ATI RN
ATI Capstone Mental Health Assessment Quizlet Questions
Question 1 of 5
After teaching a class on antipsychotic agents, the instructor determines that the teaching was successful when the class identifies which of the following as an example of a second-generation antipsychotic agent?
Correct Answer: C
Rationale: The correct answer is C: Quetiapine (Seroquel) is a second-generation antipsychotic agent. This is because second-generation antipsychotics, also known as atypical antipsychotics, have a lower risk of extrapyramidal side effects compared to first-generation antipsychotics. Quetiapine is known for its efficacy in treating both positive and negative symptoms of schizophrenia. Fluphenazine, Thiothixene, and Chlorpromazine are all first-generation antipsychotic agents and are associated with a higher risk of extrapyramidal side effects and other adverse effects. Therefore, the correct choice for a second-generation antipsychotic agent is Quetiapine.
Question 2 of 5
The right to determine one's own destiny is to"autonomy" as the duty to benefit or promote the good of others is to:
Correct Answer: D
Rationale: The correct answer is D, "Beneficence." Beneficence refers to the duty to benefit others and promote their well-being, which is parallel to autonomy's focus on self-determination. Autonomy emphasizes individuals making decisions for themselves, while beneficence emphasizes acting in the best interests of others. Nonmaleficence (A) is the duty to do no harm, not necessarily to actively promote good. Justice (B) is about fairness and equal treatment, not specifically about benefiting others. Veracity (C) is about truth-telling, not necessarily about promoting the good of others. In this context, "Beneficence" is the most appropriate choice as it aligns with the concept of promoting the well-being of others.
Question 3 of 5
A patient being treated for insomnia is prescribed ramelteon (Rozerem). Which comorbid mental health condition would make this medication the hypnotic of choice for this particular patient?
Correct Answer: D
Rationale: The correct answer is D: Substance use disorder. Ramelteon is the preferred hypnotic for patients with substance use disorder as it lacks abuse potential and does not affect the GABA system, reducing the risk of dependence. Patients with substance use disorder are at higher risk of developing addiction to traditional hypnotics like benzodiazepines. Ramelteon's unique mechanism of action targeting melatonin receptors makes it a safer option for this patient population. Incorrect Choices: A: Obsessive-compulsive disorder - Ramelteon is not specifically indicated for OCD. B: Generalized anxiety disorder - While ramelteon may help with sleep in patients with anxiety, it is not the preferred choice for this condition. C: Persistent depressive disorder - Ramelteon is not typically used as a first-line treatment for depression-related insomnia.
Question 4 of 5
A patient is engaged in bibliotherapy and begins to express his feelings because he closely associates his experience with that provided by the reading material. The nurse interprets this as which of the following?
Correct Answer: B
Rationale: The correct answer is B: Catharsis. Catharsis refers to the process of emotional release and purification through expressing feelings and emotions. In this scenario, the patient is engaging in bibliotherapy and expressing his feelings, indicating a release of pent-up emotions. This is a therapeutic process that allows the patient to process and cope with their emotions in a healthy way. Choice A: Insight is incorrect as it refers to gaining a deeper understanding or awareness, which is not explicitly mentioned in the scenario. Choice C: Anxiety reduction is incorrect as the scenario does not specify that the patient's goal is to reduce anxiety, but rather to express feelings associated with the reading material. Choice D: Problem solving is incorrect as the scenario does not involve the patient actively working through a specific problem, but rather expressing emotions related to the reading material.
Question 5 of 5
An intramuscular dose of antipsychotic medication needs to be administered to a patient who is becoming increasingly more aggressive and refused to leave the day room. The nurse should enter the day room
Correct Answer: B
Rationale: The correct answer is B because it prioritizes de-escalation and patient cooperation by using a calm and empathetic approach. Accompanied by staff members ensures safety and support. It communicates the purpose of the medication positively. Choice A lacks support and may not address the patient's aggression. Choice C uses a physical hold, which can escalate the situation. Choice D introduces a security guard, potentially increasing hostility and fear. Overall, choice B aligns with best practices for managing aggressive behavior in a therapeutic and respectful manner.