ATI RN
ATI Capstone Mental Health Assessment Quizlet Questions
Question 1 of 5
A patient being treated for insomnia is prescribed ramelteon (Rozerem). Which comorbid mental health condition would make this medication the hypnotic of choice for this particular patient?
Correct Answer: D
Rationale: The correct answer is D: Substance use disorder. Ramelteon is the preferred hypnotic for patients with substance use disorder as it lacks abuse potential and does not affect the GABA system, reducing the risk of dependence. Patients with substance use disorder are at higher risk of developing addiction to traditional hypnotics like benzodiazepines. Ramelteon's unique mechanism of action targeting melatonin receptors makes it a safer option for this patient population.
Incorrect
Choices:
A: Obsessive-compulsive disorder - Ramelteon is not specifically indicated for OCD.
B: Generalized anxiety disorder - While ramelteon may help with sleep in patients with anxiety, it is not the preferred choice for this condition.
C: Persistent depressive disorder - Ramelteon is not typically used as a first-line treatment for depression-related insomnia.
Question 2 of 5
Larry is from a small town and began displaying aggressive and manipulative traits while still a teenager. Now at 40 years old, Larry is serving a life sentence for the murders of his wife and her brother. John, the prison psychiatric nurse practitioner, recognizes that Larry's treatment will most likely:
Correct Answer: D
Rationale: The correct answer is D because Larry's long history of aggressive and manipulative behavior suggests deep-rooted issues that are unlikely to change dramatically. Small incremental changes indicate a more realistic expectation for progress in his treatment.
Choice A is incorrect as transforming Larry into a model prisoner is overly optimistic given his history.
Choice B is incorrect as it assumes no improvement in coping skills, which may occur to some extent through therapy.
Choice C is incorrect as reaffirming high-risk behaviors would be detrimental to Larry's rehabilitation.
Question 3 of 5
Anxiety problems in older adults can manifest as a fear of falling, greatly influencing an older adult's personal freedom. A home health nurse checking on a patient with mild dementia and anxiety related to falling should question which new order?
Correct Answer: D
Rationale: The correct answer is D: Electric wheelchair. This is because anxiety related to falling can impact an older adult's mobility and independence. Providing an electric wheelchair can help the patient move around safely and independently, reducing the fear of falling and promoting personal freedom.
Choice A: Yoga and tai-chi may help with relaxation and balance, but they may not address the immediate mobility concerns of the patient with mild dementia and anxiety related to falling.
Choice B: Xanax is a medication commonly used to treat anxiety, but it may not address the underlying mobility issues and could potentially cause side effects in older adults.
Choice C: Relaxation techniques can be beneficial for managing anxiety, but in this case, addressing the patient's mobility concerns with an electric wheelchair would be more appropriate and effective.
Question 4 of 5
Nurse Julie recommends that the family of a client with a substance-related disorder attend a support group, such as Al-Anon. In addition to helping family members understand the problem, what is the purpose of these groups?
Correct Answer: C
Rationale: The correct answer is C: to maintain focus on changing their own behaviors.
Rationale:
1. Support groups like Al-Anon are designed to help family members of individuals with substance-related disorders focus on their own behaviors.
2. By attending these groups, family members can work on understanding and changing their own responses to the situation.
3. The primary goal is to provide support, education, and coping strategies for family members, not to change the client's behaviors directly.
4.
Choices A, B, and D are incorrect as the main focus of these support groups is on the family members' well-being, not directly addressing the client's behaviors or preventing substance problems in other family members.
Question 5 of 5
The nurse is developing a care plan for a client with schizotypal personality disorder. The client has reported a recent history of magical thinking. What does the nurse note is the priority nursing diagnosis?
Correct Answer: D
Rationale: The correct answer is D: disturbed thought process. This is the priority nursing diagnosis because magical thinking is a common symptom of schizotypal personality disorder, indicating a disturbance in thought process. Addressing this issue is crucial for the client's overall well-being and treatment success.
Choice A (anxiety) may be a secondary concern related to the client's symptoms but not the priority.
Choice B (risk for loneliness) is not directly related to the client's current symptom of magical thinking.
Choice C (risk for self-harm) is important to assess but may not be the priority at this time compared to addressing the core symptom of disturbed thought process.