ATI RN
ATI Capstone Mental Health Questions
Question 1 of 5
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 2 of 5
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 5
Tammy, a 28-year-old with major depressive disorder and bulimia nervosa, is ready for discharge from the county hospital after 2 weeks of inpatient therapy. Tammy is taking citalopram (Celexa) and reports that it has made her feel more hopeful. With a secondary diagnosis of bulimia nervosa, what is an alternative antidepressant to consider?
Correct Answer: A
Rationale: The correct answer is A: Fluoxetine (Prozac). Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) that is FDA-approved for both major depressive disorder and bulimia nervosa. It is commonly used in treating patients with co-occurring depression and eating disorders, like bulimia nervosa. Fluoxetine has shown efficacy in reducing binge eating and purging behaviors associated with bulimia nervosa. Now, let's analyze the other choices: B: Isocarboxazid (Marplan) is a monoamine oxidase inhibitor (MAOI) that is not commonly used as a first-line treatment for bulimia nervosa. MAOIs have more dietary and drug interaction concerns compared to SSRIs. C: Amitriptyline is a tricyclic antidepressant (TCA) that is not typically preferred for bulimia nervosa due to its side effect profile and overdose risk. D: Duloxetine (Cymbalta)
Question 4 of 5
Guadalupe is the matriarch of a large family. She is terminally ill and none of her family members know her end-of-life wishes. The best action for the nurse is to:
Correct Answer: B
Rationale: The correct answer is B because organizing a family meeting with Guadalupe's permission allows for open communication about her end-of-life wishes. This approach respects her autonomy and ensures her preferences are known. Discussing durable power of attorney (A) may be premature without knowing Guadalupe's wishes. Having a family meeting without her (C) disregards her right to be involved in decision-making. Asking the doctor to inform Guadalupe about her terminal illness (D) should be done by a healthcare provider, not a nurse, and may cause distress without addressing her specific wishes.
Question 5 of 5
The nurse is preparing to assess a 78-year-old patient who has been diagnosed with major depression. Which of the following would the nurse expect to assess as a normal finding?
Correct Answer: C
Rationale: The correct answer is C: Dulled taste sensation. Major depression can affect taste perception causing dulled taste sensation. This is a normal finding in older adults with depression due to changes in neurotransmitters. A: Decrease in body fat and B: Increased muscle mass are not typical findings in major depression, as it can lead to changes in appetite and weight loss. D: Enhanced visual acuity is not a normal finding in major depression; it is more likely a symptom of another condition or unrelated to the depressive disorder.