The client states,"I'm not sure that the doctor has prescribed the correct medication for my sadness." Which would be a therapeutic nursing response?

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ATI Capstone Mental Health Pre Assessment Questions

Question 1 of 5

The client states,"I'm not sure that the doctor has prescribed the correct medication for my sadness." Which would be a therapeutic nursing response?

Correct Answer: B

Rationale: The correct answer is B because it reflects active listening and encourages the client to express their concerns further. It shows empathy and validates the client's feelings. Choice A provides information without addressing the client's feelings. Choice C puts the client on the spot and may come off as confrontational. Choice D dismisses the client's concerns and lacks empathy. Overall, choice B is therapeutic as it fosters a supportive and open communication environment.

Question 2 of 5

A nurse identifies the nursing diagnosis of Ineffective Sexuality Patterns based on which of the following?

Correct Answer: B

Rationale: The correct answer is B because identifying Ineffective Sexuality Patterns involves recognizing a change in the client's sexual functioning, which is a key criterion for this nursing diagnosis. A: Dissatisfaction alone does not necessarily indicate ineffective sexuality patterns. C: Feeling inadequacy is related to self-esteem, not specifically to sexual functioning. D: Perceiving sexual activity as unrewarding does not directly address changes in sexual functioning, which are crucial in diagnosing ineffective sexuality patterns.

Question 3 of 5

A client with Alzheimer's disease is admitted to the acute care facility for treatment of an infection. Assessment reveals that the client is anxious. When developing the client's plan of care, which of the following would be least appropriate to include?

Correct Answer: A

Rationale: The correct answer is A because frequently providing reality orientation may increase the client's anxiety due to the inability to retain new information. Choice B is correct as simplifying routines can reduce confusion. Choice C is correct as limiting choices can decrease anxiety. Choice D is correct as establishing predictable routines can provide a sense of security and familiarity.

Question 4 of 5

A nurse is preparing a presentation for mental health promotion for young and middle-aged adults and is planning to address changes in family structure. Which of the following would the nurse include as reflecting marriage?

Correct Answer: C

Rationale: Rationale: - Option C is correct because middle-aged adults are most likely to be married, reflecting a common life stage where many individuals have already established long-term relationships or families. - Option A is incorrect because the peak marriage age can vary and is not a universal range. - Option B is incorrect as marrying in one's teens does not necessarily predict divorce rates for all individuals. - Option D is incorrect as there is no direct correlation between marrying between the ages of 23 to 27 years and divorce rates.

Question 5 of 5

A client has had a major stroke and is struggling to adjust to living with consequent changes and permanent disabilities related to speech and mobility. The nurse assesses the client closely based on the understanding that the client is at increased risk for which of the following?

Correct Answer: B

Rationale: The correct answer is B: Major depressive disorder. Following a major stroke, individuals often experience feelings of grief, sadness, and hopelessness due to the significant life changes and disabilities. This can lead to the development of major depressive disorder. Depression is common post-stroke due to neurobiological changes and psychosocial factors. The other choices are incorrect because bipolar I disorder is characterized by distinct episodes of mania and depression, which are not directly related to stroke. Generalized anxiety disorder and posttraumatic stress disorder are also not directly associated with the typical emotional response following a stroke.

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