Mental Health Final ATI -Nurselytic

Questions 20

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Mental Health Final ATI Questions

Question 1 of 5

A nurse is working as part of an interdisciplinary treatment team caring for patients with psychiatric disorders. Based on the nurse's understanding of cognitive behavioral therapy (CBT) and its limitations cited by critics, the nurse would identify which patient as an inappropriate candidate for CBT?

Correct Answer: C

Rationale: The correct answer is C, a patient diagnosed with schizophrenia. CBT may not be suitable for individuals with severe cognitive impairments like those with schizophrenia. Schizophrenia can affect a person's ability to engage in cognitive processes necessary for CBT, such as reality testing and cognitive restructuring. Patients with schizophrenia may struggle with delusions, hallucinations, and disorganized thinking, making it challenging to benefit from traditional CBT techniques. Substance abuse (
A), depression (
B), and eating disorders (
D) are conditions that have shown to respond well to CBT techniques, making them appropriate candidates for treatment.

Question 2 of 5

The nurse receives transfer of care report and recognizes the highest priority client need when learning what detail about the client?

Correct Answer: D

Rationale: The correct answer is D because the client's statement about the partner being 'sorry' for their breakup indicates potential harm or danger. This statement may suggest thoughts of retaliation or harm towards the partner, raising concerns for safety and potential violence. It should be the nurse's priority to assess the client's risk of harm to themselves or others.

Explanation of why the other choices are incorrect:
A: The client being silent during some interviews may indicate anxiety or distress, but it does not necessarily pose an immediate safety concern.
B: A history of preeclampsia with a past pregnancy is important for medical history but does not indicate an immediate risk to the client's safety.
C: The family bringing in magazines is not a critical detail that raises concerns about the client's safety or well-being.

Question 3 of 5

A nurse is talking with the husband of a female client diagnosed with Alzheimer's disease. During the conversation, the husband tells the nurse that she often begins to scream and curse for no apparent reason. The nurse interprets this as which of the following?

Correct Answer: C

Rationale: The correct answer is C: Hypervocalization. In Alzheimer's disease, individuals may exhibit increased vocalization, including screaming and cursing, due to various factors such as confusion, frustration, or agitation. This behavior is known as hypervocalization.
Choice A, hypersexuality, refers to inappropriate sexual behavior, not vocalization.
Choice B, disinhibition, involves lack of restraint in behaviors, not specifically vocalization.
Choice D, apathy, refers to lack of interest or emotion, not excessive vocalization.
Therefore, the most appropriate interpretation in this scenario is hypervocalization due to Alzheimer's disease.

Question 4 of 5

Which finding best indicates that the goal 'Demonstrate mentally healthy behavior' was achieved for an adult patient? The patient

Correct Answer: A

Rationale: The correct answer is A because seeing oneself as capable of achieving ideals and meeting demands indicates a positive self-perception and mental strength, aligning with the goal of demonstrating mentally healthy behavior.
Choice B is incorrect as it describes impulsive behavior, which is not indicative of mental health.
Choice C suggests aggressive and selfish behavior, which goes against mental health principles.
Choice D, seeking help when needed, is important but does not directly demonstrate the achievement of mentally healthy behavior like choice A does.

Question 5 of 5

A Puerto Rican American patient uses dramatic body language when describing emotional discomfort. Which analysis most likely explains the patient's behavior? The patient

Correct Answer: D

Rationale: The correct answer is D because it aligns with the concept of cultural competence. Puerto Rican American culture values expressive body language to convey emotions. This behavior is not indicative of a histrionic personality disorder (
A), sexual appeal (
B), or seeking attention (
C). Understanding cultural norms is crucial in interpreting patient behavior accurately.

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