ATI Proctored Mental Health -Nurselytic

Question 1 of 5

A group of nursing students is reviewing information about the types of abuse. The students demonstrate understanding of the information when they identify stalking as a crime of which of the following?

A. Violence B. Intimidation C. Jealousy D. Fear

Correct Answer: B

Rationale: The correct answer is B: Intimidation. Stalking is a crime that involves persistent and unwanted attention, behavior, or contact that instills fear or intimidation in the victim. Stalking is not necessarily always accompanied by physical violence (choice
A), jealousy (choice
C), or fear (choice
D). Intimidation, on the other hand, accurately captures the coercive and fear-inducing nature of stalking behavior. Stalking behavior aims to control, scare, or manipulate the victim through persistent unwanted contact and surveillance.

Question 2 of 5

The nurse is assessing a group of patients on an inpatient psychiatric unit. The patient's history for which of the following would the nurse identify as the strongest indicator of risk for violence?

A. Panic disorder B. Problematic anxiety C. Somatoform disorder D. Violent behavior

Correct Answer: D

Rationale: The correct answer is D, violent behavior. This is the strongest indicator of risk for violence because past behavior is a significant predictor of future behavior. Patients with a history of violent behavior are more likely to exhibit violent tendencies in the future. Assessing for this history allows the nurse to implement appropriate interventions to prevent harm to self or others.

Incorrect

Choices:
A: Panic disorder - Panic disorder is characterized by recurrent panic attacks and is not directly associated with an increased risk of violence.
B: Problematic anxiety - While anxiety can contribute to agitation and irritability, it is not as strong of an indicator for violence compared to a history of violent behavior.
C: Somatoform disorder - Somatoform disorder involves physical symptoms with no identifiable medical cause and is not typically associated with an increased risk of violence.

Question 3 of 5

A nurse is performing an admission assessment. The patient complains that it has been taking larger and larger amounts of medication to get the desired effect. Based on this information, the nurse interprets this as suggesting which of the following?

A. Desensitization B. Tolerance C. Therapeutic index D. Toxicity

Correct Answer: B

Rationale: The correct answer is B:
Tolerance.
Tolerance refers to the body's reduced response to a drug over time, necessitating higher doses to achieve the same effect. In this scenario, the patient needing larger amounts of medication to achieve the desired effect indicates tolerance development. Desensitization (
A) refers to reduced response due to receptor downregulation. Therapeutic index (
C) is the ratio of a drug's effective dose to its toxic dose.
Toxicity (
D) is the harmful effects of a drug at excessive doses.

Question 4 of 5

What is the scope of psychiatric-mental health nursing practice?

A. assessment, education, medication administration, and screening for suicide risk B. assessment, medical diagnosis, giving orders, writing prescriptions, admitting, and discharging C. assisting providers, assisting with ADLs, monitoring clients, offering support, promoting safety D. assessment, counseling, teaching coping skills, giving advice, listening

Correct Answer: A

Rationale: The correct answer is A because psychiatric-mental health nursing practice involves assessing clients, providing education, administering medications, and screening for suicide risk. Assessment helps in understanding the client's mental health status. Education empowers clients to manage their condition. Medication administration ensures proper treatment. Suicide risk screening is crucial for client safety.

Choices B, C, and D are incorrect as they include tasks outside the scope of psychiatric-mental health nursing such as medical diagnosis, giving orders, assisting with ADLs, and giving advice.

Question 5 of 5

While caring for an 88-year-old client suspected of having dementia, the nurse assesses the client for a common delusional thought. Which of the following would the nurse interpret as a common delusion?

A. I am the king of the universe.' B. Creatures are living in my closet.' C. The government has people following me.' D. My roommate keeps stealing my clothes.'

Correct Answer: D

Rationale: The correct answer is D: My roommate keeps stealing my clothes. This delusion is common in dementia patients, involving paranoia and mistrust. It is plausible and related to daily life, making it more likely in dementia.

Choices A, B, and C are grandiose and persecutory delusions, which are less common in dementia and more characteristic of other mental health conditions.