NGN ATI MENTAL HEALTH PROCTORED
2024 EXAM ACTUAL 450 QUESTIONS
WITH DETAILED VERIFIED ANSWERS
AND RATIONALES (100% CORRECT) /A+
GRADE ASSURED
A nurse working 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 use
the opportunity to discuss their common
interest in gambling on sports. This is an example of which of
the following?
A. Triangulation
B. Group process
C. Subgroup
D. Hidden agenda - ...ANSWER...D. Hidden agenda
RATIONALE: A hidden agenda is when some group
members have a different goal than the stated
group goals. The hidden agenda is often disruptive to the
effective functioning of the group.
A nurse is conducting a family therapy session. The
adolescent son tells the nurse that he plans ways to
make his sister look bad so his parents will think he's the
better sibling, which he believes will give him
more privileges. The nurse should identify this dysfunctional
behavior as which of the following?
A. Placation
,B. Manipulation
C. Blaming
D. Distraction - ...ANSWER...B. Manipulation
RATIONALE: Manipulation is the dysfunctional behavior of
using dishonesty to support an
individual agenda.
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 - ...ANSWER...C. A member who brags about
accomplishments
RATIONALE: An individual who brags about
accomplishments is acting in an individual role that
does not promote the progression of the group toward meeting
goals.
A nurse manager is discussing the care of a client who has a
personality disorder with a newly licensed
nurse. Which of the following statements by the newly
licensed nurse indicates a need for further teaching?
A. "I can promote my client's sense of control by establishing
a schedule."
B. "Self-assessment will help me cope with emotional
reactions to client care."
C. "I should practice limit-setting to help prevent client
manipulation."
,D. "Maintaining professional boundaries is a priority of client
care." - ...ANSWER...A. "I can promote my client's sense of
control by establishing a schedule."
RATIONALE: Rather than establishing a schedule, the nurse
should ask for the client's input and offer
realistic choices to promote the client's sense of control.
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 - ...ANSWER...D. Intonation
RATIONALE: 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 - ...ANSWER...D. Restating
RATIONALE: 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 - ...ANSWER...A. Offering advice
RATIONALE: 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. -
...ANSWER...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." - ...ANSWER...D. "I understand
2024 EXAM ACTUAL 450 QUESTIONS
WITH DETAILED VERIFIED ANSWERS
AND RATIONALES (100% CORRECT) /A+
GRADE ASSURED
A nurse working 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 use
the opportunity to discuss their common
interest in gambling on sports. This is an example of which of
the following?
A. Triangulation
B. Group process
C. Subgroup
D. Hidden agenda - ...ANSWER...D. Hidden agenda
RATIONALE: A hidden agenda is when some group
members have a different goal than the stated
group goals. The hidden agenda is often disruptive to the
effective functioning of the group.
A nurse is conducting a family therapy session. The
adolescent son tells the nurse that he plans ways to
make his sister look bad so his parents will think he's the
better sibling, which he believes will give him
more privileges. The nurse should identify this dysfunctional
behavior as which of the following?
A. Placation
,B. Manipulation
C. Blaming
D. Distraction - ...ANSWER...B. Manipulation
RATIONALE: Manipulation is the dysfunctional behavior of
using dishonesty to support an
individual agenda.
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 - ...ANSWER...C. A member who brags about
accomplishments
RATIONALE: An individual who brags about
accomplishments is acting in an individual role that
does not promote the progression of the group toward meeting
goals.
A nurse manager is discussing the care of a client who has a
personality disorder with a newly licensed
nurse. Which of the following statements by the newly
licensed nurse indicates a need for further teaching?
A. "I can promote my client's sense of control by establishing
a schedule."
B. "Self-assessment will help me cope with emotional
reactions to client care."
C. "I should practice limit-setting to help prevent client
manipulation."
,D. "Maintaining professional boundaries is a priority of client
care." - ...ANSWER...A. "I can promote my client's sense of
control by establishing a schedule."
RATIONALE: Rather than establishing a schedule, the nurse
should ask for the client's input and offer
realistic choices to promote the client's sense of control.
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 - ...ANSWER...D. Intonation
RATIONALE: 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 - ...ANSWER...D. Restating
RATIONALE: 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 - ...ANSWER...A. Offering advice
RATIONALE: 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. -
...ANSWER...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." - ...ANSWER...D. "I understand
