ATI RN
ATI Capstone Mental Health Proctored Assessment Quizlet Questions
Question 1 of 5
A nurse is working with an adolescent girl who describes herself as a 'compulsive overeater' and presents with a history of using food to cope with stress. The nurse decides to use journaling as an intervention for this patient based on the rationale that journaling will help the patient identify which of the following?
Correct Answer: D
Rationale: The correct answer is D because journaling can help the patient become more self-aware of her self-perception and responses to stress. By writing down thoughts and feelings, the patient can identify patterns in her behavior and emotions that contribute to compulsive eating. This self-reflection can lead to recognizing triggers for overeating and understanding how stress impacts her eating habits. Choice A is incorrect because it focuses solely on the frequency of compulsive eating without addressing the underlying emotional triggers. Choice B is incorrect as it emphasizes external factors in the daily schedule rather than internal emotional responses. Choice C is incorrect as it involves external behaviors of others triggering the patient's eating behavior, which may not be the primary focus for addressing compulsive overeating.
Question 2 of 5
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 3 of 5
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 4 of 5
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 5
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.