ATI RN
RN ATI Capstone Mental Health Quiz Questions
Question 1 of 5
The nurse is planning care, which includes a dual-diagnosis group. Which patient would be appropriate for this group? The patient with:
Correct Answer: D
Rationale: The correct answer is D: Schizophrenia and alcohol abuse. This combination is appropriate for a dual-diagnosis group because it involves both a severe mental illness (schizophrenia) and a substance abuse issue (alcohol abuse). Patients with schizophrenia often have co-occurring substance abuse disorders, making them suitable for a dual-diagnosis group to address both issues simultaneously. This group can provide comprehensive treatment and support for individuals struggling with complex mental health and substance abuse issues.
Choices A, B, and C are incorrect because they do not involve the combination of a severe mental illness and a substance abuse issue, which is essential for a dual-diagnosis group.
Choice A (Depression and suicidal tendencies) may benefit from a different type of group focused on mood disorders and suicide prevention.
Choice B (Anxiety and frequent migraine headaches) may require a group focused on stress management and pain coping strategies.
Choice C (Bipolar disorder and anorexia nervosa) may benefit from a group addressing
Question 2 of 5
The nurse is caring for a client with major depression. The client tells the nurse that she just isn't sure that life is worth living. The nurse documents which nursing diagnosis as the priority?
Correct Answer: B
Rationale: The correct answer is B: Hopelessness related to symptoms of depression. This is the priority nursing diagnosis because the client expressing uncertainty about the value of life indicates a profound sense of hopelessness, which is a significant concern in major depression. By addressing hopelessness, the nurse can work towards improving the client's outlook on life and potential suicidal ideation.
Choices A, C, and D are incorrect as self-esteem, anxiety, and thought processes may be influenced by depression but do not directly address the client's expressed feelings of hopelessness and worthlessness. Hopelessness is the most critical issue to address in this scenario to ensure the client's safety and well-being.
Question 3 of 5
A nurse wants to find a description of diagnostic criteria for anxiety disorders. Which resource would have the most complete information?
Correct Answer: B
Rationale: The correct answer is B: DSM-V. The Diagnostic and Statistical Manual of Mental Disorders (DSM-V) is the standard classification of mental disorders used by mental health professionals. It provides detailed diagnostic criteria for various mental disorders, including anxiety disorders. The DSM-V is updated regularly and provides the most comprehensive and up-to-date information on diagnostic criteria for anxiety disorders.
Rationale for other choices:
A: Nursing Outcomes Classification (NO
C) does not provide diagnostic criteria for mental disorders, including anxiety disorders. It focuses on outcomes related to nursing care.
C: The ANA's Psychiatric-Mental Health Nursing Scope and Standards of Practice outlines the scope of practice for psychiatric-mental health nurses but does not provide detailed diagnostic criteria for anxiety disorders.
D: ICD-10 is a classification system for diseases and health conditions, including mental disorders, but it does not provide detailed diagnostic criteria specific to anxiety disorders like the DSM-V does.
Question 4 of 5
A 22-year-old college student was involved in an automobile accident that resulted in permanent cognitive and physical disability. The client feels guilty about his friend's death in the accident. Which of the following would be a priority assessment for this client?
Correct Answer: A
Rationale:
Correct Answer: A - Risk for suicide
Rationale: Given the client's feelings of guilt and the significant life-altering consequences of the accident, assessing the risk for suicide is crucial to ensure the client's safety and well-being. Suicidal ideation may be present due to overwhelming guilt and disability.
Summary of other choices:
B: Level of depression - While important, assessing depression is secondary to assessing the immediate risk of suicide in this scenario.
C: Social support systems - While social support is important, assessing the risk for suicide takes precedence in this high-risk situation.
D: Financial status - While financial concerns may be relevant, they are not the priority in this case where the client's mental health and safety are at stake.
Question 5 of 5
Many people allow life circumstances to dictate their amount of sleep instead of recognizing sleep as a priority. Which statement will the nurse recognize as progress in the patient's sleep hygiene program?
Correct Answer: D
Rationale: The correct answer is D because removing the television from the bedroom is a positive step towards improving sleep hygiene. TVs emit blue light, which can disrupt sleep. This action creates a better sleep environment.
A: Going to bed when not sleepy can lead to frustration, making it harder to fall asleep.
B: Consuming alcohol before bed can disrupt sleep patterns and quality.
C: Taking daily naps can interfere with the ability to fall asleep at night and disrupt the sleep-wake cycle.