ATI RN
ATI Capstone Mental Health Proctored Assessment Quizlet Questions
Question 1 of 5
A 34-year-old client with depression is admitted to an inpatient psychiatric unit. The nurse enters her room and initiates interaction with the client. When talking with the client, which approach would be least appropriate?
Correct Answer: B
Rationale: The correct answer is B: Animated and cheerful manner. In a psychiatric setting, being overly cheerful can be perceived as insincere or dismissive of the client's feelings.
Step 1: Establishing rapport with a quiet and empathetic manner is important to build trust and show understanding.
Step 2: A matter-of-fact manner helps convey information clearly and concisely.
Step 3: A respectful, direct manner is crucial for setting boundaries and maintaining professionalism. Overall, being overly cheerful may not align with the client's emotional state and could hinder the therapeutic relationship.
Question 2 of 5
A school age child tells the school nurse, "Other kids call me mean names and will not sit with me at lunch. Nobody likes me." Select the nurse's most therapeutic response.
Correct Answer: D
Rationale:
Correct Answer: D
Rationale:
1. Validating the child's feelings encourages open communication and trust.
2. Asking the child to share more helps the nurse understand the situation better.
3. It shows empathy and provides an opportunity for support and guidance.
4. Encourages the child to express emotions and promotes problem-solving skills.
Incorrect
Choices:
A: Ignoring bullies may not solve the problem and can lead to further isolation.
B: Making friends is not always easy and might not address the current issue.
C: Encouraging retaliation can escalate the situation and promote negative behavior.
Question 3 of 5
Tatiana has been hospitalized for an acute manic episode. On admission the nurse suspects lithium toxicity. What assessment findings would indicate the nurse's suspicion as correct?
Correct Answer: C
Rationale:
Step 1: Lithium toxicity commonly presents with gastrointestinal distress, such as nausea and vomiting.
Step 2: Thirst is a common symptom due to lithium-induced nephrogenic diabetes insipidus.
Step 3: Nystagmus is an ocular manifestation seen in severe cases of lithium toxicity.
Step 4:
Therefore, choice C is correct as it includes all three typical assessment findings for lithium toxicity.
Summary:
Choices A, B, and D do not include the specific assessment findings associated with lithium toxicity.
Question 4 of 5
When providing care to a patient, the psychiatric-mental health nurse is implementing the therapeutic use of self. The nurse is applying the concepts based on the work of which individual?
Correct Answer: A
Rationale: The correct answer is A: Hildegarde Peplau. Peplau is known for her work on interpersonal relations in nursing, emphasizing the therapeutic nurse-patient relationship. She developed the Theory of Interpersonal Relations, which focuses on the nurse's role in facilitating the patient's growth and development. Through this theory, nurses use themselves as therapeutic tools to promote healing. Florence Nightingale is known for her contributions to nursing practice, but not specifically for therapeutic use of self. Dorothea Dix was a mental health advocate, not directly related to therapeutic nurse-patient relationship. Sigmund Freud is known for psychoanalytic theory, which is not directly related to nurse-patient interactions.
Question 5 of 5
A client admitted for alcohol detoxification states,"I don't think my drinking has anything to do with why I am here in the hospital. I think I have problems with depression." Which statement by the nurse is the most therapeutic response?
Correct Answer: A
Rationale: The correct response is A because it demonstrates empathy and encourages self-reflection without invalidating the client's feelings. By acknowledging the client's perspective and gently prompting them to consider the impact of their drinking on their family, the nurse opens up the conversation for further exploration.
Option B is incorrect as it dismisses the client's viewpoint and can lead to defensiveness. Option C is also incorrect as it imposes the nurse's perspective on the client and does not consider the complexity of the client's situation. Option D is incorrect as it assumes a causal relationship between the client's life events and drinking without exploring the client's feelings or thoughts.