ATI RN
RN ATI Capstone Mental Health Quiz Questions
Question 1 of 5
A nurse is providing care to a client with Alzheimer's disease who is exhibiting suspiciousness and delusional thinking. Which of the following would be most important for the nurse to do with this client?
Correct Answer: D
Rationale: The correct answer is D, determining the trigger for the distorted thinking. This is important as it helps identify potential causes of the client's suspiciousness and delusional thinking, allowing for targeted interventions. Option A may increase client distress. Option B may lead to conflict. Option C may invalidate the client's experiences.
Question 2 of 5
A person was supposed to meet a friend at a local theatre to see a movie. The friend never showed up. The person's initial thought was, 'My friend didn't come because she doesn't like me.' This automatic thought was most likely inferred from which irrational belief?
Correct Answer: A
Rationale: The correct answer is A: "I'm worthless, so no one could really want to be my friend." This automatic thought reflects the irrational belief of personal worthlessness leading to the assumption that others do not genuinely like or care about the person. This cognitive distortion is known as personalization, where the individual attributes external events to themselves in a negative way. In this scenario, the person's immediate conclusion that the friend didn't show up because of a personal flaw is an example of personalization. Other choices are incorrect because: B: "Movies are a waste of time and money anyway." - This choice introduces a different irrational belief about movies, not about personal worthiness. C: "I'm sure she just got confused and thought we were going to a different movie." - This choice reflects a more neutral assumption without negative self-evaluation. D: "I'm so forgetful and confused sometimes; I probably wrote down the wrong time." - This choice involves self-blame for a practical
Question 3 of 5
A nurse is caring for a client receiving IV moderate sedation with midazolam. The client has a respiratory rate of 9/min and is not responding to commands. Which of the following is an appropriate action by the nurse?
Correct Answer: B
Rationale: The correct answer is B: Implement positive pressure ventilation. This action is appropriate because the client's respiratory rate of 9/min indicates hypoventilation, which can lead to hypoxemia and respiratory arrest. Positive pressure ventilation helps support adequate oxygenation and ventilation. Placing the client in a prone position (choice A) can further compromise breathing. Nasopharyngeal suctioning (choice C) is not indicated unless airway obstruction is confirmed. Administering flumazenil (choice D) is contraindicated in clients with significant respiratory depression due to the risk of precipitating seizures.
Question 4 of 5
A nurse wants to find a description of diagnostic criteria for anxiety disorders. Which resource would have the most complete information?
Correct Answer: B
Rationale: The correct answer is B: DSM-V. The Diagnostic and Statistical Manual of Mental Disorders (DSM-V) is the standard classification of mental disorders used by mental health professionals. It provides detailed diagnostic criteria for various mental disorders, including anxiety disorders. The DSM-V is updated regularly and provides the most comprehensive and up-to-date information on diagnostic criteria for anxiety disorders. Rationale for other choices: A: Nursing Outcomes Classification (NOC) does not provide diagnostic criteria for mental disorders, including anxiety disorders. It focuses on outcomes related to nursing care. C: The ANA's Psychiatric-Mental Health Nursing Scope and Standards of Practice outlines the scope of practice for psychiatric-mental health nurses but does not provide detailed diagnostic criteria for anxiety disorders. D: ICD-10 is a classification system for diseases and health conditions, including mental disorders, but it does not provide detailed diagnostic criteria specific to anxiety disorders like the DSM-V does.
Question 5 of 5
A client tells the nurse that he is committed to trying to quit smoking. When teaching the client about smoking cessation, which of the following would the nurse include?
Correct Answer: A
Rationale: The correct answer is A because smoking cessation success often requires a combination of interventions like counseling, medication, and support. This approach addresses physical and psychological aspects of addiction, increasing the chances of success. Choice B is incorrect as relapse rates are high in the first year after quitting. Choice C is incorrect as ear acupressure lacks strong scientific evidence for smoking cessation. Choice D is incorrect as education alone is usually insufficient for successful smoking cessation.