ATI RN
ATI Capstone Mental Health Proctored Assessment Quizlet Questions
Question 1 of 5
A 34-year-old client with depression is admitted to an inpatient psychiatric unit. The nurse enters her room and initiates interaction with the client. When talking with the client, which approach would be least appropriate?
Correct Answer: B
Rationale: The correct answer is B: Animated and cheerful manner. In a psychiatric setting, being overly cheerful can be perceived as insincere or dismissive of the client's feelings. Step 1: Establishing rapport with a quiet and empathetic manner is important to build trust and show understanding. Step 2: A matter-of-fact manner helps convey information clearly and concisely. Step 3: A respectful, direct manner is crucial for setting boundaries and maintaining professionalism. Overall, being overly cheerful may not align with the client's emotional state and could hinder the therapeutic relationship.
Question 2 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 3 of 5
The nurse is working in a shelter for homeless men. When planning the care for these clients, the nurse integrates understanding that men who have been homeless for a long period of time often feel a sense of which of the following?
Correct Answer: A
Rationale: Step 1: Depersonalization is a common psychological response to prolonged homelessness, where individuals may feel disconnected from their own identity and emotions. Step 2: Homelessness can lead to loss of personal autonomy, resulting in depersonalization as a coping mechanism. Step 3: Depersonalization helps individuals distance themselves from the harsh reality of their circumstances. Step 4: Strong coping skills (B), self-efficacy (C), and fear of failure (D) are less likely as prolonged homelessness can erode self-esteem and confidence, leading to feelings of depersonalization instead.
Question 4 of 5
A nurse is trying to determine whether a client is exhibiting symptoms of depression or of her medical illness. Which of the following group of symptoms would indicate to the nurse that the client may be experiencing depression in addition to being medically ill?
Correct Answer: C
Rationale: The correct answer is C because feeling guilty, difficulty making decisions, and low self-esteem are classic symptoms of depression that are not typically associated with medical illnesses. Feeling guilty and low self-esteem are emotional symptoms commonly seen in depression, while difficulty making decisions is a cognitive symptom often linked with depression. This combination of symptoms suggests a psychological component beyond just the physical manifestations of the medical illness. Choice A is incorrect because frequent crying is not specifically indicative of depression and can occur in response to physical pain or distress related to the medical illness. Choice B is incorrect because low self-esteem alone is not enough to conclusively suggest depression in this context, as it can also be a response to the challenges of dealing with a medical condition. Choice D is incorrect because loss of energy can be a symptom of both depression and medical illness, making it less specific to identifying depression in this case.
Question 5 of 5
A community health nurse is teaching a group of adults about the importance of health screenings. The nurse should include that African American males are almost twice as likely as Caucasian males to experience which of the following?
Correct Answer: C
Rationale: The correct answer is C: Stroke. African American males are almost twice as likely as Caucasian males to experience strokes due to various risk factors such as high blood pressure, diabetes, and genetic predisposition. This is supported by research and statistics showing the disparity in stroke incidence among different racial groups. Incorrect Choices: A: Testicular cancer - There is no significant racial disparity in testicular cancer incidence between African American and Caucasian males. B: Obesity - While African Americans have higher rates of obesity compared to Caucasians, it is not specifically stated that African American males are almost twice as likely as Caucasian males to be obese. D: Melanoma - There is no evidence suggesting that African American males are almost twice as likely as Caucasian males to experience melanoma.