ATI RN
Mental Health Assessment ATI Capstone Questions
Question 1 of 5
A group of nursing students is reviewing risk and protective factors associated for mental disorders in the older adult population. The students demonstrate understanding of the information when they identify which of the following as a protective factor?
Correct Answer: B
Rationale: The correct answer is B: Education. Education is a protective factor for mental disorders in older adults because higher levels of education are associated with better cognitive functioning and a lower risk of developing mental health issues. Education also provides individuals with better problem-solving skills and access to resources that can help them cope with stressors. A: Poverty is incorrect because it is a risk factor for mental disorders due to increased stress, lack of access to resources, and limited opportunities for mental health care. C: Loss is incorrect as it can be a risk factor for mental disorders in older adults, such as grief and depression following the loss of a loved one. D: Chronic illness is incorrect as it can also be a risk factor for mental disorders due to the physical and emotional burden it places on individuals.
Question 2 of 5
A client's blood level of carbamazepine is increased. When reviewing the client's medication history, which of the following would alert the nurse to a possible interaction?
Correct Answer: D
Rationale: Step 1: Carbamazepine is metabolized by CYP3A4 enzyme. Step 2: Diltiazem is a CYP3A4 inhibitor. Step 3: Inhibiting CYP3A4 can lead to increased carbamazepine levels. Step 4: Therefore, Diltiazem can interact with carbamazepine. Summary: A, B, and C are not CYP3A4 inhibitors, so they are less likely to interact with carbamazepine compared to Diltiazem.
Question 3 of 5
The nurse is initiating a group for adolescent girls diagnosed with anorexia nervosa. Many of the clients in the group are irritable and resent having to attend. One of them comments, 'This is a stupid waste of time!' Which of the response by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B: "You sound irritated; tell me about what is bothering you." This response demonstrates empathy and understanding towards the client's feelings and encourages open communication. By acknowledging the client's emotions and inviting them to express their concerns, the nurse can address the underlying issues causing the negative attitude, helping to build trust and rapport within the group. Choice A is inappropriate as it dismisses the client's feelings and may further alienate them. Choice C is authoritarian and may lead to resistance or defiance. Choice D is confrontational and disrespectful, which can escalate the situation and hinder therapeutic progress.
Question 4 of 5
The nurse is caring for a family with a 3-year-old child who has autism disorders. When developing the teaching plan for the parents, which of the following would the nurse most likely include?
Correct Answer: D
Rationale: The correct answer is D: A structured physical environment is an important aspect. Children with autism disorders often benefit from a structured environment to help them feel safe and secure. This includes having clear routines, visual schedules, and designated spaces for different activities. Providing a structured environment can help reduce anxiety and improve the child's ability to focus and learn. Choice A is incorrect because autism and seizure disorders are not typically directly related. Choice B is incorrect as there is no correlation between autism and higher IQ. Choice C is incorrect as dyslexia is not a common comorbid condition with autism.
Question 5 of 5
A nurse is interviewing a client who has a co-occurring diagnosis. The client is trying to explain why it is so easy to start drinking again even though hospitalization and prescribed medications can eventually control his mental problems. Which statement by the client would the nurse interpret as reflecting the client's beliefs?
Correct Answer: B
Rationale: Rationale: The correct answer is B because it reflects the client's belief that drinking provides an escape from negative emotions and a sense of euphoria that medication cannot offer. This statement indicates the client's preference for the emotional effects of alcohol over the functional benefits of medication. Summary of other choices: A: Focuses on the financial aspect and convenience of alcohol, not the emotional aspect. C: Highlights issues with side effects and forgetfulness, not the emotional appeal of alcohol. D: Mentions avoiding responsibility as a reason for not taking medication, rather than seeking emotional relief from alcohol.