ATI RN
Mental Health Assessment ATI Capstone Questions
Question 1 of 5
A client suffered a stroke resulting in aphasia and dysarthria. Which communication adaptation technique by the nurse would be most helpful to this client?
Correct Answer: C
Rationale: The correct answer is C because for a client with aphasia and dysarthria, listening attentively, allowing time, and not interrupting are crucial for effective communication. By being patient and giving the client time to express themselves, the nurse can better understand their needs and facilitate communication. This approach shows respect and empathy towards the client's communication challenges. Choice A is incorrect because while using simple sentences can be helpful, it may not address the client's specific communication needs. Choice B is incorrect as speaking as though the client could hear may not necessarily improve understanding for someone with aphasia and dysarthria. Choice D is incorrect as providing an interpreter may not be necessary if the nurse can effectively communicate using techniques like active listening and patience.
Question 2 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 3 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 4 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.
Question 5 of 5
When communicating with a patient, which of the following would the nurse use to convey positive body language?
Correct Answer: C
Rationale: The correct answer is C: Sitting at the patient's eye level. This choice promotes open communication and shows respect to the patient. It helps establish a connection and makes the patient feel valued. Sitting erect (A) shows attentiveness, but not necessarily positive body language. Crossing arms (B) can signal defensiveness or closed-off attitude. Keeping feet flat on the floor with legs crossed (D) may appear relaxed but can be perceived as too casual or disengaged in a healthcare setting.