ATI RN
Mental Health Assessment ATI Capstone Questions
Question 1 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 2 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 3 of 5
What safety-related responsibility does the nurse have in any situation of suspected abuse?
Correct Answer: D
Rationale: The correct answer is D because reporting suspected abuse to the proper authorities is a legal and ethical requirement for healthcare professionals to protect vulnerable individuals. Reporting ensures that the appropriate agencies can investigate and intervene to safeguard the victim. Choice A is incorrect as it focuses solely on future prevention rather than immediate action. Choice B is incorrect as it may compromise the safety of the victim by alerting the abuser. Choice C is incorrect as counseling is not the primary responsibility when abuse is suspected, reporting is.
Question 4 of 5
A nurse is performing an assessment of a patient with suicidal ideation. Which question would the nurse most likely ask to determine the degree of planning?
Correct Answer: C
Rationale: The correct answer is C. Asking "Could you stop yourself from killing yourself?" helps assess the degree of planning as it gauges the patient's ability and intention to prevent the act. Choice A focuses on intent, not planning. Choice B relates to past attempts, not current planning. Choice D addresses distress level, not planning. Thus, C is the best choice for evaluating the patient's current planning regarding suicide.
Question 5 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.