ATI RN
ATI Mental Health Capstone Assessment Questions
Question 1 of 5
A nurse is working in a community mental health center that provides care to a large population of Asian descent. When developing programs for this community, which of the following would be most important for the nurse to address?
Correct Answer: C
Rationale: The correct answer is C: Label avoidance. In Asian cultures, there is a strong emphasis on saving face and avoiding labels related to mental health issues. This can lead individuals to avoid seeking help or disclosing their struggles to others. Addressing label avoidance is crucial in order to reduce barriers to accessing mental health services within the Asian community. Incorrect choices: A: Public stigma - While public stigma is important to address, the focus should be on understanding and addressing the specific cultural factors that contribute to stigma within the Asian community. B: Self-stigma - While self-stigma is significant, addressing label avoidance can help individuals overcome internalized stigma by creating a more accepting environment. D: Negative life events - While negative life events can impact mental health, addressing label avoidance is more essential in this context to ensure individuals feel comfortable seeking help despite these challenges.
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
A female psychiatric patient is talking to the nurse about her reasons for being hospitalized. She begins to discuss her relationship with her female significant other. The patient is describing the things in her relationship that are making her uncomfortable, and she asks the nurse, 'Should I break up with my partner?' Which response by the nurse would be most effective in building rapport between the patient and nurse?
Correct Answer: C
Rationale: The correct response is C: "It sounds like you're beginning to be uncomfortable in this relationship." This response is effective because it acknowledges the patient's feelings and shows empathy without judgment. It validates the patient's concerns and opens up further discussion. Option A is incorrect as it is judgmental and dismissive of the patient's sexual orientation. Option B is also incorrect as it ignores the patient's current feelings and suggests pursuing a relationship based on societal norms. Option D is incorrect as it shifts the focus away from the patient's concerns and does not address the underlying issues in the relationship.
Question 4 of 5
The nurse is assessing an 8-year-old child's self-concept. Which of the following would be least appropriate for the nurse to ask?
Correct Answer: D
Rationale: The correct answer is D because asking about breakfast is unrelated to self-concept assessment. Choices A, B, and C are relevant as they explore the child's aspirations, interests, and self-perception. Breakfast is a daily routine and does not provide insights into the child's self-concept. It is important for the nurse to focus on questions that directly relate to the child's thoughts, feelings, and perceptions of themselves rather than their daily activities.
Question 5 of 5
When engaged in rational emotive behavior therapy, which of the following would be addressed during the activating event sequence?
Correct Answer: B
Rationale: Rationale: In rational emotive behavior therapy, the activating event sequence involves identifying the activating event, the beliefs triggered, and the emotional and behavioral consequences. Choice B, assessing the consequences of the problem, is correct as it helps the individual understand the impact of their beliefs and emotions. This step is crucial in identifying irrational beliefs and challenging them. Choices A, C, and D are incorrect as they do not specifically address the consequences of the activating event, which is essential in the context of REBT. Choice A focuses on beliefs and consequences, but fails to emphasize the assessment of consequences like choice B. Choice C refers to working through a process, which is too vague and does not specifically target the consequences. Choice D is about preparing the patient to strengthen rational beliefs, which comes after addressing the consequences in the therapy process.