ATI RN
ATI Capstone Mental Health Proctored Assessment Questions
Question 1 of 5
Cabot has multiple symptoms of depression including mood reactivity, social phobia, anxiety, and overeating. With a history of mild hypertension, which classification of antidepressants dispensed as a transdermal patch would be a safe medication?
Correct Answer: D
Rationale:
Rationale: The correct answer is D, Monoamine oxidase inhibitor. MAOIs are safe for patients with mild hypertension as they do not have adverse effects on blood pressure. Additionally, MAOIs are known to be effective in treating symptoms of depression, anxiety, and overeating, which are present in Cabot's case. Tricyclic antidepressants (
A) can have cardiovascular side effects, SSRIs (
B) can cause weight gain, and SNRIs (
C) may increase blood pressure. MAOIs are the safest option considering Cabot's symptoms and medical history.
Question 2 of 5
Sigmund Freud, Karl Menninger, and Aaron Beck theorized that hopelessness was an integral part of why a person commits suicide. A more recent theory suggest suicide results from:
Correct Answer: B
Rationale: The correct answer is B: The diathesis-stress model. This model suggests that individuals have a predisposition (diathesis) towards a certain mental health condition, such as depression, and this predisposition interacts with environmental stressors to trigger the condition. Suicide can result from the combination of genetic vulnerability (diathesis) and stressful life events (stressors). Elevated serotonin levels (choice
A) are more associated with mood disorders like depression, not directly linked to suicide. Outward aggression turned inward (choice
C) is more related to internalizing behaviors like self-harm, but not necessarily suicide. A lack of perfectionism (choice
D) is not a widely recognized factor in suicide risk. The diathesis-stress model provides a comprehensive explanation for the complex interplay of genetic and environmental factors leading to suicide.
Question 3 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 4 of 5
How will the nurse evaluate if trust has been established with the client?
Correct Answer: C
Rationale: The correct answer is C because when the client states, "I'll tell you about my sister," it shows a willingness to share personal information, indicating a level of trust. This statement implies a desire for the nurse to know more about their personal life, which is a positive sign of trust being established.
Choice A does not necessarily indicate trust as it could just be a statement of longing.
Choice B shows resistance or defensiveness, which is not indicative of trust.
Choice D does not directly relate to the nurse-client relationship and does not provide insight into trust being established.
Question 5 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.