ATI RN
ATI Mental Health Capstone Assessment Questions
Question 1 of 5
A charge nurse is discussing the use of applying ice to a client's injured knee with a newly licensed nurse. Which of the following should the nurse identify as a benefit?
Correct Answer: C
Rationale:
Rationale: Applying ice to an injured knee helps decrease capillary permeability by constricting blood vessels, reducing swelling and inflammation. This promotes healing and pain relief. Other choices are incorrect as ice does not have a systemic analgesic effect, increase metabolism, or cause vasodilation.
Question 2 of 5
Which patient statement indicates the helpfulness of the nurse-patient relationship?
Correct Answer: A
Rationale: The correct answer is A because the patient expresses gratitude for the nurse's support, acknowledges increased understanding, and demonstrates empowerment in managing their issue. This indicates a positive and effective nurse-patient relationship.
Choice B focuses on seeking advice rather than mutual understanding.
Choice C highlights the nurse's role in controlling anxiety, overshadowing the patient's agency.
Choice D emphasizes sympathy from the nurse rather than the patient's growth and understanding.
Question 3 of 5
A client with a history of opioid abuse is exhibiting manifestations of moderate withdrawal. Which of the following would the nurse expect to assess?
Correct Answer: C
Rationale: The correct answer is C: Dilated pupils. Opioid withdrawal commonly presents with dilated pupils due to the noradrenergic rebound effect. This occurs as the body tries to compensate for the suppression of noradrenaline caused by chronic opioid use. Rhinorrhea and lacrimation are associated with opioid withdrawal but are typically seen in early withdrawal stages. Dysphoria is a common symptom in opioid withdrawal but is not specific to moderate withdrawal.
Question 4 of 5
Before assessing a new patient, a nurse is told by another health care worker, "I know that patient. No matter how hard we work, there isn't much improvement by the time of discharge." The nurse's responsibility is to
Correct Answer: B
Rationale: The correct answer is B because the nurse should assess the patient based on data collected from all sources to form an independent evaluation. This ensures a comprehensive understanding of the patient's condition and needs. Documenting the other worker's assessment (choice
A) may limit the nurse's own assessment. Validating the worker's impression by contacting the patient's significant other (choice
C) may introduce bias. Discussing the worker's impression with the patient during the assessment interview (choice
D) may influence the patient's responses. The best approach is for the nurse to gather all relevant information and make an objective assessment.
Question 5 of 5
The biological approach to treating depression with electrodes surgically implanted into specific areas of the brain to stimulate the regions identified to be underactive in depression is:
Correct Answer: B
Rationale: The correct answer is B: Deep brain stimulation. This approach involves surgically implanting electrodes in specific brain areas to stimulate underactive regions in depression. It is effective in modulating neural circuits associated with mood regulation. Transcranial magnetic stimulation (
A) involves non-invasive magnetic pulses to stimulate brain regions. Vagus nerve stimulation (
C) targets the vagus nerve to regulate mood. Electroconvulsive therapy (
D) uses controlled electric currents to induce seizures, primarily for severe depression cases. However, deep brain stimulation is specifically aimed at targeting and stimulating underactive brain regions associated with depression, making it the most appropriate choice in this context.