ATI RN
ATI Capstone Mental Health Pre Assessment Questions
Question 1 of 5
A client with Alzheimer's disease is admitted to the acute care facility for treatment of an infection. Assessment reveals that the client is anxious. When developing the client's plan of care, which of the following would be least appropriate to include?
Correct Answer: A
Rationale: The correct answer is A because frequently providing reality orientation may increase the client's anxiety due to the inability to retain new information. Choice B is correct as simplifying routines can reduce confusion. Choice C is correct as limiting choices can decrease anxiety. Choice D is correct as establishing predictable routines can provide a sense of security and familiarity.
Question 2 of 5
A nurse in a hospital cafeteria overhears two assistive personnel (AP) discussing a client. They are using the client's name and discussing details of his diagnosis. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct action for the nurse to take first is to tell the AP to discontinue their conversation (Choice D). This is because addressing the issue directly with the individuals involved is the most immediate and effective way to stop the breach of client confidentiality. Reporting to the supervisor (Choice A) can be done after addressing the immediate situation. Completing an incident report (Choice B) should come after resolving the issue in real-time. Providing written documentation (Choice C) may be necessary for education but is not the most immediate response to stop the confidentiality breach.
Question 3 of 5
A 33-year-old female diagnosed with bipolar I disorder has been functioning well on lithium for 11 months. At her most recent checkup, the psychiatric nurse practitioner states, 'You are ready to enter the maintenance therapy stage, so at this time I am going to adjust your dosage by prescribing':
Correct Answer: C
Rationale: The correct answer is C: A lower dosage. This adjustment is appropriate for maintenance therapy in bipolar I disorder to prevent toxicity and maintain therapeutic levels. Lowering the dose reduces the risk of adverse effects while still providing the necessary benefits. Increasing the dosage (choice A) may lead to toxicity. Once a week dosing (choice B) is not standard for lithium. Switching to a different drug (choice D) is not necessary if the patient has been responding well to lithium.
Question 4 of 5
Larry is a 50-year-old man who works about 60 hours per week. He arrives at the clinic seeking assistance with a weight gain of 50 pounds over the past year. Larry admits to sleeping 4 to 5 hours a night. The nurse recognizes that the weight gain may be related to:
Correct Answer: C
Rationale: Rationale for Choice C (Correct Answer): 1. Hormones like leptin and ghrelin regulate appetite and energy balance. 2. Lack of sleep disrupts these hormones, leading to increased appetite. 3. Larry's sleep deprivation may have dysregulated his appetite hormones. 4. This dysregulation could result in increased food intake and subsequent weight gain. Summary of Incorrect Choices: A. Diabetes: No information suggests Larry has diabetes symptoms. B. Cardiovascular disease: Weight gain may be a risk factor, but sleep deprivation's direct impact on hormones is more likely. D. Depression: While depression can contribute to weight gain, there's no indication of comorbidity in Larry's case.
Question 5 of 5
Which statement made to the grieving patient demonstrates effective therapeutic communication? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because it acknowledges and validates the patient's feelings without making assumptions or imposing personal beliefs. It focuses on the patient's emotions and provides empathy and support. B: Imposes a religious belief that may not align with the patient's beliefs. C: Implies the patient should feel a certain way, which can be invalidating. D: Assumes what the patient wants without considering their feelings or preferences.