Which principle should guide the nurse in determining the extent of silence to use during patient interview sessions?

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RN ATI Capstone Mental Health Quiz Questions

Question 1 of 5

Which principle should guide the nurse in determining the extent of silence to use during patient interview sessions?

Correct Answer: C

Rationale: The correct answer is C because utilizing silence during patient interviews allows for meaningful moments of reflection, fostering a deeper connection and promoting patient introspection. This principle aligns with therapeutic communication techniques that encourage patients to explore their thoughts and feelings. Choice A is incorrect because nurses should respect and utilize silence when appropriate. Choice B is incorrect as prolonged silences can encourage patient self-reflection. Choice D is incorrect because silence is not solely about confirming understanding, but also about creating a space for patients to process their thoughts.

Question 2 of 5

A nurse performed these actions while caring for patients in an inpatient psychiatric setting. Which action violated patients' rights?

Correct Answer: A

Rationale: The correct answer is A because prohibiting a patient from using the telephone violates their right to communication. Patients have the right to contact others for support or assistance. Choice B is incorrect because opening a package in the patient's presence is not a violation of their rights. Choice C is incorrect because maintaining close supervision of a patient with homicidal ideation is necessary for safety. Choice D is incorrect because allowing a patient with psychosis to refuse medication respects their autonomy and right to make informed decisions about their treatment.

Question 3 of 5

A nurse is providing care to a client with Alzheimer's disease who is exhibiting suspiciousness and delusional thinking. Which of the following would be most important for the nurse to do with this client?

Correct Answer: D

Rationale: The correct answer is D, determining the trigger for the distorted thinking. This is important as it helps identify potential causes of the client's suspiciousness and delusional thinking, allowing for targeted interventions. Option A may increase client distress. Option B may lead to conflict. Option C may invalidate the client's experiences.

Question 4 of 5

A client tells the nurse that he is committed to trying to quit smoking. When teaching the client about smoking cessation, which of the following would the nurse include?

Correct Answer: A

Rationale: The correct answer is A because smoking cessation success often requires a combination of interventions like counseling, medication, and support. This approach addresses physical and psychological aspects of addiction, increasing the chances of success. Choice B is incorrect as relapse rates are high in the first year after quitting. Choice C is incorrect as ear acupressure lacks strong scientific evidence for smoking cessation. Choice D is incorrect as education alone is usually insufficient for successful smoking cessation.

Question 5 of 5

The nurse is caring for a client with major depression. The client tells the nurse that she just isn't sure that life is worth living. The nurse documents which nursing diagnosis as the priority?

Correct Answer: B

Rationale: The correct answer is B: Hopelessness related to symptoms of depression. This is the priority nursing diagnosis because the client expressing uncertainty about the value of life indicates a profound sense of hopelessness, which is a significant concern in major depression. By addressing hopelessness, the nurse can work towards improving the client's outlook on life and potential suicidal ideation. Choices A, C, and D are incorrect as self-esteem, anxiety, and thought processes may be influenced by depression but do not directly address the client's expressed feelings of hopelessness and worthlessness. Hopelessness is the most critical issue to address in this scenario to ensure the client's safety and well-being.

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