ATI RN
ATI Capstone Mental Health Proctored Assessment Questions
Question 1 of 5
A hospitalized patient diagnosed with depression asks the nurse, 'Should I go home this weekend?' Which response by the nurse uses the technique of reflection?
Correct Answer: A
Rationale: Step 1: Option A reflects the patient's question back to them without adding any personal interpretation, allowing them to further explore their feelings. Step 2: This technique of reflection demonstrates active listening and encourages the patient to delve deeper into their thoughts. Step 3: Option B is a therapeutic technique called clarification, not reflection. Option C is an example of paraphrasing. Option D is a form of confrontation, not reflection. Summary: Choice A is correct as it reflects the patient's question back to them, facilitating self-exploration. Choices B, C, and D are incorrect as they represent different communication techniques.
Question 2 of 5
Sigmund Freud, Karl Menninger, and Aaron Beck theorized that hopelessness was an integral part of why a person commits suicide. A more recent theory suggest suicide results from:
Correct Answer: B
Rationale: The correct answer is B: The diathesis-stress model. This model suggests that individuals have a predisposition (diathesis) towards a certain mental health condition, such as depression, and this predisposition interacts with environmental stressors to trigger the condition. Suicide can result from the combination of genetic vulnerability (diathesis) and stressful life events (stressors). Elevated serotonin levels (choice A) are more associated with mood disorders like depression, not directly linked to suicide. Outward aggression turned inward (choice C) is more related to internalizing behaviors like self-harm, but not necessarily suicide. A lack of perfectionism (choice D) is not a widely recognized factor in suicide risk. The diathesis-stress model provides a comprehensive explanation for the complex interplay of genetic and environmental factors leading to suicide.
Question 3 of 5
The nurse is caring for an adolescent in the outpatient psychiatric setting. To help the adolescent feel more in control of the initial therapy sessions, which statement by the nurse would be most appropriate?
Correct Answer: D
Rationale: The correct answer is D. By stating "If something is uncomfortable for you, you don't have to talk about it," the nurse empowers the adolescent to have control over the therapy session, fostering a sense of autonomy and trust. This statement respects the adolescent's boundaries and emotions, promoting a therapeutic relationship based on mutual understanding. Choice A is incorrect because it may undermine the adolescent's trust in confidentiality. Choice B is incorrect as it assumes distrust without allowing the adolescent to express their feelings. Choice C is incorrect as it may make the adolescent feel guilty or pressured by their parents' concern, potentially hindering open communication.
Question 4 of 5
The nurse is helping a 56-year-old homeless woman develop a plan for after discharge. Which of the following would be most appropriate to include?
Correct Answer: A
Rationale: The correct answer is A: Contacting the woman's daughter as a possible source of support after the client's discharge. This is the most appropriate choice because involving family members can provide emotional and practical support for the client. It is important to leverage existing relationships and support systems to enhance the client's post-discharge plan. Summary of other choices: B: Contacting the woman's parents may not be appropriate as the client's relationship with her parents is not specified and involving them without consent may not be beneficial. C: Providing resources in a three-ring binder is not as personal or tailored to the client's specific needs and may not address the emotional support aspect. D: Providing telephone numbers of health insurance companies is important but not as crucial as establishing a support system through family members.
Question 5 of 5
A patient is being treated in an interdisciplinary clinic. During interactions with a patient who is receiving cognitive behavior therapy, which of the following would the nurse concentrate on first?
Correct Answer: C
Rationale: The correct answer is C: Identifying the underlying beliefs. In cognitive behavior therapy, identifying the underlying beliefs is crucial as they drive the patient's thoughts and behaviors. By focusing on these core beliefs first, the nurse can help the patient understand the root causes of their issues and work towards challenging and modifying them effectively. A: Identifying alternative explanations of an event - This step usually comes after identifying the underlying beliefs. B: Exploring evidence to support or refute the beliefs - This step comes after identifying the beliefs and is not the initial focus. D: Examining the real implications if the beliefs are true - This step is important but is typically addressed after identifying and working on the underlying beliefs.