ATI RN
ATI Capstone Mental Health Pre Assessment Questions
Question 1 of 5
A nurse in a hospital cafeteria overhears two assistive personnel (AP) discussing a client. They are using the client's name and discussing details of his diagnosis. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct action for the nurse to take first is to tell the AP to discontinue their conversation (Choice D). This is because addressing the issue directly with the individuals involved is the most immediate and effective way to stop the breach of client confidentiality. Reporting to the supervisor (Choice A) can be done after addressing the immediate situation. Completing an incident report (Choice B) should come after resolving the issue in real-time. Providing written documentation (Choice C) may be necessary for education but is not the most immediate response to stop the confidentiality breach.
Question 2 of 5
A client with Alzheimer's disease is admitted to the acute care facility for treatment of an infection. Assessment reveals that the client is anxious. When developing the client's plan of care, which of the following would be least appropriate to include?
Correct Answer: A
Rationale: The correct answer is A because frequently providing reality orientation may increase the client's anxiety due to the inability to retain new information. Choice B is correct as simplifying routines can reduce confusion. Choice C is correct as limiting choices can decrease anxiety. Choice D is correct as establishing predictable routines can provide a sense of security and familiarity.
Question 3 of 5
When the nurse has developed a therapeutic relationship with the client, what is a true statement about nursing care?
Correct Answer: B
Rationale: The correct answer is B because when the nurse has a therapeutic relationship with the client, it means they work collaboratively. The nurse considers the client a partner in care planning, involving them in decision-making and respecting their autonomy. This approach fosters trust and empowers the client in their care. A: The nurse should maintain professional boundaries and not become friends with the client to avoid conflicts of interest. C: Adhering strictly to the plan of care without flexibility may not meet the client's individual needs and preferences. D: While avoiding a directive approach is important, there are times when the nurse needs to provide guidance and direction for the client's benefit.
Question 4 of 5
A client has had a major stroke and is struggling to adjust to living with consequent changes and permanent disabilities related to speech and mobility. The nurse assesses the client closely based on the understanding that the client is at increased risk for which of the following?
Correct Answer: B
Rationale: The correct answer is B: Major depressive disorder. Following a major stroke, individuals often experience feelings of grief, sadness, and hopelessness due to the significant life changes and disabilities. This can lead to the development of major depressive disorder. Depression is common post-stroke due to neurobiological changes and psychosocial factors. The other choices are incorrect because bipolar I disorder is characterized by distinct episodes of mania and depression, which are not directly related to stroke. Generalized anxiety disorder and posttraumatic stress disorder are also not directly associated with the typical emotional response following a stroke.
Question 5 of 5
During a staff meeting, a therapist mentions planning to use bibliotherapy with a patient. Later that morning, the patient approaches the nurse and says his therapist just talked to him but that he is having trouble understanding what his therapist wants him to do. When the nurse asks him to clarify his concern, he asks what 'bibliotherapy' really means. Which response by the nurse would be most appropriate?
Correct Answer: D
Rationale: The correct answer is D because bibliotherapy involves using books to help individuals understand and cope with emotional or psychological problems. This form of therapy encourages patients to read specific books that address their issues, providing insights and strategies for personal growth and healing. Option A is incorrect as it focuses on listing books rather than actual reading for therapeutic purposes. Option B is incorrect as it misrepresents bibliotherapy as a shopping-related coping technique. Option C is incorrect as it suggests the therapist imparts knowledge rather than utilizing books as the main therapeutic tool.