ATI RN
ATI Capstone Mental Health Assessment Quizlet Questions
Question 1 of 5
A client with complex somatic symptom disorder also has anxiety. Which of the following would the nurse expect to be prescribed?
Correct Answer: B
Rationale:
Step 1: Selective serotonin reuptake inhibitors (SSRIs) are the first-line treatment for anxiety disorders due to their efficacy and tolerability.
Step 2: SSRIs are also effective in treating somatic symptom disorders by addressing the underlying anxiety symptoms.
Step 3: MAOIs are not commonly used for anxiety due to their dietary restrictions and potential for drug interactions.
Step 4: Tricyclic antidepressants (TCAs) are less preferred due to their side effect profile and risk of toxicity.
Step 5: Atypical antipsychotics are not typically prescribed for anxiety unless there is a specific indication for their use.
Summary: B, SSRI is the correct choice for treating both anxiety and somatic symptom disorder, while the other options have limitations or are not commonly used for these conditions.
Question 2 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 3 of 5
A patient is engaged in bibliotherapy and begins to express his feelings because he closely associates his experience with that provided by the reading material. The nurse interprets this as which of the following?
Correct Answer: B
Rationale: The correct answer is B: Catharsis. Catharsis refers to the process of emotional release and purification through expressing feelings and emotions. In this scenario, the patient is engaging in bibliotherapy and expressing his feelings, indicating a release of pent-up emotions. This is a therapeutic process that allows the patient to process and cope with their emotions in a healthy way.
Choice A: Insight is incorrect as it refers to gaining a deeper understanding or awareness, which is not explicitly mentioned in the scenario.
Choice C: Anxiety reduction is incorrect as the scenario does not specify that the patient's goal is to reduce anxiety, but rather to express feelings associated with the reading material.
Choice D: Problem solving is incorrect as the scenario does not involve the patient actively working through a specific problem, but rather expressing emotions related to the reading material.
Question 4 of 5
A nursing instructor is explaining the concept of the continuum of care to a group of students. Which of the following would the nurse include in this description?
Correct Answer: D
Rationale: The correct answer is D because the continuum of care refers to a seamless and integrated system that spans from illness to wellness states. This means that care is provided across different levels, from prevention to acute care to rehabilitation. This approach ensures that patients receive comprehensive care tailored to their needs at every stage of their health journey.
Choice A, care provided in episodic intervals, is incorrect because the continuum of care is continuous and not fragmented into separate episodes.
Choice B, a system of care that focuses primarily on wellness, is incorrect as it does not capture the comprehensive nature of the continuum of care, which includes all stages of health and illness.
Choice C, a single organization as responsible for care delivery, is incorrect because the continuum of care involves coordination and collaboration among multiple healthcare providers and settings to ensure holistic care.
Question 5 of 5
A group of nursing students is reviewing information about intimate partner violence (IPV). The group demonstrates understanding of this topic when they identify which of the following?
Correct Answer: B
Rationale: The correct answer is B because it highlights a common misconception that men may not recognize certain behaviors as abusive. This is important in understanding IPV dynamics as it can lead to underreporting and lack of support for male victims.
Choice A is incorrect because typically women are more likely to be seriously injured in IPV situations.
Choice C is incorrect as IPV rates are similar in same-sex and heterosexual relationships.
Choice D is incorrect as reactions to IPV can vary based on gender due to societal norms and expectations.