ATI RN
ATI Capstone Mental Health Proctored Assessment Quizlet Questions
Question 1 of 4
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 2 of 4
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 3 of 4
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 4 of 4
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.