ATI RN
ATI Capstone Mental Health Questions
Question 1 of 4
A client with a history of alcohol abuse is participating in a 12-step Alcoholics Anonymous (AA) program. The nurse determines that the client is at step two when he states which of the following?
Correct Answer: B
Rationale: Step-by-step rationale: 1. Step 2 in AA involves believing in a higher power's ability to help overcome alcoholism. 2. The client stating "I realize that there is a higher power that can help me" aligns with step 2. 3. This step acknowledges the need for external support beyond oneself in the recovery process. 4. Choice A refers to step 9, making amends. Choice C refers to step 1, admitting powerlessness. Choice D refers to step 8, making amends.
Question 2 of 4
A nurse has formulated several nursing diagnoses for a homeless client after a thorough nursing assessment. Of these, which of the following would the nurse determine as the priority?
Correct Answer: C
Rationale: The correct answer is C: Imbalanced nutrition. This is the priority because it addresses the client's physiological needs, which are essential for survival and overall well-being. The nurse should prioritize addressing basic needs such as nutrition before addressing psychological or social needs. Anxiety (A), powerlessness (B), and impaired social interaction (D) are important but secondary to addressing the client's immediate physiological needs. It is important to address the most critical issue first to ensure the client's health and safety.
Question 3 of 4
A family has a long history of conflicted relationships among the members. Which family member's comment best reflects a mentally healthy perspective?
Correct Answer: C
Rationale: The correct answer is C because it shows a mentally healthy perspective of taking responsibility and being proactive in making positive changes for the benefit of the family. By acknowledging the need for personal growth and willingness to change behavior, this family member demonstrates self-awareness and a commitment to improving relationships. Choice A is incorrect as it deflects responsibility by comparing oneself to others. Choice B reminisces about the past without addressing current issues or solutions. Choice D is not a healthy approach as it suggests avoidance rather than addressing and working through familial conflicts.
Question 4 of 4
The nurse is planning care for a newly admitted adolescent who has bacterial meningitis. Which of the following instructions is appropriate for the nurse to include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Initiate droplet precautions for the client. This is appropriate because bacterial meningitis is transmitted through droplets, so implementing droplet precautions helps prevent the spread of infection to others. Option B (Assist the client to a supine position) is incorrect as it can worsen intracranial pressure. Option C (Perform the Glasgow coma scale every 24 hours) is not directly related to preventing transmission of infection. Option D (Recommend prophylactic acyclovir for the client's family) is incorrect as acyclovir is used for herpes simplex virus, not bacterial meningitis.