ATI RN
ATI Capstone Mental Health Pre Assessment Questions
Question 1 of 5
A client is prescribed phenelzine (Nardil) to treat her depression. She is at a local café for lunch with a friend. Which of the following items on the menu would be least appropriate for the client to order?
Correct Answer: B
Rationale: The correct answer is B: A Cobb salad with blue cheese and Roquefort salad dressing. Phenelzine is a monoamine oxidase inhibitor (MAOI), which can interact with foods high in tyramine, such as aged cheeses like blue cheese and Roquefort. The interaction can lead to a hypertensive crisis, posing a serious health risk for the client.
Choices A, C, and D are all safe options as they do not contain high levels of tyramine-rich foods that can interact with phenelzine.
Question 2 of 5
A nurse identifies the nursing diagnosis of Ineffective Sexuality Patterns based on which of the following?
Correct Answer: B
Rationale: The correct answer is B because identifying Ineffective Sexuality Patterns involves recognizing a change in the client's sexual functioning, which is a key criterion for this nursing diagnosis. A: Dissatisfaction alone does not necessarily indicate ineffective sexuality patterns. C: Feeling inadequacy is related to self-esteem, not specifically to sexual functioning. D: Perceiving sexual activity as unrewarding does not directly address changes in sexual functioning, which are crucial in diagnosing ineffective sexuality patterns.
Question 3 of 5
Which Western cultural feature may result in establishing unrealistic outcomes for patients of other cultural groups?
Correct Answer: D
Rationale: The correct answer is D: Direct confrontation to solve problems. This Western cultural feature may result in establishing unrealistic outcomes for patients of other cultural groups because direct confrontation may be perceived as aggressive or disrespectful in many cultures. Patients from these cultural groups may prefer indirect communication or conflict resolution methods.
Therefore, using direct confrontation could lead to misunderstandings, resistance, or lack of cooperation from patients.
A: Interdependence is a common cultural value in many cultures and does not necessarily lead to unrealistic outcomes for patients of other cultural groups.
B: Present orientation is a temporal orientation and does not directly impact outcomes for patients from other cultural groups.
C: Flexible perception of time may differ across cultures but does not inherently lead to unrealistic outcomes for patients of other cultural groups.
Question 4 of 5
Larry is a 50-year-old man who works about 60 hours per week. He arrives at the clinic seeking assistance with a weight gain of 50 pounds over the past year. Larry admits to sleeping 4 to 5 hours a night. The nurse recognizes that the weight gain may be related to:
Correct Answer: C
Rationale: Rationale for
Choice C (Correct Answer):
1. Hormones like leptin and ghrelin regulate appetite and energy balance.
2. Lack of sleep disrupts these hormones, leading to increased appetite.
3. Larry's sleep deprivation may have dysregulated his appetite hormones.
4. This dysregulation could result in increased food intake and subsequent weight gain.
Summary of Incorrect
Choices:
A. Diabetes: No information suggests Larry has diabetes symptoms.
B. Cardiovascular disease: Weight gain may be a risk factor, but sleep deprivation's direct impact on hormones is more likely.
D. Depression: While depression can contribute to weight gain, there's no indication of comorbidity in Larry's case.
Question 5 of 5
Which statement made to the grieving patient demonstrates effective therapeutic communication? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because it acknowledges and validates the patient's feelings without making assumptions or imposing personal beliefs. It focuses on the patient's emotions and provides empathy and support.
B: Imposes a religious belief that may not align with the patient's beliefs.
C: Implies the patient should feel a certain way, which can be invalidating.
D: Assumes what the patient wants without considering their feelings or preferences.