ATI RN
ATI Capstone Mental Health Proctored Assessment Quizlet Questions
Question 1 of 9
Which statement made by a patient demonstrates acceptance of criteria required of hospice care?
Correct Answer: B
Rationale: The correct answer is B because acceptance of the terminal nature of the illness is a key criterion for hospice care eligibility. By acknowledging that there is no cure for their illness and accepting this fact, the patient demonstrates understanding and readiness for the supportive care provided by hospice. Choices A, C, and D focus on personal preferences and concerns rather than acceptance of the terminal condition, making them incorrect in the context of hospice care criteria.
Question 2 of 9
When providing care to a patient, the psychiatric-mental health nurse is implementing the therapeutic use of self. The nurse is applying the concepts based on the work of which individual?
Correct Answer: A
Rationale: The correct answer is A: Hildegarde Peplau. Peplau is known for her work on interpersonal relations in nursing, emphasizing the therapeutic nurse-patient relationship. She developed the Theory of Interpersonal Relations, which focuses on the nurse's role in facilitating the patient's growth and development. Through this theory, nurses use themselves as therapeutic tools to promote healing. Florence Nightingale is known for her contributions to nursing practice, but not specifically for therapeutic use of self. Dorothea Dix was a mental health advocate, not directly related to therapeutic nurse-patient relationship. Sigmund Freud is known for psychoanalytic theory, which is not directly related to nurse-patient interactions.
Question 3 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 4 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 5 of 9
Complete this analogy. NANDA: clinical judgment: NIC:
Correct Answer: B
Rationale: The correct answer is B: nursing actions. NANDA provides nursing diagnoses, which guide clinical judgment in determining appropriate nursing interventions. Similarly, NIC (Nursing Interventions Classification) provides a standardized language for identifying nursing actions to achieve patient outcomes based on the identified nursing diagnoses. Therefore, the analogy between NANDA and clinical judgment is parallel to NIC and nursing actions. Summary: A: Patient outcomes - Incorrect. While patient outcomes are the ultimate goal of nursing care, NIC specifically focuses on the actions taken to achieve these outcomes. C: Diagnosis - Incorrect. NANDA provides nursing diagnoses, while NIC focuses on interventions rather than diagnoses. D: Symptoms - Incorrect. NIC is not focused on symptoms but rather on the actions nurses take to address the identified nursing diagnoses.
Question 6 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 7 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 8 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 9 of 9
The nurse is providing follow-up care to victims of a disaster that occurred several months ago. Assessment of which of the following would lead the nurse to suspect that the victims are experiencing possible aftereffects of the disaster?
Correct Answer: C
Rationale: The correct answer is C: Unexplained gastrointestinal disturbance. Victims of a disaster may experience ongoing stress and anxiety, leading to gastrointestinal disturbances like nausea, diarrhea, or stomach pain. This can be a manifestation of post-traumatic stress disorder (PTSD) or ongoing psychological impact. Tachycardia (choice A) and profuse perspiration (choice B) are more immediate physiological responses to stress and may not necessarily indicate ongoing effects. Tremors (choice D) are often associated with neurological conditions rather than psychological trauma. Therefore, choice C is the most likely indicator of possible aftereffects of the disaster in this scenario.