ATI RN
ATI Capstone Mental Health Proctored Assessment Quizlet Questions
Question 1 of 5
A nurse is trying to determine whether a client is exhibiting symptoms of depression or of her medical illness. Which of the following group of symptoms would indicate to the nurse that the client may be experiencing depression in addition to being medically ill?
Correct Answer: C
Rationale: The correct answer is C because feeling guilty, difficulty making decisions, and low self-esteem are classic symptoms of depression that are not typically associated with medical illnesses. Feeling guilty and low self-esteem are emotional symptoms commonly seen in depression, while difficulty making decisions is a cognitive symptom often linked with depression. This combination of symptoms suggests a psychological component beyond just the physical manifestations of the medical illness. Choice A is incorrect because frequent crying is not specifically indicative of depression and can occur in response to physical pain or distress related to the medical illness. Choice B is incorrect because low self-esteem alone is not enough to conclusively suggest depression in this context, as it can also be a response to the challenges of dealing with a medical condition. Choice D is incorrect because loss of energy can be a symptom of both depression and medical illness, making it less specific to identifying depression in this case.
Question 2 of 5
When providing care to a patient, the psychiatric-mental health nurse is implementing the therapeutic use of self. The nurse is applying the concepts based on the work of which individual?
Correct Answer: A
Rationale: The correct answer is A: Hildegarde Peplau. Peplau is known for her work on interpersonal relations in nursing, emphasizing the therapeutic nurse-patient relationship. She developed the Theory of Interpersonal Relations, which focuses on the nurse's role in facilitating the patient's growth and development. Through this theory, nurses use themselves as therapeutic tools to promote healing. Florence Nightingale is known for her contributions to nursing practice, but not specifically for therapeutic use of self. Dorothea Dix was a mental health advocate, not directly related to therapeutic nurse-patient relationship. Sigmund Freud is known for psychoanalytic theory, which is not directly related to nurse-patient interactions.
Question 3 of 5
A client admitted for alcohol detoxification states,"I don't think my drinking has anything to do with why I am here in the hospital. I think I have problems with depression." Which statement by the nurse is the most therapeutic response?
Correct Answer: A
Rationale: The correct response is A because it demonstrates empathy and encourages self-reflection without invalidating the client's feelings. By acknowledging the client's perspective and gently prompting them to consider the impact of their drinking on their family, the nurse opens up the conversation for further exploration. Option B is incorrect as it dismisses the client's viewpoint and can lead to defensiveness. Option C is also incorrect as it imposes the nurse's perspective on the client and does not consider the complexity of the client's situation. Option D is incorrect as it assumes a causal relationship between the client's life events and drinking without exploring the client's feelings or thoughts.
Question 4 of 5
Tatiana has been hospitalized for an acute manic episode. On admission the nurse suspects lithium toxicity. What assessment findings would indicate the nurse's suspicion as correct?
Correct Answer: C
Rationale: Step 1: Lithium toxicity commonly presents with gastrointestinal distress, such as nausea and vomiting. Step 2: Thirst is a common symptom due to lithium-induced nephrogenic diabetes insipidus. Step 3: Nystagmus is an ocular manifestation seen in severe cases of lithium toxicity. Step 4: Therefore, choice C is correct as it includes all three typical assessment findings for lithium toxicity. Summary: Choices A, B, and D do not include the specific assessment findings associated with lithium toxicity.
Question 5 of 5
Which statement made by a patient demonstrates acceptance of criteria required of hospice care?
Correct Answer: B
Rationale: The correct answer is B because acceptance of the terminal nature of the illness is a key criterion for hospice care eligibility. By acknowledging that there is no cure for their illness and accepting this fact, the patient demonstrates understanding and readiness for the supportive care provided by hospice. Choices A, C, and D focus on personal preferences and concerns rather than acceptance of the terminal condition, making them incorrect in the context of hospice care criteria.