ATI RN
ATI Capstone Mental Health Proctored Assessment Quizlet Questions
Question 1 of 9
A group of nursing students are reviewing information about psychodynamic theories. The students demonstrate a need for additional study when they identify which of the following as a humanistic theorist?
Correct Answer: A
Rationale: The correct answer is A: Carl Jung. Jung is not a humanistic theorist; he is known for his analytical psychology, which focuses on the collective unconscious and archetypes. Carl Rogers and Abraham Maslow are humanistic theorists who emphasize self-actualization and the importance of human potential. Frederick Perls is associated with Gestalt therapy, not humanistic theory. Therefore, the nursing students need additional study to correctly identify Carl Jung as a psychodynamic theorist, not a humanistic one.
Question 2 of 9
A group of nursing students is reviewing the results of the Behavioral Risk Factor Surveillance System. The students demonstrate understanding of this information when they identify which group as experiencing the greatest number of sad, blue, or depressed days (SBDD)?
Correct Answer: C
Rationale: The correct answer is C: Young adults. Young adults typically experience the greatest number of Sad, Blue, or Depressed Days (SBDD) due to various factors such as transitioning into adulthood, academic pressures, career uncertainties, and relationship challenges. This age group is often more susceptible to mental health issues compared to other groups. Women, men, and older adults may also experience SBDD, but research shows that young adults consistently report higher levels of emotional distress. It is crucial for nursing students to understand these trends to provide appropriate care and support to different demographic groups.
Question 3 of 9
A school age child tells the school nurse, "Other kids call me mean names and will not sit with me at lunch. Nobody likes me." Select the nurse's most therapeutic response.
Correct Answer: D
Rationale: Correct Answer: D Rationale: 1. Validating the child's feelings encourages open communication and trust. 2. Asking the child to share more helps the nurse understand the situation better. 3. It shows empathy and provides an opportunity for support and guidance. 4. Encourages the child to express emotions and promotes problem-solving skills. Incorrect Choices: A: Ignoring bullies may not solve the problem and can lead to further isolation. B: Making friends is not always easy and might not address the current issue. C: Encouraging retaliation can escalate the situation and promote negative behavior.
Question 4 of 9
A nurse is using motivational therapy with a female client with alcoholism. The client, who is unwilling to consider changing her drinking behavior, emphatically states, 'I am not an alcoholic; you can't make me stop drinking.' Which response by the nurse would be most appropriate?
Correct Answer: D
Rationale: The correct answer is D because it aligns with the principles of motivational therapy. The nurse acknowledges the client's autonomy and emphasizes personal responsibility for change. By stating, "You're the only one who can make yourself stop drinking," the nurse empowers the client to recognize her agency in making positive changes. This response respects the client's autonomy and promotes self-efficacy. Choices A, B, and C are incorrect because they do not support motivational therapy principles. Option A uses fear tactics, which can be counterproductive. Option B dismisses the client's denial without building rapport. Option C focuses on external factors rather than empowering the client to take control of her behavior. Ultimately, choice D is the most appropriate as it encourages the client to take ownership of her actions and the change process.
Question 5 of 9
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 6 of 9
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 7 of 9
Which assessment is most important when evaluating signs and symptoms of mental illness?
Correct Answer: D
Rationale: The correct answer is D because assessing the client's social and cultural norms is crucial in understanding their behavior within the context of their community. By considering these norms, the evaluator can differentiate between normal variations and potential signs of mental illness. Understanding social and cultural influences helps in providing effective and culturally sensitive interventions. Choice A is incorrect because creativity is not a definitive indicator of mental illness. Choice B is incorrect as the inability to face problems can be a symptom of mental illness, but it is not the most important assessment. Choice C is incorrect as the intensity of emotional reactions alone does not determine mental illness; it must be considered in relation to social and cultural norms.
Question 8 of 9
The nurse is providing follow-up care to victims of a disaster that occurred several months ago. Assessment of which of the following would lead the nurse to suspect that the victims are experiencing possible aftereffects of the disaster?
Correct Answer: C
Rationale: The correct answer is C: Unexplained gastrointestinal disturbance. Victims of a disaster may experience ongoing stress and anxiety, leading to gastrointestinal disturbances like nausea, diarrhea, or stomach pain. This can be a manifestation of post-traumatic stress disorder (PTSD) or ongoing psychological impact. Tachycardia (choice A) and profuse perspiration (choice B) are more immediate physiological responses to stress and may not necessarily indicate ongoing effects. Tremors (choice D) are often associated with neurological conditions rather than psychological trauma. Therefore, choice C is the most likely indicator of possible aftereffects of the disaster in this scenario.
Question 9 of 9
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.