Dive into Psychiatric Mental Health Nursing with this 2025 guide for Chapters 1 & 2, offering an in-depth review, essential concepts, 80 ATI/NCLEX prep questions, and evidence-based study strategies. Designed for nursing students preparing for ATI and NCLEX exams, this resource focuses on foundational topics like mental health principles, therapeutic communication, and patient assessment, aligned with 2025 standards. The 80 practice questions mirror real exam formats, with detailed explanations to reinforce learning, while evidence-based strategies help optimize your study approach. This guide is your key to mastering Chapters 1 & 2 and excelling in psychiatric nursing exams.
Preview
An angry client on an inpatient unit approaches a nurse stating, Someone took my lunch!
People need to respect others, and you need to do something about this now! The nurses
response should be guided by which basic assumption of milieu therapy?
A. Conflict should be avoided at all costs on inpatient psychiatric units.
B. Conflict should be resolved by the nursing staff.
C. On inpatient units, every interaction is an opportunity for therapeutic intervention.
D. Conflict resolution should only be addressed during group therapy. – – correct ans- -C.
On inpatient units, every interaction is an opportunity for therapeutic intervention.
Rationale: The nurses response should be guided by the basic assumption that every
interaction is an opportunity for therapeutic intervention. The nurse can use milieu therapy
to effect behavioral change and improve psychological health and functioning.
A client on an inpatient unit angrily says to a nurse, Peter is not cleaning up after himself in
the community bathroom. You need to address this problem. Which is the appropriate
nursing response?
A. I’ll talk to Peter and present your concerns.
B. Why are you overreacting to this issue?
C. You should bring this to the attention of your treatment team.
D. I can see that you are angry. Let’s discuss ways to approach Peter with your concerns. – –
correct ans- -D. I can see that you are angry. Let’s discuss ways to approach Peter with your
concerns.
Rationale: The most appropriate nursing response involves restating the clients feeling and
developing a plan with the client to solve the problem. According to Skinner, every
interaction is an opportunity for therapeutic intervention to improve communication and
relationship- development skills.
A newly admitted client asks, Why do we need a unit schedule? I’m not going to these
groups. I’m here to get some rest. Which is the most appropriate nursing response?
A. The purpose of group therapy is to learn and practice new coping skills.
B. Group therapy is mandatory. All clients must attend.
C. Group therapy is optional. You can go if you find the topic helpful and interesting.
D. Group therapy is an economical way of providing therapy to many clients concurrently. – – correct ans- -A. The purpose of group therapy is to learn and practice new coping skills.
Rationale: The nurse should explain to the client that the purpose of group therapy is to
learn and practice new coping skills. The client owns his or her environment and can make
decisions to attend group or not.
A client diagnosed with schizophrenia functions well and is bright, spontaneous, and
interactive during hospitalization but then decompensated after discharge. What does the
milieu provide that may be missing in the home environment?
A. Peer pressure
B. Structured programming
C. Visitor restrictions
D. Mandated activities – – correct ans- -B. Structured programming
Rationale: The milieu, or therapeutic community, provides the client with structured
programming that may be missing in the home environment. The therapeutic community
provides a structured schedule of activities in which interpersonal interaction and
communication with others are emphasized. Time is also devoted to personal problems
and focus groups.
People need to respect others, and you need to do something about this now! The nurses
response should be guided by which basic assumption of milieu therapy?
A. Conflict should be avoided at all costs on inpatient psychiatric units.
B. Conflict should be resolved by the nursing staff.
C. On inpatient units, every interaction is an opportunity for therapeutic intervention.
D. Conflict resolution should only be addressed during group therapy. – – correct ans- -C.
On inpatient units, every interaction is an opportunity for therapeutic intervention.
Rationale: The nurses response should be guided by the basic assumption that every
interaction is an opportunity for therapeutic intervention. The nurse can use milieu therapy
to effect behavioral change and improve psychological health and functioning.
A client on an inpatient unit angrily says to a nurse, Peter is not cleaning up after himself in
the community bathroom. You need to address this problem. Which is the appropriate
nursing response?
A. I’ll talk to Peter and present your concerns.
B. Why are you overreacting to this issue?
C. You should bring this to the attention of your treatment team.
D. I can see that you are angry. Let’s discuss ways to approach Peter with your concerns. – –
correct ans- -D. I can see that you are angry. Let’s discuss ways to approach Peter with your
concerns.
Rationale: The most appropriate nursing response involves restating the clients feeling and
developing a plan with the client to solve the problem. According to Skinner, every
interaction is an opportunity for therapeutic intervention to improve communication and
relationship- development skills.
A newly admitted client asks, Why do we need a unit schedule? I’m not going to these
groups. I’m here to get some rest. Which is the most appropriate nursing response?
A. The purpose of group therapy is to learn and practice new coping skills.
B. Group therapy is mandatory. All clients must attend.
C. Group therapy is optional. You can go if you find the topic helpful and interesting.
D. Group therapy is an economical way of providing therapy to many clients concurrently. – – correct ans- -A. The purpose of group therapy is to learn and practice new coping skills.
Rationale: The nurse should explain to the client that the purpose of group therapy is to
learn and practice new coping skills. The client owns his or her environment and can make
decisions to attend group or not.
A client diagnosed with schizophrenia functions well and is bright, spontaneous, and
interactive during hospitalization but then decompensated after discharge. What does the
milieu provide that may be missing in the home environment?
A. Peer pressure
B. Structured programming
C. Visitor restrictions
D. Mandated activities – – correct ans- -B. Structured programming
Rationale: The milieu, or therapeutic community, provides the client with structured
programming that may be missing in the home environment. The therapeutic community
provides a structured schedule of activities in which interpersonal interaction and
communication with others are emphasized. Time is also devoted to personal problems
and focus groups.
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