ATI RN
ATI Capstone Mental Health Proctored Assessment Questions
Question 1 of 5
A 25-year-old woman who recently had abdominal surgery was admitted to the psychiatric unit, where it was determined that she had a borderline personality disorder. During the first week on the unit, it was determined that she also has diabetes. Her diabetes mellitus would be listed in which axis of her DSM-IV-TR diagnosis?
Correct Answer: C
Rationale: The correct answer is C: Axis III. Axis III in the DSM-IV-TR is used for medical conditions that are relevant to the individual's mental health diagnosis. In this case, the woman's diabetes would be listed on Axis III because it is a medical condition that can impact her mental health and treatment. Diabetes is a physical health issue that can affect emotional well-being and may influence the course of her psychiatric treatment. A: Axis I is for clinical disorders such as mood disorders or anxiety disorders. B: Axis II is for personality disorders and mental retardation. D: Axis IV is for psychosocial and environmental stressors. Therefore, the correct placement for the woman's diabetes mellitus in her DSM-IV-TR diagnosis would be on Axis III.
Question 2 of 5
A patient is being treated in an interdisciplinary clinic. During interactions with a patient who is receiving cognitive behavior therapy, which of the following would the nurse concentrate on first?
Correct Answer: C
Rationale: The correct answer is C: Identifying the underlying beliefs. In cognitive behavior therapy, identifying the underlying beliefs is crucial as they drive the patient's thoughts and behaviors. By focusing on these core beliefs first, the nurse can help the patient understand the root causes of their issues and work towards challenging and modifying them effectively. A: Identifying alternative explanations of an event - This step usually comes after identifying the underlying beliefs. B: Exploring evidence to support or refute the beliefs - This step comes after identifying the beliefs and is not the initial focus. D: Examining the real implications if the beliefs are true - This step is important but is typically addressed after identifying and working on the underlying beliefs.
Question 3 of 5
A group of nursing students is reviewing the physical changes that occur in older adults. The students demonstrate understanding of the information when they identify which of the following as contributing to the patient's risk for drug toxicity?
Correct Answer: A
Rationale: The correct answer is A: Reduced liver function. In older adults, liver function declines, affecting drug metabolism and clearance. This can lead to drug toxicity as medications may not be broken down effectively. Reduced liver function is a common age-related change that can impact the pharmacokinetics of drugs. Choices B, C, and D do not directly contribute to drug toxicity risk in older adults. Reduced brain gray matter volume, lower metabolic rate at rest, and decreased body water are not specifically related to drug metabolism and clearance. Thus, they are incorrect choices for contributing to the patient's risk for drug toxicity.
Question 4 of 5
A nurse is completing an admission assessment of a young adult woman who has a history of depression and who was brought to the hospital by her boyfriend. In response to the nurse's question regarding suicidal ideation, the patient discloses that she is thinking about killing herself. Which question would be most appropriate for the nurse to ask next?
Correct Answer: D
Rationale: The correct answer is D: "What thoughts have you had about how you would kill yourself?" This question is appropriate as it assesses the patient's specific suicidal ideation, providing crucial information for risk assessment and intervention planning. By asking about the method, the nurse can gauge the immediacy and lethality of the patient's suicidal thoughts. A: "What does your boyfriend think about your desire to kill yourself?" - This question focuses on the boyfriend's perspective rather than the patient's own thoughts and feelings, not directly addressing the immediate risk. B: "What are your spiritual beliefs about suicide?" - While spiritual beliefs can be important, this question does not directly address the severity or immediacy of the patient's suicidal thoughts. C: "What will killing yourself accomplish?" - While exploring the patient's reasons for suicidal ideation is important, this question does not address the specific method or immediate risk.
Question 5 of 5
When assessing a client with depression, the client states, I just feel so sad and hopeless. I just don't care anymore. I don't even enjoy doing the crossword puzzles like I used to. The nurse documents this finding as indicative of which of the following?
Correct Answer: B
Rationale: The correct answer is B: Anhedonia. Anhedonia refers to the inability to experience pleasure or joy in activities that were previously enjoyable. In the scenario provided, the client's statement about not enjoying crossword puzzles anymore indicates a loss of pleasure, which is a key symptom of anhedonia commonly seen in depression. A: Dysthymic disorder is a type of chronic mood disorder characterized by persistently depressed mood. The client's symptoms do not meet the criteria for a diagnosis of dysthymic disorder based on the information provided. C: Delusion refers to a fixed false belief that is not based in reality. The client's statement does not involve any delusional beliefs, so this choice is incorrect. D: Psychosis involves a loss of contact with reality, often manifesting as hallucinations or delusions. The client's statement does not indicate a break from reality, so psychosis is not the correct choice.