ATI Mental Health Proctored Exam 3
• Question 1
1 out of 1 points
The nurse is assessing a patient who has been diagnosed with hypochondriasis. Which
clinical manifestation would the nurse most likely assess in this patient?
Selected Answer: Misinterpretation of physical sensations as eviden...
ati mental health exam 3 • question 1 1 out of 1 points the nurse is assessing a patient who has been diagnosed with hypochondriasis which clinical manifestation would the nurse most likely assess in
The nurse is assessing a patient who has been diagnosed with hypochondriasis. Which
clinical manifestation would the nurse most likely assess in this patient?
Selected Answer: Misinterpretation of physical sensations as evidence of serious illness
Answers: Loss of interest in formerly pleasurable activities
Repetitive, time-consuming rituals
Deliberate fabrication of symptoms for an obvious benefit
Misinterpretation of physical sensations as evidence of serious illness
Response People with hypochondriasis experience severe distress, and their ability to
Feedback: function in personal, social, and occupational roles often is impaired. Most
patients with hypochondriasis present with somatic symptoms as well as
totalpreoccupation with the belief of having a devastating sickness or
disease.
These individuals are thought to have prominent health anxiety
(hypochondriasis), another form of hypochondriasis. They have minimal or
nosomatic symptoms but reveal a disproportionate or excessive
preoccupation with having a serious illness.
• Question 2
1 out of 1 points
What is the priority nursing diagnosis for a patient who is experiencing fluctuating levels of
consciousness, disturbed orientation, and visual and tactile hallucinations?
, Risk for injury related to altered cerebral function, misperception of the
Selected
environment, and unsteady gait
Answer:
Answers: Bathing/hygiene self-care deficit related to
altered cerebral function, asevidenced by
confusion and inability to perform personal
hygiene tasks
Risk for injury related to altered cerebral function,
misperception of theenvironment, and unsteady gait
Disturbed thought processes related to medication
intoxication, as evidencedby confusion, disorientation,
and hallucinations
Fear related to sensory perceptual alterations, as
evidenced by hiding from
Response Feedback: hallucinated dog and asking nurse to remove
hallucinated bugs from legs
The physical safety of the patient is of highest priority among the diagnoses
given. Many opportunities for injury exist when a patient misperceives the
environment as distorted, threatening, or harmful; when the patient exercises
poor judgment; and when the patient’s sensorium is clouded. The other
diagnoses are concerns, but are lower priorities.
• Question 3
1 out of 1 points
What is a nurse’s legal responsibility if child abuse or neglect is suspected?
Selected Report the suspected abuse or neglect according to state regulations
Answer:
Answers: Discuss the findings with the child’s teacher, principal, and
schoolpsychologist
Report the suspected abuse or neglect according to state
regulationsDocument the observations and speculations in the
medical record Continue the assessment.
Response Each state has specific regulations for reporting child abuse that must be
Feedback: observed. The nurse is usually a mandated reporter. The reporter does not
need to be absolutely sure that abuse or neglect occurred, only that it is
suspected. Speculation should not be documented, only the facts.
• Question 4
1 out of 1 points
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