The nurse is reviewing the medical record of a forensic client who has been found not guilty by reason of insanity. The nurse interprets this to mean which of the following?

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ATI Mental Health Final Questions

Question 1 of 5

The nurse is reviewing the medical record of a forensic client who has been found not guilty by reason of insanity. The nurse interprets this to mean which of the following?

Correct Answer: B

Rationale: The correct answer is B because a verdict of not guilty by reason of insanity indicates that the client was unable to control their actions at the time of the crime due to a mental illness. This verdict focuses on the client's mental state during the commission of the offense, rather than their knowledge of right or wrong (Choice A), ability to assist in their defense (Choice C), or the role of mental illness in the crime (Choice D). Therefore, option B directly aligns with the legal concept of insanity defense, which emphasizes lack of control over actions as a result of mental illness.

Question 2 of 5

An instructor is preparing a class discussion on the various theoretical models used in psychiatric-mental health nursing. When describing cognitive theories, which statement would the instructor include?

Correct Answer: C

Rationale: The correct answer is C because cognitive theories specifically focus on linking internal thought processes with behavior. Cognitive theories explore how individuals perceive, interpret, and process information, influencing their behavior. Choice A is incorrect as it refers more to developmental theories. Choice B is incorrect as it relates to behavioral theories. Choice D is incorrect as it pertains to growth and development theories, not cognitive theories. Therefore, Choice C is the most accurate description of cognitive theories.

Question 3 of 5

While the nurse is caring for a hospitalized client in the advanced stages of Alzheimer's disease, the client begins to have a catastrophic reaction to feeding himself. Which of the following should the nurse do first?

Correct Answer: A

Rationale: The correct answer is A: Remain calm and reassuring. In this situation, the nurse should first prioritize maintaining a calm and reassuring presence to help de-escalate the situation. Remaining calm can help prevent further agitation in the client. Restraining the client (B) could escalate the situation and should only be used as a last resort for safety. Drawing the curtains (C) may not address the immediate issue of the client's distress. Offering to feed the client (D) may be a helpful intervention, but establishing a calm environment and approach should come first.

Question 4 of 5

A group of nursing students is reviewing information about sexual development. The students demonstrate understanding of the information when they describe biosexual identity as which of the following?

Correct Answer: D

Rationale: The correct answer, D, is the most accurate definition of biosexual identity. Biosexual identity refers to the anatomic and physiologic state of being male or female, which is determined by biological factors such as chromosomes, hormones, and reproductive anatomy. This definition focuses on the physical aspects of gender and is not influenced by personal convictions, outward expressions, or sexual attraction. Choices A, B, and C are incorrect because they do not specifically address the biological aspects of gender identity, which are central to understanding biosexual identity. Choice A focuses on personal conviction, choice B on outward expression, and choice C on sexual attraction, all of which are separate from the biological determinants of gender.

Question 5 of 5

A nurse is providing care to a client with antisocial personality disorder. As part of the plan of care, the client is to participate in a problem-solving group. The nurse understands that this intervention is effective based on which rationale?

Correct Answer: C

Rationale: The correct answer is C because participating in a problem-solving group helps reinforce self-responsibility in clients with antisocial personality disorder. By actively engaging in the group and contributing to solving problems, the client learns to take ownership of their actions and decisions. This can lead to increased accountability and self-awareness. Explanation for why other choices are incorrect: A: Developing attachments is not the primary goal of a problem-solving group for clients with antisocial personality disorder. B: While setting boundaries is important, it is not the main focus of a problem-solving group. D: Avoiding confrontation about dysfunctional patterns does not promote growth and self-responsibility, which is the main goal of the intervention.

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