ATI RN
RN ATI Capstone Mental Health Quiz Questions
Question 1 of 5
A psychiatric-mental health nurse is implementing evidence-based practice. The nurse understands that this approach is developed by doing which of the following first?
Correct Answer: B
Rationale: The correct answer is B: Identifying a clinical question. This is the first step in implementing evidence-based practice because it helps focus the research efforts on a specific issue or problem. By identifying a clinical question, the nurse can then conduct research to gather evidence that will guide decision-making. The other choices are incorrect: A: Conducting research - While conducting research is an essential part of evidence-based practice, it comes after identifying a clinical question. C: Determining outcomes - Determining outcomes is crucial for evaluating the effectiveness of interventions, but it is not the first step in developing evidence-based practice. D: Collaborating with the patient - Collaborating with the patient is important in providing individualized care, but it is not the initial step in implementing evidence-based practice.
Question 2 of 5
A person was supposed to meet a friend at a local theatre to see a movie. The friend never showed up. The person's initial thought was, 'My friend didn't come because she doesn't like me.' This automatic thought was most likely inferred from which irrational belief?
Correct Answer: A
Rationale: The correct answer is A: "I'm worthless, so no one could really want to be my friend." This automatic thought reflects the irrational belief of personal worthlessness leading to the assumption that others do not genuinely like or care about the person. This cognitive distortion is known as personalization, where the individual attributes external events to themselves in a negative way. In this scenario, the person's immediate conclusion that the friend didn't show up because of a personal flaw is an example of personalization. Other choices are incorrect because: B: "Movies are a waste of time and money anyway." - This choice introduces a different irrational belief about movies, not about personal worthiness. C: "I'm sure she just got confused and thought we were going to a different movie." - This choice reflects a more neutral assumption without negative self-evaluation. D: "I'm so forgetful and confused sometimes; I probably wrote down the wrong time." - This choice involves self-blame for a practical
Question 3 of 5
A nurse is participating as a speaker in a public workshop on the topic of promoting mental health in young and middle-aged adults. The nurse tells the audience that age, unemployment, and lower education are risk factors associated with mental illness. A woman raises her hand and asks, 'Does that mean because I only have a 10th grade education and am unemployed that I will develop a mental illness?' Which response by the nurse would be most appropriate?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. The response acknowledges the increased chance of developing mental illness but does not definitively state that the woman will develop one. 2. It provides a balanced and realistic perspective without causing unnecessary fear or alarm. 3. It emphasizes the importance of recognizing risk factors without making absolute predictions. Summary of Other Choices: B. Incorrect because it deflects the question by making irrelevant statements about rural areas and large cities. C. Incorrect because it is overly pessimistic and lacks evidence-based support for claiming the woman will develop a mental illness. D. Incorrect because it oversimplifies the issue by solely focusing on medication as a solution, neglecting the complexity of mental health risks.
Question 4 of 5
A nursing instructor is describing uncomplicated grief to a class. Which of the following would the instructor most likely include in the discussion?
Correct Answer: B
Rationale: The correct answer is B because uncomplicated grief is a common response to loss that does not result in significant disruption to daily life or functioning. The instructor would likely include this in the discussion to emphasize that most individuals experiencing grief will go through a period of uncomplicated grief. It is important for students to understand that uncomplicated grief is a normal and expected part of the grieving process. Choice A is incorrect because the duration of grief does not determine whether it is uncomplicated or not. Choice C is incorrect because uncomplicated grief can be associated with various types of losses, not just death. Choice D is incorrect because uncomplicated grief can still be painful and disruptive, even though it is less severe than complicated grief.
Question 5 of 5
The nurse is caring for a client with major depression. The client tells the nurse that she just isn't sure that life is worth living. The nurse documents which nursing diagnosis as the priority?
Correct Answer: B
Rationale: The correct answer is B: Hopelessness related to symptoms of depression. This is the priority nursing diagnosis because the client expressing uncertainty about the value of life indicates a profound sense of hopelessness, which is a significant concern in major depression. By addressing hopelessness, the nurse can work towards improving the client's outlook on life and potential suicidal ideation. Choices A, C, and D are incorrect as self-esteem, anxiety, and thought processes may be influenced by depression but do not directly address the client's expressed feelings of hopelessness and worthlessness. Hopelessness is the most critical issue to address in this scenario to ensure the client's safety and well-being.