate and encourage social participation using structured group
approaches.
Psychotherapy, either individual or group, is used to assist clients to resolve emotional and psychological
difficulties.
Communication/Therapeutic/Nontherapeutic/Defense Mechanism:
Being silent is a communication tool that is appropriate during times of grieving.
In projection, a client attributes unacceptable emotions and qualities to others. This is the defense
mechanism that is operative in delusional thinking.
A nurse unconsciously attributes negative feelings to a client. This is an example of countertransference
which is the phenomenon of the nurse unconsciously attributing feelings about another to the client.
Nurse asks older client “Did you have any visitors yesterday?” Pt states “Yes several members of my
church choir came to see me.” The nurse knows that only the client’s child visited the day before. What is
the client demonstrating? – Confabulation. This is filling gaps in memory by fabrication. The pt will make
up responses that are inaccurate but sound appropriate. It is done the avoid the embarrassment about
memory loss.
Focusing on personal assets of a pt increases self-esteem, which is a very effective intervention for the
client with depression. Activities that emphasize a client’s strengths function as builders of self-esteem.
What defense mechanism will pt with somatization disorder use? Repression – the unconscious defense
mechanism characterized by involuntary forgetting of painful thoughts. In somatization disorders, the
client manifests physical complaints that suggest physical disorders without a disease of physical basis to
account for them. Most frequently, the complains involve the GI system, the nervous system, the
cardiopulmonary system, or the reproductive system. Somatization disorder is characterized by the
unconscious repression of the anxiety feelings which are then manifested as a physical illness.
Defense mechanism that pt with OCD exhibits when performing rituals? Undoing – the unconscious
defense mechanism characterized by a compulsive response that negates a painful feeling or
unacceptable act.
Pt is unresponsive, mumbles incoherently whenever nurse asks pt questions. Which action facilitates
communication? – continuing to speak with the client using short, clear statements, or open ended
questions. The nurse will have to communicate verbally with the client. Using short, clear statements
and open-ended questions are two good ways to go about this because the client is given the
opportunity to respond without feeling pressured to do so.
This study source was downloaded by 100000817935606 from CourseHero.com on 02-01-2022 11:30:25 GMT -06:00
https://www.coursehero.com/file/21946558/mental-health-ATI-reveiw/
, Parents of a child newly diagnosed with brain tumor. Parents’ initial reaction to a potentially terminal
illness in their child is denial and disbelief. When parents receive bad news about their child, they usually
go through a process similar to grieving. (Kubler-Ross’s stages of grieving: (May not go through these
stages in order) 1. Denial; 2. Anger; 3. Bargaining; 4. Depression; 5. Acceptance.)
Suicidal care:
A good short-term goal for suicidal patients – sign a contract pledging not to act on suicide plans.
Physical safety is a priority.
Highest priority for nurse with adolescent who is under evaluation for clinical depression – the client
gave her favorite necklace to her best friend. Giving away valued and prized possessions is a classic sign
of suicidal ideation. Since this client was admitted for observation related to clinical depression, the
nurse is alert to any potential signs of suicidal behavior or thought.
Client with highest potential for suicide is one that makes this statement – “I have it all figured out.
Everything is going to be okay now.” A sudden lifting of spirits, when there have been other previous
indications of depression and/or suicidal ideation, may point to a decision to end the pain of life through
suicide. The client may have the energy to plan or carry out a suicidal act.
Have staff member stay with suicidal pt at all times – best nursing action to ensure safety.
Bipolar/Mania:
A client with bipolar disorder demands to see his therapist at 3:00AM. Best response? “You must be very
upset about something to want to see your therapist in the middle of the night.” This is an example of
the nurse showing empathy. This response addresses the client’s feelings and offers an opportunity for
the client to clarify the situation.
Appropriate meal for client with bipolar disorder admitted for acute manic episode? Chicken nuggets,
ear of corn, apple. – A client in the manic phase will do well with finger foods, since these can be
consumed on the run and are relatively easy to manipulate. Good choice for a hyperactive client with a
short attention span.
A manic pt tells nurse that his latest computer project is revolutionizing the industry. He also states. “IBM
and Apple are both going under because their products cannot compete with mine.” What is this an
example of? – Grandiose delusion which is a delusion of absurd exaggeration; typical of manic clients.
Best med for pregnant woman diagnosed with bipolar disorder – paxil. There is no conclusive evidence
that Paroxetine (Paxil) or the other SSRIs are harmful to pregnant woman or baby.
Appropriate short term goal for pt exhibiting manic behavior? – painting alone for 15 min. this creative
activity will encourage the client to sit and concentrate on one activity for a short time.
Drug/Substance Abuse:
A client is admitted to the psych unit after an intentional OD. He states, “Why would you want to waste
your time on a worthless person like me?” Best response? “I think you are worthwhile, and I want to talk
to you.” This is an example of the therapeutic technique “offering one’s self”. It is the best response
This study source was downloaded by 100000817935606 from CourseHero.com on 02-01-2022 11:30:25 GMT -06:00
https://www.coursehero.com/file/21946558/mental-health-ATI-reveiw/
Reminiscence therapy is used to encourage the sharing of memories of past experiences and events.
Good therapy for patients with Dimentia.
Reality orientation programs are designed to reorient clients with cognitive deficits.
The goals of group therapy are to stimulate and encourage social participation using structured group
approaches.
Psychotherapy, either individual or group, is used to assist clients to resolve emotional and psychological
difficulties.
Communication/Therapeutic/Nontherapeutic/Defense Mechanism:
Being silent is a communication tool that is appropriate during times of grieving.
In projection, a client attributes unacceptable emotions and qualities to others. This is the defense
mechanism that is operative in delusional thinking.
A nurse unconsciously attributes negative feelings to a client. This is an example of countertransference
which is the phenomenon of the nurse unconsciously attributing feelings about another to the client.
Nurse asks older client “Did you have any visitors yesterday?” Pt states “Yes several members of my
church choir came to see me.” The nurse knows that only the client’s child visited the day before. What is
the client demonstrating? – Confabulation. This is filling gaps in memory by fabrication. The pt will make
up responses that are inaccurate but sound appropriate. It is done the avoid the embarrassment about
memory loss.
Focusing on personal assets of a pt increases self-esteem, which is a very effective intervention for the
client with depression. Activities that emphasize a client’s strengths function as builders of self-esteem.
What defense mechanism will pt with somatization disorder use? Repression – the unconscious defense
mechanism characterized by involuntary forgetting of painful thoughts. In somatization disorders, the
client manifests physical complaints that suggest physical disorders without a disease of physical basis to
account for them. Most frequently, the complains involve the GI system, the nervous system, the
cardiopulmonary system, or the reproductive system. Somatization disorder is characterized by the
unconscious repression of the anxiety feelings which are then manifested as a physical illness.
Defense mechanism that pt with OCD exhibits when performing rituals? Undoing – the unconscious
defense mechanism characterized by a compulsive response that negates a painful feeling or
unacceptable act.
Pt is unresponsive, mumbles incoherently whenever nurse asks pt questions. Which action facilitates
communication? – continuing to speak with the client using short, clear statements, or open ended
questions. The nurse will have to communicate verbally with the client. Using short, clear statements
and open-ended questions are two good ways to go about this because the client is given the
opportunity to respond without feeling pressured to do so.
This study source was downloaded by 100000817935606 from CourseHero.com on 02-01-2022 11:30:25 GMT -06:00
https://www.coursehero.com/file/21946558/mental-health-ATI-reveiw/
, Parents of a child newly diagnosed with brain tumor. Parents’ initial reaction to a potentially terminal
illness in their child is denial and disbelief. When parents receive bad news about their child, they usually
go through a process similar to grieving. (Kubler-Ross’s stages of grieving: (May not go through these
stages in order) 1. Denial; 2. Anger; 3. Bargaining; 4. Depression; 5. Acceptance.)
Suicidal care:
A good short-term goal for suicidal patients – sign a contract pledging not to act on suicide plans.
Physical safety is a priority.
Highest priority for nurse with adolescent who is under evaluation for clinical depression – the client
gave her favorite necklace to her best friend. Giving away valued and prized possessions is a classic sign
of suicidal ideation. Since this client was admitted for observation related to clinical depression, the
nurse is alert to any potential signs of suicidal behavior or thought.
Client with highest potential for suicide is one that makes this statement – “I have it all figured out.
Everything is going to be okay now.” A sudden lifting of spirits, when there have been other previous
indications of depression and/or suicidal ideation, may point to a decision to end the pain of life through
suicide. The client may have the energy to plan or carry out a suicidal act.
Have staff member stay with suicidal pt at all times – best nursing action to ensure safety.
Bipolar/Mania:
A client with bipolar disorder demands to see his therapist at 3:00AM. Best response? “You must be very
upset about something to want to see your therapist in the middle of the night.” This is an example of
the nurse showing empathy. This response addresses the client’s feelings and offers an opportunity for
the client to clarify the situation.
Appropriate meal for client with bipolar disorder admitted for acute manic episode? Chicken nuggets,
ear of corn, apple. – A client in the manic phase will do well with finger foods, since these can be
consumed on the run and are relatively easy to manipulate. Good choice for a hyperactive client with a
short attention span.
A manic pt tells nurse that his latest computer project is revolutionizing the industry. He also states. “IBM
and Apple are both going under because their products cannot compete with mine.” What is this an
example of? – Grandiose delusion which is a delusion of absurd exaggeration; typical of manic clients.
Best med for pregnant woman diagnosed with bipolar disorder – paxil. There is no conclusive evidence
that Paroxetine (Paxil) or the other SSRIs are harmful to pregnant woman or baby.
Appropriate short term goal for pt exhibiting manic behavior? – painting alone for 15 min. this creative
activity will encourage the client to sit and concentrate on one activity for a short time.
Drug/Substance Abuse:
A client is admitted to the psych unit after an intentional OD. He states, “Why would you want to waste
your time on a worthless person like me?” Best response? “I think you are worthwhile, and I want to talk
to you.” This is an example of the therapeutic technique “offering one’s self”. It is the best response
This study source was downloaded by 100000817935606 from CourseHero.com on 02-01-2022 11:30:25 GMT -06:00
https://www.coursehero.com/file/21946558/mental-health-ATI-reveiw/
