ATI CAPSTONE PROCTORED QUESTION AND ANSWERS LATEST UPDATE
ALREADY GRADED A+
A nurse is assessing a group of clients who have paraphilic disorders. Which of the following client
statements should the nurse identify as an indication that a client has necrophilia?
"I often fantasize about having intercourse with a corpse."
- paraphilic disorder pt obtain sexual arousal or orgasm from stimuli or acts that are outside of norms.
This disorder does not necessarily mean the client will act on the thoughts or ideas.
Pt with schizophrenia states "My internal organs have turned to stone". The nurse should documents
this filing as which of the following types of delusions?
Somatic
- somatic delusion is the believe that a body part is no longer functioning in a realistic or expected
manner.
Pt who had bipolar disorder is in a manic state. Which finding is the highest priotity?
A client reports sleeping 2-3 hours per night.
- The greater risk for this pt is an injury from exhaustion due to lack of sleep
Pt with recent cocaine use. What manifestation should the nurse expect?
Hypertension
- due to cocain being a CNS stimulant
Pt reports inability to find pleasure in any activities she previously enjoyed. Which term described the
pt mood?
Anhedonia
- inability to experience pleasure
Pt with schizophrenia is asked if several items of clothing match. He replies "A match. I like matches.
They are the givers off light, the light of the world. Let your light shine on". What speech alteration is
this?
Associative looseness
-a pattern of disordered speech that reflects haphazard and illogical thoughts
Teaching to the family of a client who has alcohol use disorder about decreasing codependent
behaviors. What statement indicates understanding of teaching?
, "We will not let our moods be changed by her behavior"
Pt recently diagnosed with terminal cancer states "I wish I were dead. I have no reason to live". Which
response should the nurse make?
"Have you been thinking of hurting yourself?"
- this facilitates further communication w/ the pt
Pt who has PTSD is undergoing eye mvmt desensitization an reprocessing (EMDR) therapy. The nurse
should identify that EMDR includes which of the following strategies?
Uses stimuli to change how the pt processes the trauma.
-EMDR uses stimuli such as trapping, eye mvmt, or audio sounds combines with verbalization of the
traumatic event by the client. While the client recalls the traumatic event, the stimuli create
neurological and physiological changes in how the pt integrates memories.
A nurse is discussing the benefits of group therapy with a client who has bipolar disorder. Which of
the following is an advantage of this form of treatment?
The chance to learn from the experiences of other individuals
A nurse is preparing to administer a benzodiazepine to a client who has generalized anxiety disorder.
The nurse should tell the client to expect which of the following adverse effects?
sedation
A nurse is caring for a client who is having an acute panic attack. Which of the following actions should
the nurse take?
Use repetition when speaking with the client
-pt have a hard time understanding the nurse when having an attack. Use simple phrases and repetition
for effective communication
A nurse is teaching a client who wants to stop smoking by using nicotine lozenges. Which of the
following statements should the nurse make?
"Limit your use to no more than 20 lozenges per day"
- or no more than 5 lozenges within 6 hrs
A nurse in an acute care mental health facility is evaluating the plan of care for a client who has major
depressive disorder and was admitted 1 week ago following suicide attempt. WHich if the following
client statements should indicate to the nurse that the treatment has been effective?
"I was feeling completely hopeless when I tried to kill myself"
- this shows the pt is meeting a short-term goal of being willing to discuss painful feelings that occur. The
ALREADY GRADED A+
A nurse is assessing a group of clients who have paraphilic disorders. Which of the following client
statements should the nurse identify as an indication that a client has necrophilia?
"I often fantasize about having intercourse with a corpse."
- paraphilic disorder pt obtain sexual arousal or orgasm from stimuli or acts that are outside of norms.
This disorder does not necessarily mean the client will act on the thoughts or ideas.
Pt with schizophrenia states "My internal organs have turned to stone". The nurse should documents
this filing as which of the following types of delusions?
Somatic
- somatic delusion is the believe that a body part is no longer functioning in a realistic or expected
manner.
Pt who had bipolar disorder is in a manic state. Which finding is the highest priotity?
A client reports sleeping 2-3 hours per night.
- The greater risk for this pt is an injury from exhaustion due to lack of sleep
Pt with recent cocaine use. What manifestation should the nurse expect?
Hypertension
- due to cocain being a CNS stimulant
Pt reports inability to find pleasure in any activities she previously enjoyed. Which term described the
pt mood?
Anhedonia
- inability to experience pleasure
Pt with schizophrenia is asked if several items of clothing match. He replies "A match. I like matches.
They are the givers off light, the light of the world. Let your light shine on". What speech alteration is
this?
Associative looseness
-a pattern of disordered speech that reflects haphazard and illogical thoughts
Teaching to the family of a client who has alcohol use disorder about decreasing codependent
behaviors. What statement indicates understanding of teaching?
, "We will not let our moods be changed by her behavior"
Pt recently diagnosed with terminal cancer states "I wish I were dead. I have no reason to live". Which
response should the nurse make?
"Have you been thinking of hurting yourself?"
- this facilitates further communication w/ the pt
Pt who has PTSD is undergoing eye mvmt desensitization an reprocessing (EMDR) therapy. The nurse
should identify that EMDR includes which of the following strategies?
Uses stimuli to change how the pt processes the trauma.
-EMDR uses stimuli such as trapping, eye mvmt, or audio sounds combines with verbalization of the
traumatic event by the client. While the client recalls the traumatic event, the stimuli create
neurological and physiological changes in how the pt integrates memories.
A nurse is discussing the benefits of group therapy with a client who has bipolar disorder. Which of
the following is an advantage of this form of treatment?
The chance to learn from the experiences of other individuals
A nurse is preparing to administer a benzodiazepine to a client who has generalized anxiety disorder.
The nurse should tell the client to expect which of the following adverse effects?
sedation
A nurse is caring for a client who is having an acute panic attack. Which of the following actions should
the nurse take?
Use repetition when speaking with the client
-pt have a hard time understanding the nurse when having an attack. Use simple phrases and repetition
for effective communication
A nurse is teaching a client who wants to stop smoking by using nicotine lozenges. Which of the
following statements should the nurse make?
"Limit your use to no more than 20 lozenges per day"
- or no more than 5 lozenges within 6 hrs
A nurse in an acute care mental health facility is evaluating the plan of care for a client who has major
depressive disorder and was admitted 1 week ago following suicide attempt. WHich if the following
client statements should indicate to the nurse that the treatment has been effective?
"I was feeling completely hopeless when I tried to kill myself"
- this shows the pt is meeting a short-term goal of being willing to discuss painful feelings that occur. The
