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 client is prescribed phenelzine (Nardil) to treat her depression. She is at a local café for lunch with a friend. Which of the following items on the menu would be least appropriate for the client to order?
Correct Answer: B
Rationale: The correct answer is B: A Cobb salad with blue cheese and Roquefort salad dressing. Phenelzine is a monoamine oxidase inhibitor (MAOI), which can interact with foods high in tyramine, such as aged cheeses like blue cheese and Roquefort. The interaction can lead to a hypertensive crisis, posing a serious health risk for the client. Choices A, C, and D are all safe options as they do not contain high levels of tyramine-rich foods that can interact with phenelzine.
Question 3 of 5
When the nurse has developed a therapeutic relationship with the client, what is a true statement about nursing care?
Correct Answer: B
Rationale: The correct answer is B because when the nurse has a therapeutic relationship with the client, it means they work collaboratively. The nurse considers the client a partner in care planning, involving them in decision-making and respecting their autonomy. This approach fosters trust and empowers the client in their care. A: The nurse should maintain professional boundaries and not become friends with the client to avoid conflicts of interest. C: Adhering strictly to the plan of care without flexibility may not meet the client's individual needs and preferences. D: While avoiding a directive approach is important, there are times when the nurse needs to provide guidance and direction for the client's benefit.
Question 4 of 5
The nurse is assessing a young adult and determines that the individual has achieved successful resolution of the previous stage of growth and development, evidenced by demonstrating which of the following?
Correct Answer: C
Rationale: The correct answer is C: Devotion and fidelity. This indicates that the individual has successfully resolved the stage of growth and development according to Erikson's theory of psychosocial development. Devotion refers to the ability to form solid relationships and commitments, while fidelity means being able to maintain loyalty and trust in these relationships. These qualities show that the individual has successfully navigated the intimacy vs. isolation stage, which is characteristic of young adulthood. Now, let's analyze why the other choices are incorrect: A: Drive and hope - These qualities are more related to the stage of initiative vs. guilt in early childhood, not the young adulthood stage. B: Direction and purpose - While important, these qualities are more reflective of the previous stage of identity vs. role confusion in adolescence. D: Production and care - These qualities are more associated with the later stage of generativity vs. stagnation in middle adulthood, not young adulthood.
Question 5 of 5
During a staff meeting, a therapist mentions planning to use bibliotherapy with a patient. Later that morning, the patient approaches the nurse and says his therapist just talked to him but that he is having trouble understanding what his therapist wants him to do. When the nurse asks him to clarify his concern, he asks what 'bibliotherapy' really means. Which response by the nurse would be most appropriate?
Correct Answer: D
Rationale: The correct answer is D because bibliotherapy involves using books to help individuals understand and cope with emotional or psychological problems. This form of therapy encourages patients to read specific books that address their issues, providing insights and strategies for personal growth and healing. Option A is incorrect as it focuses on listing books rather than actual reading for therapeutic purposes. Option B is incorrect as it misrepresents bibliotherapy as a shopping-related coping technique. Option C is incorrect as it suggests the therapist imparts knowledge rather than utilizing books as the main therapeutic tool.