ATI RN
Mental Health Assessment ATI Capstone Questions
Question 1 of 5
A parent of a child who is newly diagnosed with ADHD wants to know where to find resources to help her better understand this condition. You are the school nurse where the child is enrolled. What could you suggest to the mother?
Correct Answer: B
Rationale: The correct answer is B: Check the ADHD Resource Center for more information. This option is the best choice because the ADHD Resource Center is specifically dedicated to providing resources and information about ADHD. By accessing this center, the parent can find accurate and reliable information to better understand the condition and how to support their child. Option A is not recommended as relying solely on a Google search may lead to misinformation or overwhelming and unreliable sources. Option C is incorrect as early intervention and education are crucial in managing ADHD, so waiting may delay necessary support. Option D is not the most direct or specific resource for ADHD information compared to the ADHD Resource Center.
Question 2 of 5
A client suffered a stroke resulting in aphasia and dysarthria. Which communication adaptation technique by the nurse would be most helpful to this client?
Correct Answer: C
Rationale: The correct answer is C because for a client with aphasia and dysarthria, listening attentively, allowing time, and not interrupting are crucial for effective communication. By being patient and giving the client time to express themselves, the nurse can better understand their needs and facilitate communication. This approach shows respect and empathy towards the client's communication challenges. Choice A is incorrect because while using simple sentences can be helpful, it may not address the client's specific communication needs. Choice B is incorrect as speaking as though the client could hear may not necessarily improve understanding for someone with aphasia and dysarthria. Choice D is incorrect as providing an interpreter may not be necessary if the nurse can effectively communicate using techniques like active listening and patience.
Question 3 of 5
An adult says, "I never know the answers," and "My opinion does not count." Which psychosocial crisis was unsuccessfully resolved for this adult?
Correct Answer: C
Rationale: The correct answer is C: Autonomy versus shame and doubt. This adult's statements indicate feelings of inadequacy and lack of confidence in their own abilities and opinions, which align with the psychosocial crisis of autonomy versus shame and doubt. During this stage, individuals develop a sense of independence and self-confidence. The adult's statements suggest a failure to successfully navigate this crisis, leading to feelings of shame and doubt. Summary: A: Initiative versus guilt - This crisis focuses on developing a sense of purpose and direction, not directly related to the adult's statements. B: Trust versus mistrust - This crisis occurs in infancy and is about developing trust in others, not applicable to the adult's situation. D: Generativity versus self-absorption - This crisis occurs in middle adulthood, involving concerns about contributing to future generations, not relevant to the adult's feelings of inadequacy.
Question 4 of 5
When a nurse assesses an older adult patient, answers seem vague or unrelated to the questions. The patient also leans forward and frowns, listening intently to the nurse. An appropriate question for the nurse to ask would be
Correct Answer: A
Rationale: The correct answer is A: "Are you having difficulty hearing when I speak?" This is the most appropriate question as the patient's leaning forward and frowning could indicate potential hearing difficulties. By asking this question, the nurse can address a possible communication barrier and provide necessary accommodations. Option B, "How can I make this assessment interview easier for you?" is more general and may not directly address the specific issue of hearing difficulty. Option C, "I notice you are frowning. Are you feeling annoyed with me?" assumes the patient's emotions without addressing the potential hearing issue. Option D, "You're having trouble focusing on what I'm saying. What is distracting you?" assumes a focus issue rather than considering hearing impairment.
Question 5 of 5
A person speaking about a rival for a significant other's affection says in an emotional, syrupy voice, "What a lovely person. That's someone I simply adore." The individual is demonstrating
Correct Answer: A
Rationale: The correct answer is A: reaction formation. This defense mechanism involves expressing the opposite of what one truly feels to cope with unacceptable emotions. In this scenario, the person outwardly expresses admiration for the rival, masking their true feelings of jealousy or resentment. Repression (B) involves unconsciously blocking out unwanted thoughts or emotions, which is not demonstrated here. Projection (C) involves attributing one's own unacceptable thoughts or feelings to others, which is not evident in the scenario. Denial (D) is refusing to accept reality, which is also not applicable in this context. The emotional and overly positive expression in the scenario aligns with the concept of reaction formation.