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
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.
Question 3 of 5
The biological approach to treating depression with electrodes surgically implanted into specific areas of the brain to stimulate the regions identified to be underactive in depression is:
Correct Answer: B
Rationale: The correct answer is B: Deep brain stimulation. This approach involves surgically implanting electrodes in specific brain areas to stimulate underactive regions in depression. It is effective in modulating neural circuits associated with mood regulation. Transcranial magnetic stimulation (A) involves non-invasive magnetic pulses to stimulate brain regions. Vagus nerve stimulation (C) targets the vagus nerve to regulate mood. Electroconvulsive therapy (D) uses controlled electric currents to induce seizures, primarily for severe depression cases. However, deep brain stimulation is specifically aimed at targeting and stimulating underactive brain regions associated with depression, making it the most appropriate choice in this context.
Question 4 of 5
Which patient statement indicates the helpfulness of the nurse-patient relationship?
Correct Answer: A
Rationale: The correct answer is A because the patient expresses gratitude for the nurse's support, acknowledges increased understanding, and demonstrates empowerment in managing their issue. This indicates a positive and effective nurse-patient relationship. Choice B focuses on seeking advice rather than mutual understanding. Choice C highlights the nurse's role in controlling anxiety, overshadowing the patient's agency. Choice D emphasizes sympathy from the nurse rather than the patient's growth and understanding.
Question 5 of 5
When caring for a client in the psychiatric unit, the new nurse in the unit approaches the client with the morning medications. The client responds to the nurse with, 'I know I can't trust you!' What should the nurse consider when attempting to understand the client's statement?
Correct Answer: B
Rationale: The correct answer is B: The statement could be an example of transference to the nurse. Transference occurs when a client unconsciously projects feelings and attitudes from past relationships onto the nurse. In this scenario, the client's mistrust may stem from previous negative experiences with healthcare providers. It is crucial for the nurse to recognize transference to understand the client's behavior and provide appropriate care. Incorrect options: A: The statement being inappropriate is a judgment and does not address the underlying psychological dynamics. C: Countertransference refers to the nurse's emotional reaction to the client, not the client's projection. D: While the statement reflects the client's feelings, it does not address the deeper psychological process of transference.