ATI RN
ATI Mental Health Capstone Assessment Questions
Question 1 of 9
A patient with an abdominal mass is scheduled for a biopsy. The patient has difficulty understanding the nurse's comments and asks, "What do you mean? What are they going to do?" Assessment findings include tremulous voice, respirations 28, and pulse 110. What is the patient's level of anxiety?
Correct Answer: B
Rationale: The correct answer is B: Moderate. The patient's tremulous voice, increased respirations, and elevated pulse indicate a moderate level of anxiety. These physiological signs suggest heightened stress and arousal, which are characteristic of moderate anxiety. Mild anxiety would not typically present with such pronounced physical symptoms. Severe anxiety would exhibit even more severe physical manifestations, while panic anxiety would involve extreme distress and potential loss of control.
Question 2 of 9
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 9
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 4 of 9
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 5 of 9
Which interaction is an example of dialogue that would be used in the context of reality therapy?
Correct Answer: D
Rationale: The correct answer is D because it reflects the key principles of reality therapy, which focuses on personal responsibility and choices. In this dialogue, the nurse is helping the client explore their behavior and choices that led to the consequence of losing their pass. By asking the client about their actions and readiness for the pass, the nurse is encouraging self-reflection and accountability. This approach aligns with reality therapy's emphasis on helping clients understand how their choices impact their lives. Choices A, B, and C are incorrect because they do not directly address personal responsibility and choice. Choice A focuses on offering a relaxation exercise without addressing the client's role in managing their anxiety. Choice B focuses on exploring the client's past experiences with punishment but does not guide the client towards self-reflection on their current behavior. Choice C suggests discussing anxiety without directly addressing the client's choices or accountability.
Question 6 of 9
While assessing an older adult, the nurse allows ample time for the patient to respond based on the understanding of which of the following?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Allowing ample time for the older adult to respond acknowledges the possible cognitive changes that may come with aging. 2. It promotes effective communication and respects the individual's autonomy. 3. It helps reduce the risk of miscommunication and misunderstanding. 4. It enhances the nurse's ability to gather accurate information and provide appropriate care. Summary: B: This choice assumes irreversible memory impairment without evidence, leading to premature judgment. C: Decreased cerebral oxygen flow is not necessarily related to the need for ample time in communication with older adults. D: Weighing pros and cons of perceived risk is not directly related to the need for ample time in communication with older adults.
Question 7 of 9
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 8 of 9
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 9 of 9
A nurse is preparing a presentation for family members of clients who have been diagnosed with depression. When describing the family response to depression, which of the following would the nurse include?
Correct Answer: B
Rationale: Correct Answer: B - Depression in one family member affects the entire family. Rationale: 1. Depression impacts the dynamics and functioning of the entire family due to changes in communication, relationships, and daily routines. 2. Family members may experience emotional distress, guilt, and frustration when trying to support the depressed individual. 3. The family system may adapt to accommodate the depressed member, leading to role changes and increased stress. 4. This choice accurately reflects the systemic nature of depression within the family unit. Summary of Incorrect Choices: A: Family members may struggle to fully understand the extent of depression's impact, as it can be complex and multifaceted. C: While abuse can occur in some families, it is not a universal response to depression and should not be generalized. D: Depression can affect individuals of all ages and genders, and problems within families are not limited to a specific demographic group.