ATI RN
ATI Capstone Mental Health Questions
Question 1 of 5
Tammy, a 28-year-old with major depressive disorder and bulimia nervosa, is ready for discharge from the county hospital after 2 weeks of inpatient therapy. Tammy is taking citalopram (Celexa) and reports that it has made her feel more hopeful. With a secondary diagnosis of bulimia nervosa, what is an alternative antidepressant to consider?
Correct Answer: A
Rationale: The correct answer is A: Fluoxetine (Prozac). Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) that is FDA-approved for both major depressive disorder and bulimia nervosa. It is commonly used in treating patients with co-occurring depression and eating disorders, like bulimia nervosa. Fluoxetine has shown efficacy in reducing binge eating and purging behaviors associated with bulimia nervosa.
Now, let's analyze the other choices:
B: Isocarboxazid (Marplan) is a monoamine oxidase inhibitor (MAOI) that is not commonly used as a first-line treatment for bulimia nervosa. MAOIs have more dietary and drug interaction concerns compared to SSRIs.
C: Amitriptyline is a tricyclic antidepressant (TC
A) that is not typically preferred for bulimia nervosa due to its side effect profile and overdose risk.
D: Duloxetine (Cymbalta)
Question 2 of 5
Martin is a 23-year-old male with a new diagnosis of schizophrenia, and his family is receiving information from a home health nurse. The topic of education is suicide prevention, and the nurse recognizes effective teaching when the mother says:
Correct Answer: B
Rationale: The correct answer is B because suicide risk is indeed highest in the first few years after a schizophrenia diagnosis due to the stress of adjusting to the illness, medication side effects, and stigma.
Choice A is incorrect as individuals with schizophrenia have a higher risk of suicide compared to the general population.
Choice C is incorrect because confusion is not a significant factor in suicide risk for individuals with schizophrenia.
Choice D is incorrect as while suicide risk is elevated in schizophrenia, most individuals diagnosed do not die by suicide.
Question 3 of 5
Guadalupe is the matriarch of a large family. She is terminally ill and none of her family members know her end-of-life wishes. The best action for the nurse is to:
Correct Answer: B
Rationale: The correct answer is B because organizing a family meeting with Guadalupe's permission allows for open communication about her end-of-life wishes. This approach respects her autonomy and ensures her preferences are known. Discussing durable power of attorney (
A) may be premature without knowing Guadalupe's wishes. Having a family meeting without her (
C) disregards her right to be involved in decision-making. Asking the doctor to inform Guadalupe about her terminal illness (
D) should be done by a healthcare provider, not a nurse, and may cause distress without addressing her specific wishes.
Question 4 of 5
The nurse manager conducts a hand hygiene surveillance project on the mental health unit. This activity demonstrates nursing competency in which two QSEN categories?
Correct Answer: A
Rationale: The correct answer is A: safety and quality improvement. Hand hygiene surveillance project aligns with safety by preventing infections and quality improvement by enhancing patient outcomes. Safety includes preventing harm, while quality improvement focuses on optimizing processes. Teamwork (
B) and informatics (
C) are not directly related to hand hygiene surveillance. Evidence-based practice (
D) and person-centered care (
D) are important but not the primary focus of a hand hygiene surveillance project.
Question 5 of 5
Nursing theorists identify the nurse-client relationship as central to nursing practice. After studying these concepts, the nursing student understands that Peplau is to the phases of the nurse-client relationship as Watson is to:
Correct Answer: A
Rationale:
Rationale:
1. Peplau focuses on phases of nurse-client relationship, emphasizing therapeutic communication and interpersonal skills.
2. Watson is known for her Theory of Human Caring, which includes the seven assumptions about the science of caring.
3. Both theories highlight the importance of the nurse-client relationship in nursing practice.
4.
Therefore, the correct answer is A (Seven assumptions about the science of caring).
Summary:
B: Cultural care diversity and universality is associated with Leininger's Theory of Culture Care Diversity and Universality.
C: Modeling and role modeling is associated with Erickson,
Tomlin, and Swain's Theory of Modeling and Role Modeling.
D: Human energy fields is associated with Rogers' Science of Unitary Human Beings.