ATI RN
ATI Mental Health Capstone Assessment Questions
Question 1 of 5
A nurse is preparing a presentation for family members of clients who have been diagnosed with depression. When describing the family response to depression, which of the following would the nurse include?
Correct Answer: B
Rationale: Correct Answer: B - Depression in one family member affects the entire family. Rationale: 1. Depression impacts the dynamics and functioning of the entire family due to changes in communication, relationships, and daily routines. 2. Family members may experience emotional distress, guilt, and frustration when trying to support the depressed individual. 3. The family system may adapt to accommodate the depressed member, leading to role changes and increased stress. 4. This choice accurately reflects the systemic nature of depression within the family unit. Summary of Incorrect Choices: A: Family members may struggle to fully understand the extent of depression's impact, as it can be complex and multifaceted. C: While abuse can occur in some families, it is not a universal response to depression and should not be generalized. D: Depression can affect individuals of all ages and genders, and problems within families are not limited to a specific demographic group.
Question 2 of 5
What is the value of nurses' critical thinking?
Correct Answer: D
Rationale: The correct answer is D: interpretation of client care data. Nurses' critical thinking involves analyzing and interpreting client care data to make informed decisions. This process helps nurses identify problems, establish priorities, and develop effective care plans. It is essential for providing individualized and evidence-based care. Explanation for why other choices are incorrect: A: Standardization of all nursing care limits flexibility and does not account for unique client needs. B: Elimination of future client needs is not a realistic goal of critical thinking in nursing. C: Memorization of nursing care plans is important, but it does not fully capture the value of critical thinking in nursing, which involves more than just rote memorization.
Question 3 of 5
Before assessing a new patient, a nurse is told by another health care worker, "I know that patient. No matter how hard we work, there isn't much improvement by the time of discharge." The nurse's responsibility is to
Correct Answer: B
Rationale: The correct answer is B because the nurse should assess the patient based on data collected from all sources to form an independent evaluation. This ensures a comprehensive understanding of the patient's condition and needs. Documenting the other worker's assessment (choice A) may limit the nurse's own assessment. Validating the worker's impression by contacting the patient's significant other (choice C) may introduce bias. Discussing the worker's impression with the patient during the assessment interview (choice D) may influence the patient's responses. The best approach is for the nurse to gather all relevant information and make an objective assessment.
Question 4 of 5
A patient with an abdominal mass is scheduled for a biopsy. The patient has difficulty understanding the nurse's comments and asks, "What do you mean? What are they going to do?" Assessment findings include tremulous voice, respirations 28, and pulse 110. What is the patient's level of anxiety?
Correct Answer: B
Rationale: The correct answer is B: Moderate. The patient's tremulous voice, increased respirations, and elevated pulse indicate a moderate level of anxiety. These physiological signs suggest heightened stress and arousal, which are characteristic of moderate anxiety. Mild anxiety would not typically present with such pronounced physical symptoms. Severe anxiety would exhibit even more severe physical manifestations, while panic anxiety would involve extreme distress and potential loss of control.
Question 5 of 5
Which interaction is an example of dialogue that would be used in the context of reality therapy?
Correct Answer: D
Rationale: The correct answer is D because it reflects the key principles of reality therapy, which focuses on personal responsibility and choices. In this dialogue, the nurse is helping the client explore their behavior and choices that led to the consequence of losing their pass. By asking the client about their actions and readiness for the pass, the nurse is encouraging self-reflection and accountability. This approach aligns with reality therapy's emphasis on helping clients understand how their choices impact their lives. Choices A, B, and C are incorrect because they do not directly address personal responsibility and choice. Choice A focuses on offering a relaxation exercise without addressing the client's role in managing their anxiety. Choice B focuses on exploring the client's past experiences with punishment but does not guide the client towards self-reflection on their current behavior. Choice C suggests discussing anxiety without directly addressing the client's choices or accountability.