A nurse identifies the nursing diagnosis of Ineffective Sexuality Patterns based on which of the following?

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ATI Capstone Mental Health Pre Assessment Questions

Question 1 of 5

A nurse identifies the nursing diagnosis of Ineffective Sexuality Patterns based on which of the following?

Correct Answer: B

Rationale: The correct answer is B because identifying Ineffective Sexuality Patterns involves recognizing a change in the client's sexual functioning, which is a key criterion for this nursing diagnosis. A: Dissatisfaction alone does not necessarily indicate ineffective sexuality patterns. C: Feeling inadequacy is related to self-esteem, not specifically to sexual functioning. D: Perceiving sexual activity as unrewarding does not directly address changes in sexual functioning, which are crucial in diagnosing ineffective sexuality patterns.

Question 2 of 5

A client with Alzheimer's disease is admitted to the acute care facility for treatment of an infection. Assessment reveals that the client is anxious. When developing the client's plan of care, which of the following would be least appropriate to include?

Correct Answer: A

Rationale: The correct answer is A because frequently providing reality orientation may increase the client's anxiety due to the inability to retain new information. Choice B is correct as simplifying routines can reduce confusion. Choice C is correct as limiting choices can decrease anxiety. Choice D is correct as establishing predictable routines can provide a sense of security and familiarity.

Question 3 of 5

A nurse identifies the nursing diagnosis of Ineffective Sexuality Patterns based on which of the following?

Correct Answer: B

Rationale: The correct answer is B because identifying Ineffective Sexuality Patterns involves recognizing a change in the client's sexual functioning, which is a key criterion for this nursing diagnosis. A: Dissatisfaction alone does not necessarily indicate ineffective sexuality patterns. C: Feeling inadequacy is related to self-esteem, not specifically to sexual functioning. D: Perceiving sexual activity as unrewarding does not directly address changes in sexual functioning, which are crucial in diagnosing ineffective sexuality patterns.

Question 4 of 5

After teaching a group of nursing students about crisis, the instructor determines that the teaching was successful when the students state which of the following?

Correct Answer: B

Rationale: The correct answer is B: Crisis is a time-limited event. This is correct because a crisis is typically a temporary situation that occurs when an individual is unable to cope with a stressful event or situation. It is characterized by a sense of urgency and the need for immediate action to restore stability. Understanding that a crisis is time-limited helps individuals focus on problem-solving and coping strategies to navigate through the difficult period. Incorrect Choices: A: Crisis triggers maladaptive responses - This is incorrect because not everyone responds to a crisis in a maladaptive way. Individuals may exhibit a range of responses, including adaptive coping mechanisms. C: Chronic crisis is a real situation - This is incorrect as a crisis, by definition, is an acute, time-limited event. Chronic stressors may lead to ongoing challenges, but these are typically not considered crises. D: Events causing a crisis are similar for everyone - This is incorrect because the events leading to a crisis can vary greatly among individuals, depending on their unique

Question 5 of 5

A client has had a major stroke and is struggling to adjust to living with consequent changes and permanent disabilities related to speech and mobility. The nurse assesses the client closely based on the understanding that the client is at increased risk for which of the following?

Correct Answer: B

Rationale: The correct answer is B: Major depressive disorder. Following a major stroke, individuals often experience feelings of grief, sadness, and hopelessness due to the significant life changes and disabilities. This can lead to the development of major depressive disorder. Depression is common post-stroke due to neurobiological changes and psychosocial factors. The other choices are incorrect because bipolar I disorder is characterized by distinct episodes of mania and depression, which are not directly related to stroke. Generalized anxiety disorder and posttraumatic stress disorder are also not directly associated with the typical emotional response following a stroke.

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