ATI RN
ATI Capstone Mental Health Proctored Assessment Quizlet Questions
Question 1 of 5
A nurse is using motivational therapy with a female client with alcoholism. The client, who is unwilling to consider changing her drinking behavior, emphatically states, 'I am not an alcoholic; you can't make me stop drinking.' Which response by the nurse would be most appropriate?
Correct Answer: D
Rationale: The correct answer is D because it aligns with the principles of motivational therapy. The nurse acknowledges the client's autonomy and emphasizes personal responsibility for change. By stating, "You're the only one who can make yourself stop drinking," the nurse empowers the client to recognize her agency in making positive changes. This response respects the client's autonomy and promotes self-efficacy.
Choices A, B, and C are incorrect because they do not support motivational therapy principles. Option A uses fear tactics, which can be counterproductive. Option B dismisses the client's denial without building rapport. Option C focuses on external factors rather than empowering the client to take control of her behavior. Ultimately, choice D is the most appropriate as it encourages the client to take ownership of her actions and the change process.
Question 2 of 5
Complete this analogy. NANDA: clinical judgment: NIC:
Correct Answer: B
Rationale: The correct answer is B: nursing actions. NANDA provides nursing diagnoses, which guide clinical judgment in determining appropriate nursing interventions. Similarly, NIC (Nursing Interventions Classification) provides a standardized language for identifying nursing actions to achieve patient outcomes based on the identified nursing diagnoses.
Therefore, the analogy between NANDA and clinical judgment is parallel to NIC and nursing actions.
Summary:
A: Patient outcomes - Incorrect. While patient outcomes are the ultimate goal of nursing care, NIC specifically focuses on the actions taken to achieve these outcomes.
C: Diagnosis - Incorrect. NANDA provides nursing diagnoses, while NIC focuses on interventions rather than diagnoses.
D: Symptoms - Incorrect. NIC is not focused on symptoms but rather on the actions nurses take to address the identified nursing diagnoses.
Question 3 of 5
Tatiana has been hospitalized for an acute manic episode. On admission the nurse suspects lithium toxicity. What assessment findings would indicate the nurse's suspicion as correct?
Correct Answer: C
Rationale:
Step 1: Lithium toxicity commonly presents with gastrointestinal distress, such as nausea and vomiting.
Step 2: Thirst is a common symptom due to lithium-induced nephrogenic diabetes insipidus.
Step 3: Nystagmus is an ocular manifestation seen in severe cases of lithium toxicity.
Step 4:
Therefore, choice C is correct as it includes all three typical assessment findings for lithium toxicity.
Summary:
Choices A, B, and D do not include the specific assessment findings associated with lithium toxicity.
Question 4 of 5
A client has been admitted to the inpatient psychiatric facility as part of a court-ordered program. The client was arrested numerous times over the past several months for exposing his genitals and masturbating in public in front of an elementary school. The nurse interprets this behavior as reflecting which of the following?
Correct Answer: B
Rationale: The correct answer is B: Exhibitionism. Exhibitionism involves the intense and recurrent sexual arousal from exposing one's genitals to an unsuspecting person. In this case, the client's behavior of exposing his genitals and masturbating in public in front of an elementary school aligns with the characteristics of exhibitionism. The behavior is deliberate and aimed at shocking or surprising others for sexual gratification.
Incorrect
Choices:
A: Frotteurism - Involves touching or rubbing against a non-consenting person for sexual gratification. This behavior is different from what the client in the scenario is exhibiting.
C: Sexual masochism - Involves deriving sexual pleasure from receiving pain or humiliation. This is not applicable to the behavior described in the scenario.
D: Voyeurism - Involves observing an unsuspecting person who is naked or engaged in sexual activity. This does not match the client's behavior of exposing himself in public.
Question 5 of 5
Sleep deprivation is considered a safety issue that results in loss of life and property. Psychomotor impairments of sleep deprivation are similar to symptoms caused by:
Correct Answer: C
Rationale:
Rationale:
1. Alcohol consumption affects psychomotor skills similarly to sleep deprivation.
2. Both can impair cognitive functions, reaction times, and decision-making abilities.
3. Alcohol disrupts sleep patterns, leading to similar impairments as sleep deprivation.
4. Excessive alcohol consumption can result in accidents and fatalities, similar to sleep-deprived individuals.
Summary:
A: Sleeping in excess of 10 hours does not typically lead to psychomotor impairments like sleep deprivation.
B: Misuse of caffeine products may cause alertness but does not mimic the psychomotor impairments of sleep deprivation.
D: Working more than 40 hours per week may lead to fatigue but does not directly cause psychomotor impairments similar to sleep deprivation.