ATI RN
ATI Capstone Mental Health Proctored Assessment Questions
Question 1 of 5
After studying nursing interventions in the context of nursing theory, the nursing student understands that Neuman is to primary, secondary, or tertiary prevention as Roy is to:
Correct Answer: C
Rationale:
Rationale:
Neuman's theory focuses on prevention through interventions that alter or manage stimuli for adaptive responses. Roy's theory, on the other hand, emphasizes adapting to stimuli. This makes choice C the correct answer.
Choices A, B, and D do not align with Roy's theory as they focus on different aspects of nursing care unrelated to her theory.
Question 2 of 5
A group of nursing students is reviewing the physical changes that occur in older adults. The students demonstrate understanding of the information when they identify which of the following as contributing to the patient's risk for drug toxicity?
Correct Answer: A
Rationale: The correct answer is A: Reduced liver function. In older adults, liver function declines, affecting drug metabolism and clearance. This can lead to drug toxicity as medications may not be broken down effectively. Reduced liver function is a common age-related change that can impact the pharmacokinetics of drugs.
Choices B, C, and D do not directly contribute to drug toxicity risk in older adults. Reduced brain gray matter volume, lower metabolic rate at rest, and decreased body water are not specifically related to drug metabolism and clearance. Thus, they are incorrect choices for contributing to the patient's risk for drug toxicity.
Question 3 of 5
A nurse is preparing an inservice program about substance abuse and its etiology. Which of the following would the nurse most likely include in the presentation when discussing possible psychologic etiologies?
Correct Answer: A
Rationale: The correct answer is A: Low self-esteem. Low self-esteem is a common psychological etiology of substance abuse as individuals may turn to substances to cope with feelings of inadequacy or self-doubt. This can lead to a cycle of self-medication and addiction.
Incorrect choices:
B: Genetic predisposition - While genetics can play a role in substance abuse, it is not a psychological etiology but rather a biological factor.
C: Dysfunctional family - While family dynamics can contribute to substance abuse, it is more related to environmental factors than psychological ones.
D: Peer influence - Peer influence is a social factor, not a psychological one, that can contribute to substance abuse behavior.
Question 4 of 5
The nurse is caring for an adolescent in the outpatient psychiatric setting. To help the adolescent feel more in control of the initial therapy sessions, which statement by the nurse would be most appropriate?
Correct Answer: D
Rationale: The correct answer is D. By stating "If something is uncomfortable for you, you don't have to talk about it," the nurse empowers the adolescent to have control over the therapy session, fostering a sense of autonomy and trust. This statement respects the adolescent's boundaries and emotions, promoting a therapeutic relationship based on mutual understanding.
Choice A is incorrect because it may undermine the adolescent's trust in confidentiality.
Choice B is incorrect as it assumes distrust without allowing the adolescent to express their feelings.
Choice C is incorrect as it may make the adolescent feel guilty or pressured by their parents' concern, potentially hindering open communication.
Question 5 of 5
When assessing a client with depression, the client states, I just feel so sad and hopeless. I just don't care anymore. I don't even enjoy doing the crossword puzzles like I used to. The nurse documents this finding as indicative of which of the following?
Correct Answer: B
Rationale: The correct answer is B: Anhedonia. Anhedonia refers to the inability to experience pleasure or joy in activities that were previously enjoyable. In the scenario provided, the client's statement about not enjoying crossword puzzles anymore indicates a loss of pleasure, which is a key symptom of anhedonia commonly seen in depression.
A: Dysthymic disorder is a type of chronic mood disorder characterized by persistently depressed mood. The client's symptoms do not meet the criteria for a diagnosis of dysthymic disorder based on the information provided.
C: Delusion refers to a fixed false belief that is not based in reality. The client's statement does not involve any delusional beliefs, so this choice is incorrect.
D: Psychosis involves a loss of contact with reality, often manifesting as hallucinations or delusions. The client's statement does not indicate a break from reality, so psychosis is not the correct choice.