ATI RN
Mental Health Assessment ATI Capstone Questions
Question 1 of 5
The nurse is initiating a group for adolescent girls diagnosed with anorexia nervosa. Many of the clients in the group are irritable and resent having to attend. One of them comments, 'This is a stupid waste of time!' Which of the response by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B: "You sound irritated; tell me about what is bothering you." This response demonstrates empathy and understanding towards the client's feelings and encourages open communication. By acknowledging the client's emotions and inviting them to express their concerns, the nurse can address the underlying issues causing the negative attitude, helping to build trust and rapport within the group.
Choice A is inappropriate as it dismisses the client's feelings and may further alienate them.
Choice C is authoritarian and may lead to resistance or defiance.
Choice D is confrontational and disrespectful, which can escalate the situation and hinder therapeutic progress.
Question 2 of 5
A client's blood level of carbamazepine is increased. When reviewing the client's medication history, which of the following would alert the nurse to a possible interaction?
Correct Answer: D
Rationale:
Step 1: Carbamazepine is metabolized by CYP3A4 enzyme.
Step 2: Diltiazem is a CYP3A4 inhibitor.
Step 3: Inhibiting CYP3A4 can lead to increased carbamazepine levels.
Step 4:
Therefore, Diltiazem can interact with carbamazepine.
Summary: A, B, and C are not CYP3A4 inhibitors, so they are less likely to interact with carbamazepine compared to Diltiazem.
Question 3 of 5
When communicating with a patient, which of the following would the nurse use to convey positive body language?
Correct Answer: C
Rationale: The correct answer is C: Sitting at the patient's eye level. This choice promotes open communication and shows respect to the patient. It helps establish a connection and makes the patient feel valued. Sitting erect (
A) shows attentiveness, but not necessarily positive body language. Crossing arms (
B) can signal defensiveness or closed-off attitude. Keeping feet flat on the floor with legs crossed (
D) may appear relaxed but can be perceived as too casual or disengaged in a healthcare setting.
Question 4 of 5
A client suffered a stroke resulting in aphasia and dysarthria. Which communication adaptation technique by the nurse would be most helpful to this client?
Correct Answer: C
Rationale: The correct answer is C because for a client with aphasia and dysarthria, listening attentively, allowing time, and not interrupting are crucial for effective communication. By being patient and giving the client time to express themselves, the nurse can better understand their needs and facilitate communication. This approach shows respect and empathy towards the client's communication challenges.
Choice A is incorrect because while using simple sentences can be helpful, it may not address the client's specific communication needs.
Choice B is incorrect as speaking as though the client could hear may not necessarily improve understanding for someone with aphasia and dysarthria.
Choice D is incorrect as providing an interpreter may not be necessary if the nurse can effectively communicate using techniques like active listening and patience.
Question 5 of 5
A client is developing a sense of identity and learning to form relationships with persons of the opposite sex. According to Sullivan's theory, this client would be assessed at which stage of development?
Correct Answer: D
Rationale: According to Sullivan's theory, the stage of development where individuals develop a sense of identity and start forming relationships with persons of the opposite sex is Early Adolescence (12-14 years). At this stage, individuals transition into adolescence, exploring their identity and social interactions. This is a critical period for developing intimacy and identity formation. The other choices are incorrect because childhood (
A), juvenile (
B), and preadolescence (
C) do not specifically focus on the development of identity and relationships with the opposite sex, which are key aspects highlighted in the Early Adolescence stage.