ATI RN
ATI Capstone Mental Health Pre Assessment Questions
Question 1 of 9
After teaching a group of nursing students about crisis, the instructor determines that the teaching was successful when the students state which of the following?
Correct Answer: B
Rationale: The correct answer is B: Crisis is a time-limited event. This is correct because a crisis is typically a temporary situation that occurs when an individual is unable to cope with a stressful event or situation. It is characterized by a sense of urgency and the need for immediate action to restore stability. Understanding that a crisis is time-limited helps individuals focus on problem-solving and coping strategies to navigate through the difficult period. Incorrect Choices: A: Crisis triggers maladaptive responses - This is incorrect because not everyone responds to a crisis in a maladaptive way. Individuals may exhibit a range of responses, including adaptive coping mechanisms. C: Chronic crisis is a real situation - This is incorrect as a crisis, by definition, is an acute, time-limited event. Chronic stressors may lead to ongoing challenges, but these are typically not considered crises. D: Events causing a crisis are similar for everyone - This is incorrect because the events leading to a crisis can vary greatly among individuals, depending on their unique
Question 2 of 9
A group of students are reviewing information about mental health care after World War II. The students demonstrate understanding of this information when they identify which of the following as a result of the National Mental Health Act?
Correct Answer: C
Rationale: The correct answer is C, Establishment of the National Institute of Mental Health (NIMH), as a result of the National Mental Health Act. This is because the National Mental Health Act of 1946 led to the creation of NIMH in 1949. NIMH is dedicated to research on mental illnesses and disorders, promoting mental health, and providing resources for mental health professionals and the public. Choice A, Discovery of psychopharmacology, is incorrect as it is not a direct result of the National Mental Health Act. Choice B, Passage of the Hill-Burton Act, is also incorrect as it focused on improving hospital facilities, not specifically mental health care. Choice D, Development of community mental health centers, is incorrect as it was a result of the Community Mental Health Centers Act of 1963, not the National Mental Health Act.
Question 3 of 9
A 33-year-old female diagnosed with bipolar I disorder has been functioning well on lithium for 11 months. At her most recent checkup, the psychiatric nurse practitioner states, 'You are ready to enter the maintenance therapy stage, so at this time I am going to adjust your dosage by prescribing':
Correct Answer: C
Rationale: The correct answer is C: A lower dosage. This adjustment is appropriate for maintenance therapy in bipolar I disorder to prevent toxicity and maintain therapeutic levels. Lowering the dose reduces the risk of adverse effects while still providing the necessary benefits. Increasing the dosage (choice A) may lead to toxicity. Once a week dosing (choice B) is not standard for lithium. Switching to a different drug (choice D) is not necessary if the patient has been responding well to lithium.
Question 4 of 9
Considering the many criteria for good mental health, the nursing student has been instructed to list four of these criteria. The student's list consists of the following: (1) an appropriate perception of reality, (2) the ability to accept oneself, (3) the ability to establish relationships, and (4) a need for detachment and the desire for privacy. How would the nurse evaluate the nursing student's list?
Correct Answer: B
Rationale: The correct answer is B because three out of the four criteria listed by the student are correct. (1) an appropriate perception of reality, (2) the ability to accept oneself, and (3) the ability to establish relationships are indeed important criteria for good mental health. However, (4) a need for detachment and the desire for privacy is not typically considered a criteria for good mental health. It is important to emphasize that maintaining healthy boundaries and privacy is essential, but it is not a defining criteria for good mental health. Therefore, the student's list is good but not perfect.
Question 5 of 9
When the nurse has developed a therapeutic relationship with the client, what is a true statement about nursing care?
Correct Answer: B
Rationale: The correct answer is B because when the nurse has a therapeutic relationship with the client, it means they work collaboratively. The nurse considers the client a partner in care planning, involving them in decision-making and respecting their autonomy. This approach fosters trust and empowers the client in their care. A: The nurse should maintain professional boundaries and not become friends with the client to avoid conflicts of interest. C: Adhering strictly to the plan of care without flexibility may not meet the client's individual needs and preferences. D: While avoiding a directive approach is important, there are times when the nurse needs to provide guidance and direction for the client's benefit.
Question 6 of 9
After teaching a group of nursing students about crisis, the instructor determines that the teaching was successful when the students state which of the following?
Correct Answer: B
Rationale: The correct answer is B: Crisis is a time-limited event. This is correct because a crisis is typically a temporary situation that occurs when an individual is unable to cope with a stressful event or situation. It is characterized by a sense of urgency and the need for immediate action to restore stability. Understanding that a crisis is time-limited helps individuals focus on problem-solving and coping strategies to navigate through the difficult period. Incorrect Choices: A: Crisis triggers maladaptive responses - This is incorrect because not everyone responds to a crisis in a maladaptive way. Individuals may exhibit a range of responses, including adaptive coping mechanisms. C: Chronic crisis is a real situation - This is incorrect as a crisis, by definition, is an acute, time-limited event. Chronic stressors may lead to ongoing challenges, but these are typically not considered crises. D: Events causing a crisis are similar for everyone - This is incorrect because the events leading to a crisis can vary greatly among individuals, depending on their unique
Question 7 of 9
Which statement made to the grieving patient demonstrates effective therapeutic communication? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because it acknowledges and validates the patient's feelings without making assumptions or imposing personal beliefs. It focuses on the patient's emotions and provides empathy and support. B: Imposes a religious belief that may not align with the patient's beliefs. C: Implies the patient should feel a certain way, which can be invalidating. D: Assumes what the patient wants without considering their feelings or preferences.
Question 8 of 9
A nurse is talking with a 57-year-old client who has been a heavy drinker for many years. The client is being treated for alcoholism, and this is her second week as an inpatient on the psychiatric unit. It is 5:00 AM, and the client has been having difficulty sleeping. The client is an orthopedic nurse, and although she is clothed in a hospital-issued gown and robe, she is wearing a stethoscope around her neck that the nurse recognizes as belonging to one of the staff nurses. When the nurse asks her why she is wearing the stethoscope and where she got it, the client gives her a long and involved reply that basically describes how her nursing supervisor came to visit and gave it to her to wear 'so she'd remember to get well.' The nurse suspects that the client may be experiencing which of the following?
Correct Answer: C
Rationale: Rationale: The correct answer is C: Korsakoff's psychosis. This is because the client's long and involved reply with false information about receiving the stethoscope from her nursing supervisor is indicative of confabulation, a common symptom of Korsakoff's psychosis. This condition is typically associated with chronic alcohol abuse and thiamine deficiency, leading to memory issues and confabulation. Incorrect options: A: Wernicke's syndrome is characterized by a triad of symptoms including confusion, ataxia, and ophthalmoplegia, not confabulation. B: Delirium tremens is a severe form of alcohol withdrawal that presents with hallucinations, tremors, and autonomic instability, not confabulation. D: Malignant hyperthermia is a rare but life-threatening reaction to certain medications used during anesthesia, not related to the client's behaviors or symptoms described in the scenario.
Question 9 of 9
During a staff meeting, a therapist mentions planning to use bibliotherapy with a patient. Later that morning, the patient approaches the nurse and says his therapist just talked to him but that he is having trouble understanding what his therapist wants him to do. When the nurse asks him to clarify his concern, he asks what 'bibliotherapy' really means. Which response by the nurse would be most appropriate?
Correct Answer: D
Rationale: The correct answer is D because bibliotherapy involves using books to help individuals understand and cope with emotional or psychological problems. This form of therapy encourages patients to read specific books that address their issues, providing insights and strategies for personal growth and healing. Option A is incorrect as it focuses on listing books rather than actual reading for therapeutic purposes. Option B is incorrect as it misrepresents bibliotherapy as a shopping-related coping technique. Option C is incorrect as it suggests the therapist imparts knowledge rather than utilizing books as the main therapeutic tool.