A nurse is interviewing a client who has a co-occurring diagnosis. The client is trying to explain why it is so easy to start drinking again even though hospitalization and prescribed medications can eventually control his mental problems. Which statement by the client would the nurse interpret as reflecting the client's beliefs?

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Mental Health Assessment ATI Capstone Questions

Question 1 of 5

A nurse is interviewing a client who has a co-occurring diagnosis. The client is trying to explain why it is so easy to start drinking again even though hospitalization and prescribed medications can eventually control his mental problems. Which statement by the client would the nurse interpret as reflecting the client's beliefs?

Correct Answer: B

Rationale: Rationale: The correct answer is B because it reflects the client's belief that drinking provides an escape from negative emotions and a sense of euphoria that medication cannot offer. This statement indicates the client's preference for the emotional effects of alcohol over the functional benefits of medication. Summary of other choices: A: Focuses on the financial aspect and convenience of alcohol, not the emotional aspect. C: Highlights issues with side effects and forgetfulness, not the emotional appeal of alcohol. D: Mentions avoiding responsibility as a reason for not taking medication, rather than seeking emotional relief from alcohol.

Question 2 of 5

A parent of a child who is newly diagnosed with ADHD wants to know where to find resources to help her better understand this condition. You are the school nurse where the child is enrolled. What could you suggest to the mother?

Correct Answer: B

Rationale: The correct answer is B: Check the ADHD Resource Center for more information. This option is the best choice because the ADHD Resource Center is specifically dedicated to providing resources and information about ADHD. By accessing this center, the parent can find accurate and reliable information to better understand the condition and how to support their child. Option A is not recommended as relying solely on a Google search may lead to misinformation or overwhelming and unreliable sources. Option C is incorrect as early intervention and education are crucial in managing ADHD, so waiting may delay necessary support. Option D is not the most direct or specific resource for ADHD information compared to the ADHD Resource Center.

Question 3 of 5

An adult says, "I never know the answers," and "My opinion does not count." Which psychosocial crisis was unsuccessfully resolved for this adult?

Correct Answer: C

Rationale: The correct answer is C: Autonomy versus shame and doubt. This adult's statements indicate feelings of inadequacy and lack of confidence in their own abilities and opinions, which align with the psychosocial crisis of autonomy versus shame and doubt. During this stage, individuals develop a sense of independence and self-confidence. The adult's statements suggest a failure to successfully navigate this crisis, leading to feelings of shame and doubt. Summary: A: Initiative versus guilt - This crisis focuses on developing a sense of purpose and direction, not directly related to the adult's statements. B: Trust versus mistrust - This crisis occurs in infancy and is about developing trust in others, not applicable to the adult's situation. D: Generativity versus self-absorption - This crisis occurs in middle adulthood, involving concerns about contributing to future generations, not relevant to the adult's feelings of inadequacy.

Question 4 of 5

A nurse is performing an assessment of a patient with suicidal ideation. Which question would the nurse most likely ask to determine the degree of planning?

Correct Answer: C

Rationale: The correct answer is C. Asking "Could you stop yourself from killing yourself?" helps assess the degree of planning as it gauges the patient's ability and intention to prevent the act. Choice A focuses on intent, not planning. Choice B relates to past attempts, not current planning. Choice D addresses distress level, not planning. Thus, C is the best choice for evaluating the patient's current planning regarding suicide.

Question 5 of 5

A group of nursing students is reviewing risk and protective factors associated for mental disorders in the older adult population. The students demonstrate understanding of the information when they identify which of the following as a protective factor?

Correct Answer: B

Rationale: The correct answer is B: Education. Education is a protective factor for mental disorders in older adults because higher levels of education are associated with better cognitive functioning and a lower risk of developing mental health issues. Education also provides individuals with better problem-solving skills and access to resources that can help them cope with stressors. A: Poverty is incorrect because it is a risk factor for mental disorders due to increased stress, lack of access to resources, and limited opportunities for mental health care. C: Loss is incorrect as it can be a risk factor for mental disorders in older adults, such as grief and depression following the loss of a loved one. D: Chronic illness is incorrect as it can also be a risk factor for mental disorders due to the physical and emotional burden it places on individuals.

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