ATI RN
ATI Mental Health Capstone Assessment Questions
Question 1 of 5
Before assessing a new patient, a nurse is told by another health care worker, "I know that patient. No matter how hard we work, there isn't much improvement by the time of discharge." The nurse's responsibility is to
Correct Answer: B
Rationale: The correct answer is B because the nurse should assess the patient based on data collected from all sources to form an independent evaluation. This ensures a comprehensive understanding of the patient's condition and needs. Documenting the other worker's assessment (choice A) may limit the nurse's own assessment. Validating the worker's impression by contacting the patient's significant other (choice C) may introduce bias. Discussing the worker's impression with the patient during the assessment interview (choice D) may influence the patient's responses. The best approach is for the nurse to gather all relevant information and make an objective assessment.
Question 2 of 5
A nurse is preparing a presentation for family members of clients who have been diagnosed with depression. When describing the family response to depression, which of the following would the nurse include?
Correct Answer: B
Rationale: Correct Answer: B - Depression in one family member affects the entire family. Rationale: 1. Depression impacts the dynamics and functioning of the entire family due to changes in communication, relationships, and daily routines. 2. Family members may experience emotional distress, guilt, and frustration when trying to support the depressed individual. 3. The family system may adapt to accommodate the depressed member, leading to role changes and increased stress. 4. This choice accurately reflects the systemic nature of depression within the family unit. Summary of Incorrect Choices: A: Family members may struggle to fully understand the extent of depression's impact, as it can be complex and multifaceted. C: While abuse can occur in some families, it is not a universal response to depression and should not be generalized. D: Depression can affect individuals of all ages and genders, and problems within families are not limited to a specific demographic group.
Question 3 of 5
A nurse is part of a multidisciplinary team working with groups of depressed patients. One group of patients receives supportive interventions and antidepressant medication. The other group receives only medication. The team measures outcomes for each group. Which type of study is evident?
Correct Answer: D
Rationale: The correct answer is D: Clinical epidemiology. Clinical epidemiology involves studying the outcomes of interventions in patient groups, which is evident in this scenario. The nurse is part of a team measuring outcomes in depressed patients receiving different treatment approaches. A: Incidence refers to the rate of occurrence of new cases in a population over a specified period. This study is not focused on new cases but rather on the outcomes of interventions. B: Prevalence refers to the proportion of a population found to have a condition at a specific point in time. This study is not assessing the prevalence of depression but rather the outcomes of different treatment approaches. C: Comorbidity refers to the presence of two or more conditions in a patient. While comorbidity may be relevant in this study, the main focus is on the outcomes of interventions rather than the presence of multiple conditions. In summary, the study described involves evaluating outcomes of interventions in depressed patients, aligning with the principles of clinical epidemiology.
Question 4 of 5
A client with a history of opioid abuse is exhibiting manifestations of moderate withdrawal. Which of the following would the nurse expect to assess?
Correct Answer: C
Rationale: The correct answer is C: Dilated pupils. Opioid withdrawal commonly presents with dilated pupils due to the noradrenergic rebound effect. This occurs as the body tries to compensate for the suppression of noradrenaline caused by chronic opioid use. Rhinorrhea and lacrimation are associated with opioid withdrawal but are typically seen in early withdrawal stages. Dysphoria is a common symptom in opioid withdrawal but is not specific to moderate withdrawal.
Question 5 of 5
The nurse is assessing an 8-year-old child's self-concept. Which of the following would be least appropriate for the nurse to ask?
Correct Answer: D
Rationale: The correct answer is D because asking about breakfast is unrelated to self-concept assessment. Choices A, B, and C are relevant as they explore the child's aspirations, interests, and self-perception. Breakfast is a daily routine and does not provide insights into the child's self-concept. It is important for the nurse to focus on questions that directly relate to the child's thoughts, feelings, and perceptions of themselves rather than their daily activities.