ATI RN
ATI Capstone Mental Health Assessment Questions
Question 1 of 5
The nurse is interviewing a client with schizophrenia when the client begins to say, 'Kite, night, right, height, fright.' The nurse documents this as which of the following?
Correct Answer: A
Rationale: The correct answer is A: Clang association. Clang association is a form of disorganized speech commonly seen in schizophrenia where words are linked together based on sound rather than meaning. In this scenario, the client is stringing together words that rhyme, indicating a pattern based on sound. Stilted language refers to formal, rigid speech lacking natural flow. Verbigeration is the repetition of words or phrases. Neologisms are newly created words. In this case, the client's speech does not fit the definitions of stilted language, verbigeration, or neologisms, making clang association the most appropriate choice.
Question 2 of 5
A nurse is developing the plan of care for a client with panic disorder that will include pharmacologic therapy. Which of the following would the nurse most likely expect to administer?
Correct Answer: B
Rationale:
Step-by-step rationale:
1. Panic disorder is typically treated with SSRIs due to their effectiveness in reducing anxiety symptoms.
2. SSRIs are considered first-line treatment for panic disorder.
3. SSRIs work by increasing serotonin levels in the brain, helping to regulate mood and reduce anxiety.
4. Benzodiazepines are often used for acute anxiety relief but are not recommended for long-term use due to the risk of dependence.
5. MAOIs and TCAs are less commonly used for panic disorder due to their potential side effects and interactions with other medications.
Summary:
The correct answer is B (SSRI) because it is the most effective and safe choice for treating panic disorder long-term.
Choices A, C, and D are less preferred due to their limitations and potential risks in the management of panic disorder.
Question 3 of 5
A group of nurses is reviewing medications used to treat attention deficit hyperactivity disorder. The students demonstrate understanding of the information when they identify methylphenidate as which of the following?
Correct Answer: B
Rationale: The correct answer is B: Psychostimulant. Methylphenidate is a central nervous system stimulant commonly used to treat ADHD. It works by increasing the levels of neurotransmitters like dopamine and norepinephrine in the brain, which helps improve focus and attention in individuals with ADHD. Selective serotonin reuptake inhibitors (
A) primarily target serotonin levels and are not used to treat ADHD. Noradrenergic reuptake inhibitors (
C) target norepinephrine levels but are not the primary mechanism of action for methylphenidate. Alpha agonists (
D) work on a different pathway and are not the correct classification for methylphenidate.
Question 4 of 5
Which comment best indicates a patient is self-actualized?
Correct Answer: D
Rationale: The correct answer is D because it reflects self-actualization by showing an appreciation for simple pleasures and being in touch with nature, indicating a sense of fulfillment and inner peace.
Choice A focuses on external factors, choice B relies on a plan for validation, and choice C emphasizes success through hard work, all of which are not necessarily indicative of self-actualization.
Question 5 of 5
Besides antianxiety agents, which classification of drugs is also commonly given to treat anxiety and anxiety disorders?
Correct Answer: C
Rationale: The correct answer is C: Antidepressants. Antidepressants are commonly used to treat anxiety and anxiety disorders due to their ability to regulate neurotransmitters like serotonin and norepinephrine, which play a role in mood regulation. They are effective in managing symptoms of anxiety over the long term. Antipsychotics (
A) are not typically the first-line treatment for anxiety and are more commonly used for psychotic disorders. Mood stabilizers (
B) are primarily used for conditions like bipolar disorder, not anxiety. Cholinesterase inhibitors (
D) are used for conditions like Alzheimer's disease, not anxiety disorders.