A woman was abducted and raped at gunpoint by an unknown assailant. When found, she was confused and disoriented. The nurse makes the following observations about the client. She is talking rapidly in disjointed phrases, is unable to concentrate, and is indecisive when asked to make simple decisions. The client's level of anxiety can be assessed as- Skildor

Question 1 of 5

A woman was abducted and raped at gunpoint by an unknown assailant. When found, she was confused and disoriented. The nurse makes the following observations about the client. She is talking rapidly in disjointed phrases, is unable to concentrate, and is indecisive when asked to make simple decisions. The client's level of anxiety can be assessed as

A. moderate B. severe C. mild D. nonexistent

Correct Answer: B

Rationale: The client's presentation, including rapid and disjointed speech, inability to concentrate, and indecisiveness, are indicative of severe anxiety. These symptoms suggest a high level of distress and impairment in cognitive functioning, which aligns with severe anxiety rather than mild or moderate levels. The traumatic experience of being abducted and raped at gunpoint would likely contribute to such a severe level of anxiety.

Question 2 of 5

Why is it important to establish a contract with a client with an eating disorder at the beginning of treatment?

A. The client and healthcare provider form a partnership that is challenging for the family to disrupt. B. A collaborative approach to treatment planning ensures that both physical and emotional needs will be addressed. C. Involving the client in decision-making enhances the feeling of control and fosters cooperation. D. Permission for refeeding is crucial as it can have adverse effects.

Correct Answer: C

Rationale: Establishing a contract with a client with an eating disorder at the start of treatment is crucial to involve the client in decision-making processes. By engaging the client in decision-making, it enhances their sense of control over their treatment, which can lead to increased cooperation and better treatment outcomes. This collaborative approach empowers the client and fosters a therapeutic alliance between the client and the healthcare provider, rather than excluding the family or causing disruptions. It focuses on addressing both the physical and emotional needs of the client, ensuring a comprehensive treatment plan.

Question 3 of 5

During cognitive-behavioral therapy, a 12-year-old patient reports to the nurse practitioner:

A. I was so mad I wanted to hit my mother. B. I thought that everyone at school hated me. That's not true. Most people like me and I have a friend named Todd. C. I forgot that you told me to breathe when I become angry. D. I scream as loud as I can when the train goes by the house.

Correct Answer: B

Rationale: In cognitive-behavioral therapy, recognizing and challenging negative thoughts is crucial for progress. Choice B demonstrates the patient's ability to identify and correct distorted thoughts, indicating positive advancement in therapy. This cognitive restructuring is a key component of cognitive-behavioral therapy, helping individuals develop healthier thinking patterns and coping strategies.

Question 4 of 5

April, a 10-year-old admitted to inpatient pediatric care, has been getting more and more wound up and is losing self-control in the day room. Time-out does not appear to be an effective tool for April to engage in self-reflection. April's mother admits to putting her in time-out up to 20 times a day. The nurse recognizes that:

A. Time-out is an important part of April's baseline discipline. B. Time-out is no longer an effective therapeutic measure. C. April enjoys time-out, and acts out to get some alone time. D. Time-out will need to be replaced with seclusion and restraint.

Correct Answer: B

Rationale: Frequent use of time-out has reduced its effectiveness as a therapeutic measure for April.

Question 5 of 5

A female patient diagnosed with schizophrenia has been prescribed a first-generation antipsychotic medication. What information should the nurse provide to the patient regarding her signs and symptoms?

A. Her memory problems will likely decrease. B. Depressive episodes should be less severe. C. She will probably enjoy social interactions more. D. She should experience a reduction in hallucinations.

Correct Answer: D

Rationale: First-generation antipsychotic medications are effective in reducing hallucinations in patients with schizophrenia. These medications primarily target positive symptoms such as hallucinations and delusions. Therefore, the nurse should inform the patient that she should experience a reduction in hallucinations with the prescribed first-generation antipsychotic medication.

ATI Mental Health Proctored Exam 2023

Skildor

ATI RN

ATI RN

ATI Mental Health Proctored Exam 2023 Questions

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