ATI RN
Mental Health Assessment ATI Capstone Questions
Question 1 of 5
A nurse is performing an assessment of a patient with suicidal ideation. Which question would the nurse most likely ask to determine the degree of planning?
Correct Answer: C
Rationale: The correct answer is C. Asking "Could you stop yourself from killing yourself?" helps assess the degree of planning as it gauges the patient's ability and intention to prevent the act. Choice A focuses on intent, not planning. Choice B relates to past attempts, not current planning. Choice D addresses distress level, not planning. Thus, C is the best choice for evaluating the patient's current planning regarding suicide.
Question 2 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 3 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 4 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.
Question 5 of 5
The spouse of a patient diagnosed with schizophrenia says, 'I don't understand how events from childhood have anything to do with this disabling illness.' Which response by the nurse will best help the spouse understand the cause of this disorder?
Correct Answer: C
Rationale: The correct answer is C: Research shows that this condition more likely has a biological basis. Schizophrenia is a complex disorder with strong evidence pointing to a biological origin, such as genetics and brain structure abnormalities. By emphasizing the biological basis, the nurse can help the spouse understand that it is not solely related to childhood events. Incorrect Choices: A: Psychological stress is the basis of most mental disorders - This statement is too general and not specific to schizophrenia. B: This illness results from developmental factors rather than stress - While developmental factors may play a role, research indicates a strong biological component in schizophrenia. D: It must be frustrating for you that your spouse is sick so much of the time - This response does not address the cause of schizophrenia and focuses on the spouse's feelings instead.