ATI RN
ATI Mental Health Capstone Assessment Questions
Question 1 of 5
A female psychiatric patient is talking to the nurse about her reasons for being hospitalized. She begins to discuss her relationship with her female significant other. The patient is describing the things in her relationship that are making her uncomfortable, and she asks the nurse, 'Should I break up with my partner?' Which response by the nurse would be most effective in building rapport between the patient and nurse?
Correct Answer: C
Rationale: The correct response is C: "It sounds like you're beginning to be uncomfortable in this relationship." This response is effective because it acknowledges the patient's feelings and shows empathy without judgment. It validates the patient's concerns and opens up further discussion. Option A is incorrect as it is judgmental and dismissive of the patient's sexual orientation. Option B is also incorrect as it ignores the patient's current feelings and suggests pursuing a relationship based on societal norms. Option D is incorrect as it shifts the focus away from the patient's concerns and does not address the underlying issues in the relationship.
Question 2 of 5
While assessing an older adult, the nurse allows ample time for the patient to respond based on the understanding of which of the following?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Allowing ample time for the older adult to respond acknowledges the possible cognitive changes that may come with aging. 2. It promotes effective communication and respects the individual's autonomy. 3. It helps reduce the risk of miscommunication and misunderstanding. 4. It enhances the nurse's ability to gather accurate information and provide appropriate care. Summary: B: This choice assumes irreversible memory impairment without evidence, leading to premature judgment. C: Decreased cerebral oxygen flow is not necessarily related to the need for ample time in communication with older adults. D: Weighing pros and cons of perceived risk is not directly related to the need for ample time in communication with older adults.
Question 3 of 5
The nurse is caring for a 30-year-old white man whose wife has recently died. The patient has been diagnosed with clinical depression and is demonstrating insufficient coping skills. Which action by the nurse would be most important?
Correct Answer: D
Rationale: The correct answer is D because asking the patient if he is thinking about killing himself is crucial in assessing suicide risk, which is a primary concern in cases of clinical depression. This step allows the nurse to evaluate the patient's safety and take appropriate measures to prevent self-harm. Referring the patient for long-term psychotherapy (A) is important but not the most immediate concern in ensuring the patient's safety. Determining the patient's risk of psychosis (B) is not as relevant in this scenario as addressing the immediate risk of suicide. While understanding the patient's family history of depression (C) may provide context, it does not directly address the patient's current safety and well-being.
Question 4 of 5
A nurse is preparing a presentation for family members of clients who have been diagnosed with depression. When describing the family response to depression, which of the following would the nurse include?
Correct Answer: B
Rationale: Correct Answer: B - Depression in one family member affects the entire family. Rationale: 1. Depression impacts the dynamics and functioning of the entire family due to changes in communication, relationships, and daily routines. 2. Family members may experience emotional distress, guilt, and frustration when trying to support the depressed individual. 3. The family system may adapt to accommodate the depressed member, leading to role changes and increased stress. 4. This choice accurately reflects the systemic nature of depression within the family unit. Summary of Incorrect Choices: A: Family members may struggle to fully understand the extent of depression's impact, as it can be complex and multifaceted. C: While abuse can occur in some families, it is not a universal response to depression and should not be generalized. D: Depression can affect individuals of all ages and genders, and problems within families are not limited to a specific demographic group.
Question 5 of 5
A client with a history of opioid abuse is exhibiting manifestations of moderate withdrawal. Which of the following would the nurse expect to assess?
Correct Answer: C
Rationale: The correct answer is C: Dilated pupils. Opioid withdrawal commonly presents with dilated pupils due to the noradrenergic rebound effect. This occurs as the body tries to compensate for the suppression of noradrenaline caused by chronic opioid use. Rhinorrhea and lacrimation are associated with opioid withdrawal but are typically seen in early withdrawal stages. Dysphoria is a common symptom in opioid withdrawal but is not specific to moderate withdrawal.