ATI RN
ATI Capstone Mental Health Proctored Assessment Questions
Question 1 of 5
After studying nursing interventions in the context of nursing theory, the nursing student understands that Neuman is to primary, secondary, or tertiary prevention as Roy is to:
Correct Answer: C
Rationale: Rationale: Neuman's theory focuses on prevention through interventions that alter or manage stimuli for adaptive responses. Roy's theory, on the other hand, emphasizes adapting to stimuli. This makes choice C the correct answer. Choices A, B, and D do not align with Roy's theory as they focus on different aspects of nursing care unrelated to her theory.
Question 2 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 3 of 5
The desired outcome for a patient experiencing insomnia is, "Patient will sleep for a minimum of 5 hours nightly within 7 days." At the end of 7 days, review of sleep data shows the patient sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. What is the nurse's next action?
Correct Answer: D
Rationale: The correct answer is D. The nurse should examine interventions for possible revision of the target date. This is because the patient is not meeting the desired outcome of sleeping for a minimum of 5 hours nightly within 7 days. By examining interventions, the nurse can assess the effectiveness of the current plan and make necessary adjustments to help the patient achieve the desired outcome. Continuing the current plan without changes (choice A) would not address the issue of the patient not meeting the sleep goal. Removing the nursing diagnosis from the plan of care (choice B) would neglect the patient's ongoing sleep difficulties. Writing a new nursing diagnosis (choice C) does not address the need to evaluate and adjust the current interventions.
Question 4 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 5 of 5
A 25-year-old woman who recently had abdominal surgery was admitted to the psychiatric unit, where it was determined that she had a borderline personality disorder. During the first week on the unit, it was determined that she also has diabetes. Her diabetes mellitus would be listed in which axis of her DSM-IV-TR diagnosis?
Correct Answer: C
Rationale: The correct answer is C: Axis III. Axis III in the DSM-IV-TR is used for medical conditions that are relevant to the individual's mental health diagnosis. In this case, the woman's diabetes would be listed on Axis III because it is a medical condition that can impact her mental health and treatment. Diabetes is a physical health issue that can affect emotional well-being and may influence the course of her psychiatric treatment. A: Axis I is for clinical disorders such as mood disorders or anxiety disorders. B: Axis II is for personality disorders and mental retardation. D: Axis IV is for psychosocial and environmental stressors. Therefore, the correct placement for the woman's diabetes mellitus in her DSM-IV-TR diagnosis would be on Axis III.