ATI Capstone Mental Health Assessment -Nurselytic

Questions 20

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ATI Capstone Mental Health Assessment Questions

Question 1 of 5

Which comment best indicates a patient is self-actualized?

Correct Answer: D

Rationale: The correct answer is D because it reflects self-actualization by showing an appreciation for simple pleasures and being in touch with nature, indicating a sense of fulfillment and inner peace.
Choice A focuses on external factors, choice B relies on a plan for validation, and choice C emphasizes success through hard work, all of which are not necessarily indicative of self-actualization.

Question 2 of 5

A nurse is a receiving report on four clients. Which of the following clients should the nurse assess first?

Correct Answer: C

Rationale: The correct answer is C because a client with chronic kidney disease and cloudy diasylate outflow may indicate peritonitis, a serious complication requiring immediate assessment and intervention. Cloudy dialysate outflow can be a sign of infection or peritonitis, which can lead to sepsis if not addressed promptly. Assessing this client first allows for early detection and treatment of potential life-threatening complications.

Choices A, B, and D do not present immediate life-threatening conditions and can be assessed after ensuring the client with chronic kidney disease is stable.

Question 3 of 5

A nursing instructor is describing complex somatic symptom disorder to a group of nursing students. The instructor determines that the teaching was successful when the students state which of the following?

Correct Answer: B

Rationale: The correct answer is B because complex somatic symptom disorder typically begins in adolescence. This is important for nursing students to understand as it helps in recognizing the disorder early.
Choice A is incorrect as the disorder is more commonly diagnosed in women.
Choice C is incorrect because complex somatic symptom disorder is not necessarily associated with substance abuse.
Choice D is incorrect as individuals of various educational backgrounds can develop this disorder. Understanding the onset of symptoms in adolescence is crucial for early intervention and appropriate management.

Question 4 of 5

Considering psychosocial role theory, which patient demonstrates healthy adjustment to aging?

Correct Answer: C

Rationale: The correct answer is C because the retiree volunteering at the library aligns with the psychosocial role theory, which emphasizes the importance of maintaining social roles and engagement in later life for healthy aging. Volunteering promotes social interaction, sense of purpose, and contribution to society, leading to better mental and emotional well-being.

Choices A, B, and D focus on physical health or coping with illness, which are important aspects of aging but do not solely represent healthy adjustment to aging according to psychosocial role theory.

Question 5 of 5

The nurse is interviewing a client with schizophrenia when the client begins to say, 'Kite, night, right, height, fright.' The nurse documents this as which of the following?

Correct Answer: A

Rationale: The correct answer is A: Clang association. Clang association is a form of disorganized speech commonly seen in schizophrenia where words are linked together based on sound rather than meaning. In this scenario, the client is stringing together words that rhyme, indicating a pattern based on sound. Stilted language refers to formal, rigid speech lacking natural flow. Verbigeration is the repetition of words or phrases. Neologisms are newly created words. In this case, the client's speech does not fit the definitions of stilted language, verbigeration, or neologisms, making clang association the most appropriate choice.

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