ATI RN
ATI Capstone Mental Health Assessment Quizlet Questions
Question 1 of 5
A nurse is caring for a client who has chronic kidney disease. The nurse should identify which of the following laboratory values as an indication for hemodialysis?
Correct Answer: A
Rationale: The correct answer is A: glomerular filtration rate of 14 mL/minute. A GFR of 14 mL/minute indicates severe kidney dysfunction, warranting hemodialysis to filter waste products and excess fluids from the blood. B: BUN 16 mg/dL, C: serum magnesium 1.8 mg/dL, and D: serum phosphorus 4.0 mg/dL are within normal ranges and do not specifically indicate the need for hemodialysis in chronic kidney disease.
Question 2 of 5
The nurse is developing a care plan for a client with schizotypal personality disorder. The client has reported a recent history of magical thinking. What does the nurse note is the priority nursing diagnosis?
Correct Answer: D
Rationale: The correct answer is D: disturbed thought process. This is the priority nursing diagnosis because magical thinking is a common symptom of schizotypal personality disorder, indicating a disturbance in thought process. Addressing this issue is crucial for the client's overall well-being and treatment success. Choice A (anxiety) may be a secondary concern related to the client's symptoms but not the priority. Choice B (risk for loneliness) is not directly related to the client's current symptom of magical thinking. Choice C (risk for self-harm) is important to assess but may not be the priority at this time compared to addressing the core symptom of disturbed thought process.
Question 3 of 5
Which remark by a patient indicates passage from orientation to the working phase of a nurse–patient relationship?
Correct Answer: D
Rationale: The correct answer is D because it shows the patient's willingness to address their issues and actively seek solutions. This indicates a transition to the working phase where the patient is ready to engage in problem-solving and therapeutic work. Choice A indicates denial or reluctance to open up about problems. Choice B suggests difficulty in expressing emotions. Choice C reflects skepticism about the therapeutic process.
Question 4 of 5
A patient being treated for insomnia is prescribed ramelteon (Rozerem). Which comorbid mental health condition would make this medication the hypnotic of choice for this particular patient?
Correct Answer: D
Rationale: The correct answer is D: Substance use disorder. Ramelteon is the preferred hypnotic for patients with substance use disorder as it lacks abuse potential and does not affect the GABA system, reducing the risk of dependence. Patients with substance use disorder are at higher risk of developing addiction to traditional hypnotics like benzodiazepines. Ramelteon's unique mechanism of action targeting melatonin receptors makes it a safer option for this patient population. Incorrect Choices: A: Obsessive-compulsive disorder - Ramelteon is not specifically indicated for OCD. B: Generalized anxiety disorder - While ramelteon may help with sleep in patients with anxiety, it is not the preferred choice for this condition. C: Persistent depressive disorder - Ramelteon is not typically used as a first-line treatment for depression-related insomnia.
Question 5 of 5
Nurse Julie recommends that the family of a client with a substance-related disorder attend a support group, such as Al-Anon. In addition to helping family members understand the problem, what is the purpose of these groups?
Correct Answer: C
Rationale: The correct answer is C: to maintain focus on changing their own behaviors. Rationale: 1. Support groups like Al-Anon are designed to help family members of individuals with substance-related disorders focus on their own behaviors. 2. By attending these groups, family members can work on understanding and changing their own responses to the situation. 3. The primary goal is to provide support, education, and coping strategies for family members, not to change the client's behaviors directly. 4. Choices A, B, and D are incorrect as the main focus of these support groups is on the family members' well-being, not directly addressing the client's behaviors or preventing substance problems in other family members.