ATI RN
RN ATI Capstone Mental Health Quiz Questions
Question 1 of 5
A client diagnosed with male orgasmic dysfunction is receiving desensitization as part of the treatment plan. The nurse understands that this treatment focuses on achieving which of the following?
Correct Answer: D
Rationale: Desensitization aims to reduce anxiety and fear associated with sexual activity in male orgasmic dysfunction. By gradually exposing the client to sexual stimuli and teaching relaxation techniques, anxiety and fear decrease, leading to improved sexual function. Choices A, B, and C are incorrect as desensitization primarily targets anxiety and fear, not pressure to perform, pleasure awareness, or spectatoring.
Question 2 of 5
A nurse is participating as a speaker in a public workshop on the topic of promoting mental health in young and middle-aged adults. The nurse tells the audience that age, unemployment, and lower education are risk factors associated with mental illness. A woman raises her hand and asks, 'Does that mean because I only have a 10th grade education and am unemployed that I will develop a mental illness?' Which response by the nurse would be most appropriate?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. The response acknowledges the increased chance of developing mental illness but does not definitively state that the woman will develop one. 2. It provides a balanced and realistic perspective without causing unnecessary fear or alarm. 3. It emphasizes the importance of recognizing risk factors without making absolute predictions. Summary of Other Choices: B. Incorrect because it deflects the question by making irrelevant statements about rural areas and large cities. C. Incorrect because it is overly pessimistic and lacks evidence-based support for claiming the woman will develop a mental illness. D. Incorrect because it oversimplifies the issue by solely focusing on medication as a solution, neglecting the complexity of mental health risks.
Question 3 of 5
A psychiatric-mental health nurse is implementing evidence-based practice. The nurse understands that this approach is developed by doing which of the following first?
Correct Answer: B
Rationale: The correct answer is B: Identifying a clinical question. This is the first step in implementing evidence-based practice because it helps focus the research efforts on a specific issue or problem. By identifying a clinical question, the nurse can then conduct research to gather evidence that will guide decision-making. The other choices are incorrect: A: Conducting research - While conducting research is an essential part of evidence-based practice, it comes after identifying a clinical question. C: Determining outcomes - Determining outcomes is crucial for evaluating the effectiveness of interventions, but it is not the first step in developing evidence-based practice. D: Collaborating with the patient - Collaborating with the patient is important in providing individualized care, but it is not the initial step in implementing evidence-based practice.
Question 4 of 5
Ted, a former executive, is now unemployed due to manic episodes at work. He was diagnosed with bipolar I 8 years ago. Ted has a history of IV drug abuse, which resulted in hepatitis C. He is taking his lithium exactly as scheduled, a fact that both Ted's wife and his blood tests confirm. To reduce Ted's mania the psychiatric nurse practitioner recommends:
Correct Answer: D
Rationale: The correct answer is D: Lurasidone (Latuda). Lurasidone is an atypical antipsychotic commonly used to treat bipolar disorder. It helps stabilize mood and reduce symptoms of mania. Given Ted's history of bipolar I and manic episodes, lurasidone is an appropriate choice. Clonazepam (A) is a benzodiazepine used for anxiety, not mania. Fluoxetine (B) is an SSRI antidepressant, which can potentially worsen manic symptoms. Electroconvulsive therapy (C) is typically reserved for severe cases or when other treatments have failed, and may not be necessary in Ted's case. Lurasidone (D) is the most suitable option for managing Ted's mania while considering his medical history and current treatment.
Question 5 of 5
A person was supposed to meet a friend at a local theatre to see a movie. The friend never showed up. The person's initial thought was, 'My friend didn't come because she doesn't like me.' This automatic thought was most likely inferred from which irrational belief?
Correct Answer: A
Rationale: The correct answer is A: "I'm worthless, so no one could really want to be my friend." This automatic thought reflects the irrational belief of personal worthlessness leading to the assumption that others do not genuinely like or care about the person. This cognitive distortion is known as personalization, where the individual attributes external events to themselves in a negative way. In this scenario, the person's immediate conclusion that the friend didn't show up because of a personal flaw is an example of personalization. Other choices are incorrect because: B: "Movies are a waste of time and money anyway." - This choice introduces a different irrational belief about movies, not about personal worthiness. C: "I'm sure she just got confused and thought we were going to a different movie." - This choice reflects a more neutral assumption without negative self-evaluation. D: "I'm so forgetful and confused sometimes; I probably wrote down the wrong time." - This choice involves self-blame for a practical