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⫸ A nurse is 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
ATI RN Mental Health Nursing Modules Ch. 8 Notes. Answer D:
Triangulation: third party is drawn into a relationship with two members whose
relationship is unstable.
Group process: the verbal and nonverbal communication that occurs within the group
during group sessions.
Subgroup: a small number of people within a larger group who function separately from
that group.
Hidden agenda: 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.
ATI RN Mental Health Nursing Modules Ch. 8 Notes
,⫸ 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
ATI RN Mental Health Nursing Modules Ch. 8 Notes. Answer B:
Placation: the dysfunctional behavior of taking responsibility for problems to keep peace
among family members.
Manipulation: the dysfunctional behavior of using dishonesty to support an individual
agenda.
Blaming: the dysfunctional behavior of blaming others to shift focus away from the
individual's own inadequacies.
Distraction: the dysfunctional behavior of inserting irrelevant information during attempts
at problem solving.
ATI RN Mental Health Nursing Modules Ch. 8 Notes
⫸ 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 mbmer who evaluates the group's performance toward a standard.
,ATI RN Mental Health Nursing Modules Ch. 8 Notes. Answer C:
Maintenance role: individual who praises the input of others / is a follower.
Task role: individual who evaluates the group's performance.
ATI RN Mental Health Nursing Modules Ch. 8 Notes
⫸ A nurse is preparing to provide an educational seminar on stress to other nursing staff.
Which of the following is appropriate to include in the discussion?
A. Excessive stressors cause the client to experience distress.
B. The body's initial adaptive response to stress is denial.
C. The absence of stressors results in homeostasis.
D. Negative, rather than positive, stressors produce a biological response.
ATI RN Mental Health Nursing Modules Ch. 9 Notes. Answer *A:*
*Distress*: the result of excessive or damaging stressors, such as anxiety or anger.
*Fight-or-flight mechanism*: the body's initial adaptive response to stress.
The pressence of some stressors provide interest and purpose to life.
Positive and negative stressors produce biological response in the body.
ATI RN Mental Health Nursing Modules Ch. 9 Notes
⫸ A nurse is discussing acute vs. prolonged stress with a client. Which of the following
should the nurse identify as an acute stress response? (SATA)
A. Decreased appetite
, B. Depressed immune system
C. Increased blood pressure
D. Panic attacks
E. Unhappiness
ATI RN Mental Health Nursing Modules Ch. 9 Notes. Answer *A, B, C, E*:
*Panic attacks* indicate a prolonged or maladaptive stress response.
ATI RN Mental Health Nursing Modules Ch. 9 Notes
⫸ A nurse is teaching a client about stress-reduction techniques. Which of the following
client statements indicates understanding of the teaching?
A. "Cognitive reframing will help me change my irrational thoughts to something positive."
B. "Progressive muscle relaxation uses a mechanical device to help me gain control over my
pulse rate."
C. "Biofeedback causes my body to release endorphins so that I feel less stress and anxiety."
D. "Mindfulness allows me to prioritize the stressors that I hav. Answer *A*:
*Cognitive reframing* helps the client look at irrational cognitions (thoughts) in a more
realistic light and to restructure those thoughts in a more positive way.
*Biofeedback*, rather than progress muscle training, uses a mechanical device to promote
voluntary control over autonomic functions.
*Physical exercise*, rather than biofeedback, causes a release of endophins that lower
anxiety and reduce stress.
*Priority restructuring*, rather than mindfulness, teaches the client to prioritize differently
to reduce the number of stressors.
ATI RN Mental Health Nursing Modules Ch. 9 Notes