ATI RN
ATI Capstone Mental Health Proctored Assessment Questions
Question 1 of 5
A nurse is preparing an inservice program about substance abuse and its etiology. Which of the following would the nurse most likely include in the presentation when discussing possible psychologic etiologies?
Correct Answer: A
Rationale: The correct answer is A: Low self-esteem. Low self-esteem is a common psychological etiology of substance abuse as individuals may turn to substances to cope with feelings of inadequacy or self-doubt. This can lead to a cycle of self-medication and addiction. Incorrect choices: B: Genetic predisposition - While genetics can play a role in substance abuse, it is not a psychological etiology but rather a biological factor. C: Dysfunctional family - While family dynamics can contribute to substance abuse, it is more related to environmental factors than psychological ones. D: Peer influence - Peer influence is a social factor, not a psychological one, that can contribute to substance abuse behavior.
Question 2 of 5
How will the nurse evaluate if trust has been established with the client?
Correct Answer: C
Rationale: The correct answer is C because when the client states, "I'll tell you about my sister," it shows a willingness to share personal information, indicating a level of trust. This statement implies a desire for the nurse to know more about their personal life, which is a positive sign of trust being established. Choice A does not necessarily indicate trust as it could just be a statement of longing. Choice B shows resistance or defensiveness, which is not indicative of trust. Choice D does not directly relate to the nurse-client relationship and does not provide insight into trust being established.
Question 3 of 5
A patient is being treated in an interdisciplinary clinic. During interactions with a patient who is receiving cognitive behavior therapy, which of the following would the nurse concentrate on first?
Correct Answer: C
Rationale: The correct answer is C: Identifying the underlying beliefs. In cognitive behavior therapy, identifying the underlying beliefs is crucial as they drive the patient's thoughts and behaviors. By focusing on these core beliefs first, the nurse can help the patient understand the root causes of their issues and work towards challenging and modifying them effectively. A: Identifying alternative explanations of an event - This step usually comes after identifying the underlying beliefs. B: Exploring evidence to support or refute the beliefs - This step comes after identifying the beliefs and is not the initial focus. D: Examining the real implications if the beliefs are true - This step is important but is typically addressed after identifying and working on the underlying beliefs.
Question 4 of 5
A bereavement group run by a local hospice includes a woman who is distraught over her supervisor's death. The woman appears severely distressed. She has trouble functioning with activities of daily living and making the simplest of decisions. The group facilitator recognizes that this woman is suffering from disenfranchised grief after learning:
Correct Answer: A
Rationale: The correct answer is A: The woman was in love with her married supervisor. This is correct because disenfranchised grief occurs when a person experiences a loss that is not openly acknowledged or socially supported, such as a secret romantic relationship with the deceased. In this case, the woman's profound distress and inability to function suggest a deep emotional connection beyond a professional one, explaining her intense reaction. Incorrect choices: B: She has not taken enough time off work to grieve properly - This choice assumes that time off work is the primary factor in grieving, which may not be relevant to the woman's situation. C: The supervisor died over a year ago - The timeline of the supervisor's death is not necessarily indicative of disenfranchised grief, as the nature of the relationship matters more. D: Her family is not involved enough to support her - While family support is important, disenfranchised grief is more about the nature of the relationship with the deceased rather than familial support.
Question 5 of 5
A nurse is completing an admission assessment of a young adult woman who has a history of depression and who was brought to the hospital by her boyfriend. In response to the nurse's question regarding suicidal ideation, the patient discloses that she is thinking about killing herself. Which question would be most appropriate for the nurse to ask next?
Correct Answer: D
Rationale: The correct answer is D: "What thoughts have you had about how you would kill yourself?" This question is appropriate as it assesses the patient's specific suicidal ideation, providing crucial information for risk assessment and intervention planning. By asking about the method, the nurse can gauge the immediacy and lethality of the patient's suicidal thoughts. A: "What does your boyfriend think about your desire to kill yourself?" - This question focuses on the boyfriend's perspective rather than the patient's own thoughts and feelings, not directly addressing the immediate risk. B: "What are your spiritual beliefs about suicide?" - While spiritual beliefs can be important, this question does not directly address the severity or immediacy of the patient's suicidal thoughts. C: "What will killing yourself accomplish?" - While exploring the patient's reasons for suicidal ideation is important, this question does not address the specific method or immediate risk.