ATI RN
ATI Capstone Mental Health Proctored Assessment Questions
Question 1 of 5
A patient's relationships are intense and unstable. The patient initially idealizes the significant other and then devalues him or her, resulting in frequent feelings of emptiness. This patient will benefit from interventions to develop which aspect of mental health?
Correct Answer: D
Rationale: The correct answer is D: Fulfilling relationships. Patients with intense and unstable relationships, idealization, devaluation, and feelings of emptiness likely have traits of borderline personality disorder. Developing fulfilling relationships is crucial in managing this disorder. It helps improve emotional stability, self-esteem, and coping skills. Effective work, communication skills, and productive activities are important but may not directly address the core issues of relationship instability and emotional dysregulation seen in this patient population.
Question 2 of 5
A patient checks and rechecks electrical cords related to an obsessive thought that the house may burn down. The nurse and patient explore the likelihood of an actual fire. The patient states this event is not likely. This counseling demonstrates principles of
Correct Answer: D
Rationale: The correct answer is D: cognitive restructuring. This counseling technique involves challenging and changing irrational thoughts, like the fear of the house burning down, by exploring evidence and creating more balanced perspectives. In this scenario, the nurse and patient are addressing the patient's obsessive thought by examining the likelihood of an actual fire, which aligns with cognitive restructuring. A: Flooding involves exposing the patient to the feared stimulus at full intensity, which is not demonstrated in the scenario. B: Desensitization involves gradually exposing the patient to the feared stimulus, not directly challenging irrational thoughts. C: Relaxation techniques aim to reduce anxiety and stress but do not address the underlying irrational thoughts like cognitive restructuring does.
Question 3 of 5
A bereavement group run by a local hospice includes a woman who is distraught over her supervisor's death. The woman appears severely distressed. She has trouble functioning with activities of daily living and making the simplest of decisions. The group facilitator recognizes that this woman is suffering from disenfranchised grief after learning:
Correct Answer: A
Rationale: The correct answer is A: The woman was in love with her married supervisor. This is correct because disenfranchised grief occurs when a person experiences a loss that is not openly acknowledged or socially supported, such as a secret romantic relationship with the deceased. In this case, the woman's profound distress and inability to function suggest a deep emotional connection beyond a professional one, explaining her intense reaction. Incorrect choices: B: She has not taken enough time off work to grieve properly - This choice assumes that time off work is the primary factor in grieving, which may not be relevant to the woman's situation. C: The supervisor died over a year ago - The timeline of the supervisor's death is not necessarily indicative of disenfranchised grief, as the nature of the relationship matters more. D: Her family is not involved enough to support her - While family support is important, disenfranchised grief is more about the nature of the relationship with the deceased rather than familial support.
Question 4 of 5
Cabot has multiple symptoms of depression including mood reactivity, social phobia, anxiety, and overeating. With a history of mild hypertension, which classification of antidepressants dispensed as a transdermal patch would be a safe medication?
Correct Answer: D
Rationale: Rationale: The correct answer is D, Monoamine oxidase inhibitor. MAOIs are safe for patients with mild hypertension as they do not have adverse effects on blood pressure. Additionally, MAOIs are known to be effective in treating symptoms of depression, anxiety, and overeating, which are present in Cabot's case. Tricyclic antidepressants (A) can have cardiovascular side effects, SSRIs (B) can cause weight gain, and SNRIs (C) may increase blood pressure. MAOIs are the safest option considering Cabot's symptoms and medical history.
Question 5 of 5
Nurse is giving discharge instructions to a client who has a new ileostomy. The nurse should recognize that the teaching has been effective when the client states:
Correct Answer: B
Rationale: The correct answer is B because ileostomy typically drains liquid continuously due to the high fluid content of the small intestine. This statement indicates the client understands the normal function of their stoma. A is incorrect because medications for ileostomy patients are usually not enteric coated. C is incorrect because pouch system change frequency varies, often daily or every few days, not every two weeks. D is incorrect because the stoma will change in size during the healing process.