ATI RN
ATI Capstone Mental Health Proctored Assessment Quizlet Questions
Question 1 of 9
Sleep deprivation is considered a safety issue that results in loss of life and property. Psychomotor impairments of sleep deprivation are similar to symptoms caused by:
Correct Answer: C
Rationale: Rationale: 1. Alcohol consumption affects psychomotor skills similarly to sleep deprivation. 2. Both can impair cognitive functions, reaction times, and decision-making abilities. 3. Alcohol disrupts sleep patterns, leading to similar impairments as sleep deprivation. 4. Excessive alcohol consumption can result in accidents and fatalities, similar to sleep-deprived individuals. Summary: A: Sleeping in excess of 10 hours does not typically lead to psychomotor impairments like sleep deprivation. B: Misuse of caffeine products may cause alertness but does not mimic the psychomotor impairments of sleep deprivation. D: Working more than 40 hours per week may lead to fatigue but does not directly cause psychomotor impairments similar to sleep deprivation.
Question 2 of 9
A group of nursing students are reviewing information about psychodynamic theories. The students demonstrate a need for additional study when they identify which of the following as a humanistic theorist?
Correct Answer: A
Rationale: The correct answer is A: Carl Jung. Jung is not a humanistic theorist; he is known for his analytical psychology, which focuses on the collective unconscious and archetypes. Carl Rogers and Abraham Maslow are humanistic theorists who emphasize self-actualization and the importance of human potential. Frederick Perls is associated with Gestalt therapy, not humanistic theory. Therefore, the nursing students need additional study to correctly identify Carl Jung as a psychodynamic theorist, not a humanistic one.
Question 3 of 9
Tatiana has been hospitalized for an acute manic episode. On admission the nurse suspects lithium toxicity. What assessment findings would indicate the nurse's suspicion as correct?
Correct Answer: C
Rationale: Step 1: Lithium toxicity commonly presents with gastrointestinal distress, such as nausea and vomiting. Step 2: Thirst is a common symptom due to lithium-induced nephrogenic diabetes insipidus. Step 3: Nystagmus is an ocular manifestation seen in severe cases of lithium toxicity. Step 4: Therefore, choice C is correct as it includes all three typical assessment findings for lithium toxicity. Summary: Choices A, B, and D do not include the specific assessment findings associated with lithium toxicity.
Question 4 of 9
A school age child tells the school nurse, "Other kids call me mean names and will not sit with me at lunch. Nobody likes me." Select the nurse's most therapeutic response.
Correct Answer: D
Rationale: Correct Answer: D Rationale: 1. Validating the child's feelings encourages open communication and trust. 2. Asking the child to share more helps the nurse understand the situation better. 3. It shows empathy and provides an opportunity for support and guidance. 4. Encourages the child to express emotions and promotes problem-solving skills. Incorrect Choices: A: Ignoring bullies may not solve the problem and can lead to further isolation. B: Making friends is not always easy and might not address the current issue. C: Encouraging retaliation can escalate the situation and promote negative behavior.
Question 5 of 9
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 6 of 9
A group of nursing students is reviewing the results of the Behavioral Risk Factor Surveillance System. The students demonstrate understanding of this information when they identify which group as experiencing the greatest number of sad, blue, or depressed days (SBDD)?
Correct Answer: C
Rationale: The correct answer is C: Young adults. Young adults typically experience the greatest number of Sad, Blue, or Depressed Days (SBDD) due to various factors such as transitioning into adulthood, academic pressures, career uncertainties, and relationship challenges. This age group is often more susceptible to mental health issues compared to other groups. Women, men, and older adults may also experience SBDD, but research shows that young adults consistently report higher levels of emotional distress. It is crucial for nursing students to understand these trends to provide appropriate care and support to different demographic groups.
Question 7 of 9
A psychiatric nurse leads a medication education group for Hispanic patients. This nurse holds a Western worldview and uses pamphlets as teaching tools. Groups are short and concise. After the group, the patients are most likely to believe
Correct Answer: A
Rationale: Step 1: The nurse holds a Western worldview and uses pamphlets, which may not align with Hispanic patients' cultural beliefs and preferences. Step 2: The patients may perceive the nurse as uncaring because of cultural mismatch and lack of personalized approach. Step 3: Short and concise groups may be seen as rushed or lacking in depth, contributing to the perception of uncaring behavior. Step 4: Overall, the patients are likely to believe the nurse was uncaring due to cultural insensitivity and ineffective communication. Other choices are incorrect as they do not address the cultural aspect and the impact it has on patient perception.
Question 8 of 9
A client admitted for alcohol detoxification states,"I don't think my drinking has anything to do with why I am here in the hospital. I think I have problems with depression." Which statement by the nurse is the most therapeutic response?
Correct Answer: A
Rationale: The correct response is A because it demonstrates empathy and encourages self-reflection without invalidating the client's feelings. By acknowledging the client's perspective and gently prompting them to consider the impact of their drinking on their family, the nurse opens up the conversation for further exploration. Option B is incorrect as it dismisses the client's viewpoint and can lead to defensiveness. Option C is also incorrect as it imposes the nurse's perspective on the client and does not consider the complexity of the client's situation. Option D is incorrect as it assumes a causal relationship between the client's life events and drinking without exploring the client's feelings or thoughts.
Question 9 of 9
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.