ATI RN
Mental Health Assessment ATI Capstone Questions
Question 1 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.
Question 2 of 5
When communicating with a patient, which of the following would the nurse use to convey positive body language?
Correct Answer: C
Rationale: The correct answer is C: Sitting at the patient's eye level. This choice promotes open communication and shows respect to the patient. It helps establish a connection and makes the patient feel valued. Sitting erect (A) shows attentiveness, but not necessarily positive body language. Crossing arms (B) can signal defensiveness or closed-off attitude. Keeping feet flat on the floor with legs crossed (D) may appear relaxed but can be perceived as too casual or disengaged in a healthcare setting.
Question 3 of 5
A nurse is leading a group in which members are encouraged to discuss their feelings and emotions. The group session is just starting when a patient stomps into the room, slams his notebook down on a table, and sits down. His affect is one of anger and hostility. Which response by the nurse would be most appropriate?
Correct Answer: D
Rationale: The correct response is D: Encourage the patient to discuss his anger with the group. This option promotes open communication, which can help the patient express and process his emotions in a supportive environment. By addressing the anger directly, the nurse can facilitate the patient's emotional expression and potentially uncover underlying issues contributing to his hostility. It also allows the group members to practice empathy and understanding towards the patient's emotions, fostering a sense of community and trust. Option A: Keeping the focus off the patient may lead to avoidance of the issue and hinder potential therapeutic progress. Option B: Suggesting private counseling may be beneficial but does not address the immediate situation or utilize the group dynamic for support. Option C: Asking the patient to leave the group may escalate the situation and could isolate the patient further, potentially exacerbating his anger.
Question 4 of 5
A group of nursing students is reviewing risk and protective factors associated for mental disorders in the older adult population. The students demonstrate understanding of the information when they identify which of the following as a protective factor?
Correct Answer: B
Rationale: The correct answer is B: Education. Education is a protective factor for mental disorders in older adults because higher levels of education are associated with better cognitive functioning and a lower risk of developing mental health issues. Education also provides individuals with better problem-solving skills and access to resources that can help them cope with stressors. A: Poverty is incorrect because it is a risk factor for mental disorders due to increased stress, lack of access to resources, and limited opportunities for mental health care. C: Loss is incorrect as it can be a risk factor for mental disorders in older adults, such as grief and depression following the loss of a loved one. D: Chronic illness is incorrect as it can also be a risk factor for mental disorders due to the physical and emotional burden it places on individuals.
Question 5 of 5
A nurse is performing an assessment of a patient with suicidal ideation. Which question would the nurse most likely ask to determine the degree of planning?
Correct Answer: C
Rationale: The correct answer is C. Asking "Could you stop yourself from killing yourself?" helps assess the degree of planning as it gauges the patient's ability and intention to prevent the act. Choice A focuses on intent, not planning. Choice B relates to past attempts, not current planning. Choice D addresses distress level, not planning. Thus, C is the best choice for evaluating the patient's current planning regarding suicide.