ATI RN
ATI Capstone Mental Health Proctored Assessment Questions
Question 1 of 5
A bereavement group run by a local hospice includes a woman who is distraught over her supervisor's death. The woman appears severely distressed. She has trouble functioning with activities of daily living and making the simplest of decisions. The group facilitator recognizes that this woman is suffering from disenfranchised grief after learning:
Correct Answer: A
Rationale: The correct answer is A: The woman was in love with her married supervisor. This is correct because disenfranchised grief occurs when a person experiences a loss that is not openly acknowledged or socially supported, such as a secret romantic relationship with the deceased. In this case, the woman's profound distress and inability to function suggest a deep emotional connection beyond a professional one, explaining her intense reaction.
Incorrect choices:
B: She has not taken enough time off work to grieve properly - This choice assumes that time off work is the primary factor in grieving, which may not be relevant to the woman's situation.
C: The supervisor died over a year ago - The timeline of the supervisor's death is not necessarily indicative of disenfranchised grief, as the nature of the relationship matters more.
D: Her family is not involved enough to support her - While family support is important, disenfranchised grief is more about the nature of the relationship with the deceased rather than familial support.
Question 2 of 5
Which is an example of the therapeutic communication technique of"voicing doubt"?
Correct Answer: B
Rationale: The correct answer is B, "I find that hard to believe." This statement demonstrates the therapeutic communication technique of voicing doubt by expressing skepticism in a non-confrontational manner. It allows the client to further elaborate on their thoughts and feelings, fostering open communication and exploration of underlying issues.
Choice A paraphrases the client's statement, choice C assumes the client's feelings, and choice D shifts the focus to finding a solution rather than exploring the client's perspective.
Question 3 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 4 of 5
A nurse is completing an admission assessment of a young adult woman who has a history of depression and who was brought to the hospital by her boyfriend. In response to the nurse's question regarding suicidal ideation, the patient discloses that she is thinking about killing herself. Which question would be most appropriate for the nurse to ask next?
Correct Answer: D
Rationale: The correct answer is D: "What thoughts have you had about how you would kill yourself?" This question is appropriate as it assesses the patient's specific suicidal ideation, providing crucial information for risk assessment and intervention planning. By asking about the method, the nurse can gauge the immediacy and lethality of the patient's suicidal thoughts.
A: "What does your boyfriend think about your desire to kill yourself?" - This question focuses on the boyfriend's perspective rather than the patient's own thoughts and feelings, not directly addressing the immediate risk.
B: "What are your spiritual beliefs about suicide?" - While spiritual beliefs can be important, this question does not directly address the severity or immediacy of the patient's suicidal thoughts.
C: "What will killing yourself accomplish?" - While exploring the patient's reasons for suicidal ideation is important, this question does not address the specific method or immediate risk.
Question 5 of 5
A patient's relationships are intense and unstable. The patient initially idealizes the significant other and then devalues him or her, resulting in frequent feelings of emptiness. This patient will benefit from interventions to develop which aspect of mental health?
Correct Answer: D
Rationale: The correct answer is D: Fulfilling relationships. Patients with intense and unstable relationships, idealization, devaluation, and feelings of emptiness likely have traits of borderline personality disorder. Developing fulfilling relationships is crucial in managing this disorder. It helps improve emotional stability, self-esteem, and coping skills. Effective work, communication skills, and productive activities are important but may not directly address the core issues of relationship instability and emotional dysregulation seen in this patient population.