ATI RN
ATI Capstone Mental Health Questions
Question 1 of 5
A nurse is preparing to reinforce the use of cognitive behavior therapy with a patient. When interacting with the patient, which of the following would be appropriate?
Correct Answer: C
Rationale: The correct answer is C: Using a future-oriented goal focus. In cognitive behavior therapy, focusing on future-oriented goals helps the patient set achievable objectives and work towards positive outcomes. This approach encourages the patient to look forward and make changes that align with their desired future. Establishing the agenda (
A) can be helpful but may not be as effective as focusing on goal setting. Focusing primarily on behavior (
B) is too narrow and may not address the underlying thoughts and emotions. Identifying the problem from the nurse's perspective (
D) is not client-centered and may not promote active participation in the therapy process.
Question 2 of 5
A family member of an adolescent who has expressed a desire to commit suicide asks the nurse, 'What might predict the possibility of future suicide attempts?' Which of the following would the nurse include in the response?
Correct Answer: C
Rationale: The correct answer is C: Previous suicide attempt. This is a critical risk factor for future suicide attempts as individuals who have previously attempted suicide are at a higher risk of attempting it again. It indicates underlying mental health issues and distress. Unemployment (
A), Death of a spouse (
B), and Polydrug use (
D) are also risk factors for suicide, but not as strong predictors as a previous suicide attempt. Unemployment and loss of a loved one can contribute to feelings of hopelessness, while polydrug use can impair judgment, but they do not directly indicate a previous suicide attempt like choice C does.
Question 3 of 5
The nurse is planning care for a newly admitted adolescent who has bacterial meningitis. Which of the following instructions is appropriate for the nurse to include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Initiate droplet precautions for the client. This is appropriate because bacterial meningitis is transmitted through droplets, so implementing droplet precautions helps prevent the spread of infection to others. Option B (Assist the client to a supine position) is incorrect as it can worsen intracranial pressure. Option C (Perform the Glasgow coma scale every 24 hours) is not directly related to preventing transmission of infection. Option D (Recommend prophylactic acyclovir for the client's family) is incorrect as acyclovir is used for herpes simplex virus, not bacterial meningitis.
Question 4 of 5
A family has a long history of conflicted relationships among the members. Which family member's comment best reflects a mentally healthy perspective?
Correct Answer: C
Rationale: The correct answer is C because it shows a mentally healthy perspective of taking responsibility and being proactive in making positive changes for the benefit of the family. By acknowledging the need for personal growth and willingness to change behavior, this family member demonstrates self-awareness and a commitment to improving relationships.
Choice A is incorrect as it deflects responsibility by comparing oneself to others.
Choice B reminisces about the past without addressing current issues or solutions.
Choice D is not a healthy approach as it suggests avoidance rather than addressing and working through familial conflicts.
Question 5 of 5
A nurse has formulated several nursing diagnoses for a homeless client after a thorough nursing assessment. Of these, which of the following would the nurse determine as the priority?
Correct Answer: C
Rationale: The correct answer is C: Imbalanced nutrition. This is the priority because it addresses the client's physiological needs, which are essential for survival and overall well-being. The nurse should prioritize addressing basic needs such as nutrition before addressing psychological or social needs. Anxiety (
A), powerlessness (
B), and impaired social interaction (
D) are important but secondary to addressing the client's immediate physiological needs. It is important to address the most critical issue first to ensure the client's health and safety.