ATI RN
Mental Health Assessment ATI Capstone Questions
Question 1 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.
Question 2 of 5
An adult says, "I never know the answers," and "My opinion does not count." Which psychosocial crisis was unsuccessfully resolved for this adult?
Correct Answer: C
Rationale: The correct answer is C: Autonomy versus shame and doubt. This adult's statements indicate feelings of inadequacy and lack of confidence in their own abilities and opinions, which align with the psychosocial crisis of autonomy versus shame and doubt. During this stage, individuals develop a sense of independence and self-confidence. The adult's statements suggest a failure to successfully navigate this crisis, leading to feelings of shame and doubt. Summary: A: Initiative versus guilt - This crisis focuses on developing a sense of purpose and direction, not directly related to the adult's statements. B: Trust versus mistrust - This crisis occurs in infancy and is about developing trust in others, not applicable to the adult's situation. D: Generativity versus self-absorption - This crisis occurs in middle adulthood, involving concerns about contributing to future generations, not relevant to the adult's feelings of inadequacy.
Question 3 of 5
When a nurse assesses an older adult patient, answers seem vague or unrelated to the questions. The patient also leans forward and frowns, listening intently to the nurse. An appropriate question for the nurse to ask would be
Correct Answer: A
Rationale: The correct answer is A: "Are you having difficulty hearing when I speak?" This is the most appropriate question as the patient's leaning forward and frowning could indicate potential hearing difficulties. By asking this question, the nurse can address a possible communication barrier and provide necessary accommodations. Option B, "How can I make this assessment interview easier for you?" is more general and may not directly address the specific issue of hearing difficulty. Option C, "I notice you are frowning. Are you feeling annoyed with me?" assumes the patient's emotions without addressing the potential hearing issue. Option D, "You're having trouble focusing on what I'm saying. What is distracting you?" assumes a focus issue rather than considering hearing impairment.
Question 4 of 5
A person speaking about a rival for a significant other's affection says in an emotional, syrupy voice, "What a lovely person. That's someone I simply adore." The individual is demonstrating
Correct Answer: A
Rationale: The correct answer is A: reaction formation. This defense mechanism involves expressing the opposite of what one truly feels to cope with unacceptable emotions. In this scenario, the person outwardly expresses admiration for the rival, masking their true feelings of jealousy or resentment. Repression (B) involves unconsciously blocking out unwanted thoughts or emotions, which is not demonstrated here. Projection (C) involves attributing one's own unacceptable thoughts or feelings to others, which is not evident in the scenario. Denial (D) is refusing to accept reality, which is also not applicable in this context. The emotional and overly positive expression in the scenario aligns with the concept of reaction formation.
Question 5 of 5
A college-aged student and his friend arrive at the student health center. The friend reports that the patient has been having difficulties concentrating, remembering, and thinking. 'He's had quite a few research papers due this past week.' After ruling out other problems, the nurse determines that the patient is experiencing a culture-bound syndrome. Which of the following would the nurse most likely suspect?
Correct Answer: B
Rationale: The correct answer is B: Brain fog. The symptoms described by the friend, such as difficulties concentrating, remembering, and thinking, are characteristic of brain fog, a common term used to describe cognitive difficulties. This is not specific to any particular culture, making it a more likely explanation compared to the other choices. A: Ataque de nervios is a culture-bound syndrome seen in Latino populations, characterized by symptoms like emotional distress and uncontrollable outbursts, which do not align with the symptoms described in the scenario. C: Mal de ojo is another culture-bound syndrome, known as the evil eye, which is believed to cause harm through a malevolent glare. This does not align with the cognitive difficulties described in the scenario. D: Shenjing shuairo is a culture-bound syndrome in Chinese populations, characterized by physical and psychological symptoms, such as weakness and fatigue, which are not consistent with the cognitive symptoms described in the scenario.