Gilbert, age 19, is described by his parents as a 'moody child' with an onset of odd behavior about at age 14, which caused Gilbert to suffer academically and socially. Gilbert has lost the ability to complete household chores, is reluctant to leave the house, and is obsessed with the locks on the windows and doors. Due to Gilbert's early and slow onset of what is now recognized as schizophrenia, his prognosis is considered:

Questions 20

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ATI Mental Health Proctored Exam 2024 Quizlet Questions

Question 1 of 5

Gilbert, age 19, is described by his parents as a 'moody child' with an onset of odd behavior about at age 14, which caused Gilbert to suffer academically and socially. Gilbert has lost the ability to complete household chores, is reluctant to leave the house, and is obsessed with the locks on the windows and doors. Due to Gilbert's early and slow onset of what is now recognized as schizophrenia, his prognosis is considered:

Correct Answer: D

Rationale: The correct answer is D: To have a less positive outcome. Gilbert's symptoms, including academic decline, social withdrawal, and fixation on locks, are indicative of schizophrenia. Given his early onset and gradual progression, his prognosis is less favorable. Schizophrenia is a chronic and severe mental disorder that can lead to significant impairments in daily functioning. While medication and psychosocial interventions can help manage symptoms, the course of schizophrenia is often characterized by relapses and remissions, making the overall outcome less positive. Therefore, option D is the most suitable choice based on Gilbert's presentation.

Question 2 of 5

A nursing student expresses concerns that mental health nurses 'lose all their clinical nursing skills.' Select the best response by the mental health nurse.

Correct Answer: B

Rationale: The correct answer is B because it highlights the essential skills required in mental health nursing - complex communication and critical thinking. Mental health nurses work with patients facing multidimensional issues, requiring them to adapt and problem-solve effectively. This response acknowledges the challenges and emphasizes the importance of these skills in providing quality care. Option A is incorrect as it focuses on the perceived safety of the environment and nurse-to-patient ratios, which are not directly related to the maintenance of clinical nursing skills. Option C is incorrect because while some mental health settings may use high technology monitoring equipment, this does not address the core clinical skills essential for nursing practice. Option D is incorrect as it trivializes the challenges faced by psychiatric nurses by comparing them to medical-surgical nurses. Pain and suffering are not the only indicators of nursing skill and expertise.

Question 3 of 5

Terry is a young male in a chemical dependency program. Recently he has become increasingly distracted and disengaged. The nurse concludes that Terry is:

Correct Answer: D

Rationale: Step 1: Terry's increasing distraction and disengagement suggest a lack of readiness for change. Step 2: This behavior is common in individuals not prepared to address their issues. Step 3: Option D, "Not ready to change," accurately reflects Terry's current state. Summary: Option A is incorrect as boredom does not capture the severity of Terry's behavior. Option B, depression, is not supported by the information provided. Option C, bipolar disorder, is unlikely given the limited symptoms described.

Question 4 of 5

A nurse is teaching a class at a community health center on the topic of attributes that influence good health in the adult population. Which of the following would the nurse correlate with being married?

Correct Answer: D

Rationale: The correct answer is D because research shows that married men are more likely to be overweight or obese compared to single men. This can be due to shared meals, decreased physical activity, or emotional support leading to weight gain. Choice A is incorrect as studies suggest that married individuals engage in fewer health-risk behaviors. Choice B is incorrect because being married has been associated with lower levels of stress. Choice C is incorrect as married individuals generally consume less alcohol and smoke less due to social support and influences.

Question 5 of 5

A woman comes to the clinic for a routine visit. While interviewing the client and obtaining a sexual history, the client states, 'I've always wondered what is happening in my body when I become sexually aroused.' The nurse would incorporate an understanding of which of the following as the control mechanism?

Correct Answer: C

Rationale: The correct answer is C: Parasympathetic nervous system. When a person becomes sexually aroused, the parasympathetic nervous system is responsible for promoting relaxation and increasing blood flow to the genital area, facilitating arousal. This physiological response is a part of the body's control mechanism for sexual arousal. The sympathetic nervous system (choice A) is responsible for the fight or flight response and not directly involved in sexual arousal control. The endocrine system (choice B) regulates hormone production but is not the primary control mechanism for sexual arousal. The central nervous system (choice D) includes the brain and spinal cord but is not the specific control mechanism for sexual arousal.

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