ATI RN
ATI Capstone Mental Health Assessment Quizlet Questions
Question 1 of 9
A nurse is constructing a genogram of a family. Which of the following would the nurse do?
Correct Answer: C
Rationale: The correct answer is C because genograms typically use horizontal lines to show marriages. This allows for a clear visual representation of the relationships between family members. Using circles to represent male members (choice A) would be inaccurate as circles usually represent females. Horizontal lines connecting parents with children (choice B) are used to show parent-child relationships, not marriages. Using asterisks to denote ages listed at the bottom (choice D) is not a common practice in constructing genograms. Therefore, choice C is the most appropriate and accurate way to represent marriages in a genogram.
Question 2 of 9
A nursing instructor is explaining the concept of the continuum of care to a group of students. Which of the following would the nurse include in this description?
Correct Answer: D
Rationale: The correct answer is D because the continuum of care refers to a seamless and integrated system that spans from illness to wellness states. This means that care is provided across different levels, from prevention to acute care to rehabilitation. This approach ensures that patients receive comprehensive care tailored to their needs at every stage of their health journey. Choice A, care provided in episodic intervals, is incorrect because the continuum of care is continuous and not fragmented into separate episodes. Choice B, a system of care that focuses primarily on wellness, is incorrect as it does not capture the comprehensive nature of the continuum of care, which includes all stages of health and illness. Choice C, a single organization as responsible for care delivery, is incorrect because the continuum of care involves coordination and collaboration among multiple healthcare providers and settings to ensure holistic care.
Question 3 of 9
Larry is from a small town and began displaying aggressive and manipulative traits while still a teenager. Now at 40 years old, Larry is serving a life sentence for the murders of his wife and her brother. John, the prison psychiatric nurse practitioner, recognizes that Larry's treatment will most likely:
Correct Answer: D
Rationale: The correct answer is D because Larry's long history of aggressive and manipulative behavior suggests deep-rooted issues that are unlikely to change dramatically. Small incremental changes indicate a more realistic expectation for progress in his treatment. Choice A is incorrect as transforming Larry into a model prisoner is overly optimistic given his history. Choice B is incorrect as it assumes no improvement in coping skills, which may occur to some extent through therapy. Choice C is incorrect as reaffirming high-risk behaviors would be detrimental to Larry's rehabilitation.
Question 4 of 9
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 5 of 9
A client with complex somatic symptom disorder also has anxiety. Which of the following would the nurse expect to be prescribed?
Correct Answer: B
Rationale: Step 1: Selective serotonin reuptake inhibitors (SSRIs) are the first-line treatment for anxiety disorders due to their efficacy and tolerability. Step 2: SSRIs are also effective in treating somatic symptom disorders by addressing the underlying anxiety symptoms. Step 3: MAOIs are not commonly used for anxiety due to their dietary restrictions and potential for drug interactions. Step 4: Tricyclic antidepressants (TCAs) are less preferred due to their side effect profile and risk of toxicity. Step 5: Atypical antipsychotics are not typically prescribed for anxiety unless there is a specific indication for their use. Summary: B, SSRI is the correct choice for treating both anxiety and somatic symptom disorder, while the other options have limitations or are not commonly used for these conditions.
Question 6 of 9
Which assessment finding exhibited by a patient being assessed for posttraumatic stress disorder (PTSD) would be considered a defining behavior and support such a diagnosis?
Correct Answer: C
Rationale: The correct answer is C because describing vivid 'flashbacks' of being attacked is a defining behavior of PTSD according to the DSM-5 criteria. This symptom is specific to PTSD and indicates re-experiencing of the traumatic event. Choice A is not specific to PTSD and can occur in other conditions. Choice B is more related to mood disorders than PTSD. Choice D is more indicative of a need to disclose the trauma, which is common but not a defining behavior of PTSD.
Question 7 of 9
Anxiety problems in older adults can manifest as a fear of falling, greatly influencing an older adult's personal freedom. A home health nurse checking on a patient with mild dementia and anxiety related to falling should question which new order?
Correct Answer: D
Rationale: The correct answer is D: Electric wheelchair. This is because anxiety related to falling can impact an older adult's mobility and independence. Providing an electric wheelchair can help the patient move around safely and independently, reducing the fear of falling and promoting personal freedom. Choice A: Yoga and tai-chi may help with relaxation and balance, but they may not address the immediate mobility concerns of the patient with mild dementia and anxiety related to falling. Choice B: Xanax is a medication commonly used to treat anxiety, but it may not address the underlying mobility issues and could potentially cause side effects in older adults. Choice C: Relaxation techniques can be beneficial for managing anxiety, but in this case, addressing the patient's mobility concerns with an electric wheelchair would be more appropriate and effective.
Question 8 of 9
An intramuscular dose of antipsychotic medication needs to be administered to a patient who is becoming increasingly more aggressive and refused to leave the day room. The nurse should enter the day room
Correct Answer: B
Rationale: The correct answer is B because it prioritizes de-escalation and patient cooperation by using a calm and empathetic approach. Accompanied by staff members ensures safety and support. It communicates the purpose of the medication positively. Choice A lacks support and may not address the patient's aggression. Choice C uses a physical hold, which can escalate the situation. Choice D introduces a security guard, potentially increasing hostility and fear. Overall, choice B aligns with best practices for managing aggressive behavior in a therapeutic and respectful manner.
Question 9 of 9
A patient is engaged in bibliotherapy and begins to express his feelings because he closely associates his experience with that provided by the reading material. The nurse interprets this as which of the following?
Correct Answer: B
Rationale: The correct answer is B: Catharsis. Catharsis refers to the process of emotional release and purification through expressing feelings and emotions. In this scenario, the patient is engaging in bibliotherapy and expressing his feelings, indicating a release of pent-up emotions. This is a therapeutic process that allows the patient to process and cope with their emotions in a healthy way. Choice A: Insight is incorrect as it refers to gaining a deeper understanding or awareness, which is not explicitly mentioned in the scenario. Choice C: Anxiety reduction is incorrect as the scenario does not specify that the patient's goal is to reduce anxiety, but rather to express feelings associated with the reading material. Choice D: Problem solving is incorrect as the scenario does not involve the patient actively working through a specific problem, but rather expressing emotions related to the reading material.