ATI RN
ATI Capstone Mental Health Assessment Quizlet Questions
Question 1 of 5
A client with complex somatic symptom disorder also has anxiety. Which of the following would the nurse expect to be prescribed?
Correct Answer: B
Rationale: Step 1: Selective serotonin reuptake inhibitors (SSRIs) are the first-line treatment for anxiety disorders due to their efficacy and tolerability. Step 2: SSRIs are also effective in treating somatic symptom disorders by addressing the underlying anxiety symptoms. Step 3: MAOIs are not commonly used for anxiety due to their dietary restrictions and potential for drug interactions. Step 4: Tricyclic antidepressants (TCAs) are less preferred due to their side effect profile and risk of toxicity. Step 5: Atypical antipsychotics are not typically prescribed for anxiety unless there is a specific indication for their use. Summary: B, SSRI is the correct choice for treating both anxiety and somatic symptom disorder, while the other options have limitations or are not commonly used for these conditions.
Question 2 of 5
Anxiety problems in older adults can manifest as a fear of falling, greatly influencing an older adult's personal freedom. A home health nurse checking on a patient with mild dementia and anxiety related to falling should question which new order?
Correct Answer: D
Rationale: The correct answer is D: Electric wheelchair. This is because anxiety related to falling can impact an older adult's mobility and independence. Providing an electric wheelchair can help the patient move around safely and independently, reducing the fear of falling and promoting personal freedom. Choice A: Yoga and tai-chi may help with relaxation and balance, but they may not address the immediate mobility concerns of the patient with mild dementia and anxiety related to falling. Choice B: Xanax is a medication commonly used to treat anxiety, but it may not address the underlying mobility issues and could potentially cause side effects in older adults. Choice C: Relaxation techniques can be beneficial for managing anxiety, but in this case, addressing the patient's mobility concerns with an electric wheelchair would be more appropriate and effective.
Question 3 of 5
The nurse uses the clock face assessment test to obtain which assessment data?
Correct Answer: A
Rationale: The clock face assessment test is used to assess cognitive function, particularly visuospatial abilities and executive functioning. The correct answer is A because it helps in detecting early signs of neurocognitive disorders such as Alzheimer's disease. By analyzing how the patient draws a clock face, the nurse can identify cognitive impairment. Choice B is incorrect as the clock face test is not used to assess overall functioning. Choice C is incorrect as it does not specifically provide evidence of alcohol/substance use disorders. Choice D is incorrect as the clock face test is not primarily used to detect signs and symptoms of depression.
Question 4 of 5
A client with complex somatic symptom disorder also has anxiety. Which of the following would the nurse expect to be prescribed?
Correct Answer: B
Rationale: Step 1: Selective serotonin reuptake inhibitors (SSRIs) are the first-line treatment for anxiety disorders due to their efficacy and tolerability. Step 2: SSRIs are also effective in treating somatic symptom disorders by addressing the underlying anxiety symptoms. Step 3: MAOIs are not commonly used for anxiety due to their dietary restrictions and potential for drug interactions. Step 4: Tricyclic antidepressants (TCAs) are less preferred due to their side effect profile and risk of toxicity. Step 5: Atypical antipsychotics are not typically prescribed for anxiety unless there is a specific indication for their use. Summary: B, SSRI is the correct choice for treating both anxiety and somatic symptom disorder, while the other options have limitations or are not commonly used for these conditions.
Question 5 of 5
A nurse is caring for a client who has chronic kidney disease. The nurse should identify which of the following laboratory values as an indication for hemodialysis?
Correct Answer: A
Rationale: The correct answer is A: glomerular filtration rate of 14 mL/minute. A GFR of 14 mL/minute indicates severe kidney dysfunction, warranting hemodialysis to filter waste products and excess fluids from the blood. B: BUN 16 mg/dL, C: serum magnesium 1.8 mg/dL, and D: serum phosphorus 4.0 mg/dL are within normal ranges and do not specifically indicate the need for hemodialysis in chronic kidney disease.