Mental Health ATI Proctored Exam -Nurselytic

Correct Answer: B

Rationale: The correct answer is B because it demonstrates a cognitive restructuring process. The patient challenges a negative thought ("everyone at school hates me") with evidence to the contrary ("Most people like me and I have a friend named
Todd"). This shows progress in identifying and changing maladaptive thought patterns.
Choice A indicates aggression, choice C shows difficulty in implementing coping skills, and choice D suggests impulsivity without addressing underlying issues.

Correct Answer: C

Rationale: The correct answer is C because parents' limited tolerance for externalizing behavior can lead to fewer cases of conduct disorders being diagnosed. This is because parents in these cultures may intervene and address behavioral issues before they escalate to the level of a diagnosed disorder.

Choices A and B do not necessarily lead to lower rates of diagnosed conduct disorders, as strict parenting with corporal punishment can actually exacerbate behavior problems, and cultural expression of anger does not directly relate to conduct disorders.
Choice D is incorrect because widespread acceptance of conduct disorders would likely lead to higher rates of diagnosis, not lower.

Correct Answer: D

Rationale: The correct answer is D because it addresses the patient's physical, emotional, and social well-being, aligning with holistic nursing care principles. It shows the nurse's consideration of the pain's impact on the patient's daily life. Options A, B, and C focus on specific aspects but do not encompass the holistic approach. Option A focuses only on the pain's timeline, option B on herbal supplements, and option C on familial history, neglecting the patient's overall well-being.

Correct Answer: C

Rationale: The correct answer is C: lack of consistent funding. Workforce reentry programs often struggle with securing consistent funding to support their operations and services. This challenge can hinder the program's ability to sustain long-term impact and effectively assist individuals in reentering the workforce. Without stable funding, programs may face difficulties in maintaining staff, resources, and program continuity. This can ultimately impact the program's success in helping clients achieve successful workforce reintegration.



Choices A, B, and D are incorrect because:
A: an excess of employers who are eager to work with clients - While having a network of supportive employers is beneficial, the main challenge lies in securing funding to sustain the program's operations.
B: a lack of evidence-based practice (EBP) demonstrating their effectiveness - While evidence-based practice is important, it is not the main challenge faced by workforce reentry programs. Funding is a more critical issue for program sustainability.
D: too many resources that can cause confusion for clients - Having resources is generally

Correct Answer: B

Rationale: The correct answer is B: client preferences. In the EBP model, client preferences play a crucial role in decision-making. When Nurse Sheila adjusts the client's plan of care after talking with them, she is considering the client's individual needs, values, and preferences. This aligns with the client-centered approach of EBP, where decisions are made collaboratively with the client.

Incorrect choices:
A: Best available research - While research is important in EBP, in this scenario, the focus is on the client's preferences rather than solely relying on research evidence.
C: Nursing expertise - While nursing expertise is valuable, in this case, the emphasis is on incorporating the client's input into the plan of care.
D: Review of evidence - While reviewing evidence is a component of EBP, in this scenario, the main focus is on the client's preferences rather than the evidence alone.