ATI RN
ATI Mental Health Capstone Assessment Questions
Question 1 of 5
A nurse is working for a mobile homeless treatment program. Which method would the nurse most likely use to provide follow-up care to clients?
Correct Answer: B
Rationale: The correct answer is B, riding a bicycle to wherever the client happens to be. This method is most likely used for follow-up care in a mobile homeless treatment program because it allows the nurse to reach clients who may not have consistent access to transportation or a fixed address. By being mobile, the nurse can ensure continuity of care and provide services directly to clients in their own environment. Option A, seeing them by appointment at a clinic office, may not be feasible for homeless clients due to transportation and scheduling challenges. Option C, meeting the client in a public place easily accessible by taxi, may not be practical if the client's location changes frequently. Option D, using the telephone to determine how well the clients are doing, lacks the personal connection and hands-on assessment that may be necessary for providing effective follow-up care in this setting.
Question 2 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 3 of 5
The nurse is caring for a 30-year-old white man whose wife has recently died. The patient has been diagnosed with clinical depression and is demonstrating insufficient coping skills. Which action by the nurse would be most important?
Correct Answer: D
Rationale: The correct answer is D because asking the patient if he is thinking about killing himself is crucial in assessing suicide risk, which is a primary concern in cases of clinical depression. This step allows the nurse to evaluate the patient's safety and take appropriate measures to prevent self-harm. Referring the patient for long-term psychotherapy (A) is important but not the most immediate concern in ensuring the patient's safety. Determining the patient's risk of psychosis (B) is not as relevant in this scenario as addressing the immediate risk of suicide. While understanding the patient's family history of depression (C) may provide context, it does not directly address the patient's current safety and well-being.
Question 4 of 5
A nurse encounters an unfamiliar psychiatric disorder on a new patient's admission form. Which resource should the nurse consult to determine criteria used to establish this diagnosis?
Correct Answer: C
Rationale: Rationale: The correct answer is C: Diagnostic and Statistical Manual of Mental Disorders (DSM-V). The DSM-V is the standard classification of mental disorders used by healthcare professionals. It provides criteria for diagnosing psychiatric disorders based on research and clinical expertise. Other choices are incorrect because: A (ICD-10) is a classification system for all diseases, not specific to psychiatric disorders; B (ANA's standards) focuses on nursing practice, not diagnosis; D (behavioral health manual) may not provide standardized diagnostic criteria. The DSM-V is the most appropriate resource for accurate psychiatric diagnosis.
Question 5 of 5
A charge nurse is discussing the use of applying ice to a client's injured knee with a newly licensed nurse. Which of the following should the nurse identify as a benefit?
Correct Answer: C
Rationale: Rationale: Applying ice to an injured knee helps decrease capillary permeability by constricting blood vessels, reducing swelling and inflammation. This promotes healing and pain relief. Other choices are incorrect as ice does not have a systemic analgesic effect, increase metabolism, or cause vasodilation.