ATI RN
ATI Capstone Mental Health Assessment Questions
Question 1 of 9
A group of nursing students is reviewing information about emotional responses to stress and the themes associated with them. The students demonstrate understanding of the information when they identify which emotion as associated with being moved by another's suffering and wanting to help?
Correct Answer: C
Rationale: The correct answer is C: Compassion. Compassion is the emotion associated with being moved by another's suffering and wanting to help. It involves recognizing and empathizing with someone else's pain and feeling motivated to alleviate that suffering. Relief (A) is the feeling of release from stress or anxiety, not necessarily related to helping others. Hope (B) is the feeling of optimism and expectation for a positive outcome, not specifically related to being moved by another's suffering. Love (D) is a complex emotion involving deep affection and attachment, but it may not always lead to the desire to help alleviate someone else's suffering, unlike compassion.
Question 2 of 9
A client who practices Orthodox Judaism is upset. The client's son has recently committed suicide. The client tearfully tells the nurse that the son may not be able to be buried with honors. Which intervention should the nurse implement?
Correct Answer: D
Rationale: The correct answer is D: Sit with the client and allow expression of loss and sorrow. This intervention is appropriate as it demonstrates empathy, support, and active listening. By sitting with the client and allowing them to express their emotions, the nurse is providing a safe space for the client to grieve. This approach aligns with the principles of therapeutic communication and client-centered care. A: Asking the client why the son won't be buried with honors may come off as insensitive and could potentially make the client feel judged or misunderstood. B: Accepting that the client is upset and leaving them alone does not address the client's emotional distress or provide support during a difficult time. C: Calling the psychiatrist for antianxiety medication does not address the client's immediate emotional needs and may not be the most appropriate intervention in this situation.
Question 3 of 9
At what point in the nurse–patient relationship should a nurse plan to first address termination?
Correct Answer: A
Rationale: The correct answer is A, during the orientation phase. This is the initial phase where the nurse establishes rapport, gathers information, and sets the tone for the relationship. Planning for termination during orientation allows for a smooth transition and helps manage expectations. Addressing termination at the end of the working phase (choice B) may be abrupt and disrupt the therapeutic process. Near the beginning of the termination phase (choice C) is too late as it doesn't allow sufficient time for the patient to process and prepare for closure. Waiting for the patient to bring up termination (choice D) may lead to uncertainty and anxiety for the patient.
Question 4 of 9
A nursing instructor is describing complex somatic symptom disorder to a group of nursing students. The instructor determines that the teaching was successful when the students state which of the following?
Correct Answer: B
Rationale: The correct answer is B because complex somatic symptom disorder typically begins in adolescence. This is important for nursing students to understand as it helps in recognizing the disorder early. Choice A is incorrect as the disorder is more commonly diagnosed in women. Choice C is incorrect because complex somatic symptom disorder is not necessarily associated with substance abuse. Choice D is incorrect as individuals of various educational backgrounds can develop this disorder. Understanding the onset of symptoms in adolescence is crucial for early intervention and appropriate management.
Question 5 of 9
How can a nurse determine that a client is experiencing ineffective coping?
Correct Answer: C
Rationale: The correct answer is C because ineffective coping is characterized by difficulty managing day-to-day stress. This can manifest as increased anxiety, irritability, or withdrawal. The other choices are incorrect because: A indicates the client is actively coping; B suggests motivation for behavioral change; and D implies symptoms of depression, not necessarily ineffective coping.
Question 6 of 9
A client on an inpatient psychiatric unit exhibits traits of borderline personality disorder. Which action by the nurse would initiate collaboration with the member of the mental health-care team who can best confirm this diagnosis?
Correct Answer: C
Rationale: Correct Answer: C. Collaborate with the clinical psychologist to prepare the client for personality testing. Rationale: 1. Borderline personality disorder (BPD) diagnosis requires comprehensive assessment, including personality testing. 2. Clinical psychologists are trained to administer and interpret psychological tests, including those for personality disorders. 3. Collaborating with the clinical psychologist ensures the client receives appropriate evaluation and diagnosis. 4. Requesting medication or focusing on occupational or recreational needs may not address the core issue of confirming a BPD diagnosis. Summary: A: Requesting medication is premature without confirming the diagnosis. B: Occupational therapy focuses on retraining skills, not diagnosing personality disorders. D: Planning recreational activities may help with anxiety but does not address the need for a formal diagnosis like personality testing.
Question 7 of 9
A nursing instructor is developing a teaching plan for a class about families. Which of the following would the instructor be most likely to include?
Correct Answer: B
Rationale: The correct answer is B: New members are added by birth, marriage, or adoption. This is because families are not solely defined by blood relations but also by relationships formed through birth, marriage, or adoption. This inclusive definition reflects the diverse structures of modern families. Choice A is incorrect as it limits the definition of families to blood relations only. Choice C is incorrect as family size trends vary and may not necessarily be increasing in the United States. Choice D is incorrect as families today are often more mobile due to various factors such as job opportunities and lifestyle choices.
Question 8 of 9
The nurse is interviewing a client with schizophrenia when the client begins to say, 'Kite, night, right, height, fright.' The nurse documents this as which of the following?
Correct Answer: A
Rationale: The correct answer is A: Clang association. Clang association is a form of disorganized speech commonly seen in schizophrenia where words are linked together based on sound rather than meaning. In this scenario, the client is stringing together words that rhyme, indicating a pattern based on sound. Stilted language refers to formal, rigid speech lacking natural flow. Verbigeration is the repetition of words or phrases. Neologisms are newly created words. In this case, the client's speech does not fit the definitions of stilted language, verbigeration, or neologisms, making clang association the most appropriate choice.
Question 9 of 9
A group of nursing students is reviewing information about emotional responses to stress and the themes associated with them. The students demonstrate understanding of the information when they identify which emotion as associated with being moved by another's suffering and wanting to help?
Correct Answer: C
Rationale: The correct answer is C: Compassion. Compassion is the emotion associated with being moved by another's suffering and wanting to help. It involves recognizing and empathizing with someone else's pain and feeling motivated to alleviate that suffering. Relief (A) is the feeling of release from stress or anxiety, not necessarily related to helping others. Hope (B) is the feeling of optimism and expectation for a positive outcome, not specifically related to being moved by another's suffering. Love (D) is a complex emotion involving deep affection and attachment, but it may not always lead to the desire to help alleviate someone else's suffering, unlike compassion.