ATI RN
ATI Capstone Mental Health Assessment Quizlet Questions
Question 1 of 5
Anxiety problems in older adults can manifest as a fear of falling, greatly influencing an older adult's personal freedom. A home health nurse checking on a patient with mild dementia and anxiety related to falling should question which new order?
Correct Answer: D
Rationale: The correct answer is D: Electric wheelchair. This is because anxiety related to falling can impact an older adult's mobility and independence. Providing an electric wheelchair can help the patient move around safely and independently, reducing the fear of falling and promoting personal freedom. Choice A: Yoga and tai-chi may help with relaxation and balance, but they may not address the immediate mobility concerns of the patient with mild dementia and anxiety related to falling. Choice B: Xanax is a medication commonly used to treat anxiety, but it may not address the underlying mobility issues and could potentially cause side effects in older adults. Choice C: Relaxation techniques can be beneficial for managing anxiety, but in this case, addressing the patient's mobility concerns with an electric wheelchair would be more appropriate and effective.
Question 2 of 5
The nurse is developing a care plan for a client with schizotypal personality disorder. The client has reported a recent history of magical thinking. What does the nurse note is the priority nursing diagnosis?
Correct Answer: D
Rationale: The correct answer is D: disturbed thought process. This is the priority nursing diagnosis because magical thinking is a common symptom of schizotypal personality disorder, indicating a disturbance in thought process. Addressing this issue is crucial for the client's overall well-being and treatment success. Choice A (anxiety) may be a secondary concern related to the client's symptoms but not the priority. Choice B (risk for loneliness) is not directly related to the client's current symptom of magical thinking. Choice C (risk for self-harm) is important to assess but may not be the priority at this time compared to addressing the core symptom of disturbed thought process.
Question 3 of 5
The nurse uses the clock face assessment test to obtain which assessment data?
Correct Answer: A
Rationale: The clock face assessment test is used to assess cognitive function, particularly visuospatial abilities and executive functioning. The correct answer is A because it helps in detecting early signs of neurocognitive disorders such as Alzheimer's disease. By analyzing how the patient draws a clock face, the nurse can identify cognitive impairment. Choice B is incorrect as the clock face test is not used to assess overall functioning. Choice C is incorrect as it does not specifically provide evidence of alcohol/substance use disorders. Choice D is incorrect as the clock face test is not primarily used to detect signs and symptoms of depression.
Question 4 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 5 of 5
Inpatient hospitalization for persons with mental illness is generally reserved for patients who
Correct Answer: A
Rationale: The correct answer is A because inpatient hospitalization for mental illness is typically reserved for patients who present a clear danger to themselves or others. This criterion ensures the safety of the individual and those around them. Patients who pose a risk require immediate intervention and close monitoring in a controlled environment to prevent harm. Choices B, C, and D are incorrect because noncompliance with medication, limited support systems, or developing new symptoms may not necessarily warrant inpatient hospitalization unless they lead to a clear danger to self or others. It is crucial to prioritize safety and address imminent risks in determining the need for inpatient care.