ATI RN
Mental Health Assessment ATI Capstone Questions
Question 1 of 4
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 4
The nurse is caring for a family with a 3-year-old child who has autism disorders. When developing the teaching plan for the parents, which of the following would the nurse most likely include?
Correct Answer: D
Rationale: The correct answer is D: A structured physical environment is an important aspect. Children with autism disorders often benefit from a structured environment to help them feel safe and secure. This includes having clear routines, visual schedules, and designated spaces for different activities. Providing a structured environment can help reduce anxiety and improve the child's ability to focus and learn. Choice A is incorrect because autism and seizure disorders are not typically directly related. Choice B is incorrect as there is no correlation between autism and higher IQ. Choice C is incorrect as dyslexia is not a common comorbid condition with autism.
Question 3 of 4
A nurse is interviewing a client who has a co-occurring diagnosis. The client is trying to explain why it is so easy to start drinking again even though hospitalization and prescribed medications can eventually control his mental problems. Which statement by the client would the nurse interpret as reflecting the client's beliefs?
Correct Answer: B
Rationale: Rationale: The correct answer is B because it reflects the client's belief that drinking provides an escape from negative emotions and a sense of euphoria that medication cannot offer. This statement indicates the client's preference for the emotional effects of alcohol over the functional benefits of medication. Summary of other choices: A: Focuses on the financial aspect and convenience of alcohol, not the emotional aspect. C: Highlights issues with side effects and forgetfulness, not the emotional appeal of alcohol. D: Mentions avoiding responsibility as a reason for not taking medication, rather than seeking emotional relief from alcohol.
Question 4 of 4
The spouse of a patient diagnosed with schizophrenia says, 'I don't understand how events from childhood have anything to do with this disabling illness.' Which response by the nurse will best help the spouse understand the cause of this disorder?
Correct Answer: C
Rationale: The correct answer is C: Research shows that this condition more likely has a biological basis. Schizophrenia is a complex disorder with strong evidence pointing to a biological origin, such as genetics and brain structure abnormalities. By emphasizing the biological basis, the nurse can help the spouse understand that it is not solely related to childhood events. Incorrect Choices: A: Psychological stress is the basis of most mental disorders - This statement is too general and not specific to schizophrenia. B: This illness results from developmental factors rather than stress - While developmental factors may play a role, research indicates a strong biological component in schizophrenia. D: It must be frustrating for you that your spouse is sick so much of the time - This response does not address the cause of schizophrenia and focuses on the spouse's feelings instead.