ATI RN
ATI Mental Health Capstone Assessment Questions
Question 1 of 5
Demanding proof from the client is to"challenging" as persistent questioning of the client and pushing for answers the client does not wish to discuss is to:
Correct Answer: D
Rationale: The correct answer is D: "Probing." Probing involves persistently questioning and pushing for answers from the client, similar to how demanding proof challenges the client. Probing seeks to uncover deeper insights or information, even if the client may not initially wish to discuss it. A: "Advising" is incorrect because advising involves offering guidance or recommendations to the client, which is different from persistent questioning. B: "Defending" is incorrect as it involves supporting or justifying the client's actions or positions, not pushing for more information. C: "Rejecting" is incorrect as it involves dismissing or refusing the client's input or requests, not actively seeking more information like probing does.
Question 2 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 3 of 5
A patient with an abdominal mass is scheduled for a biopsy. The patient has difficulty understanding the nurse's comments and asks, "What do you mean? What are they going to do?" Assessment findings include tremulous voice, respirations 28, and pulse 110. What is the patient's level of anxiety?
Correct Answer: B
Rationale: The correct answer is B: Moderate. The patient's tremulous voice, increased respirations, and elevated pulse indicate a moderate level of anxiety. These physiological signs suggest heightened stress and arousal, which are characteristic of moderate anxiety. Mild anxiety would not typically present with such pronounced physical symptoms. Severe anxiety would exhibit even more severe physical manifestations, while panic anxiety would involve extreme distress and potential loss of control.
Question 4 of 5
A nurse is working in a community mental health center that provides care to a large population of Asian descent. When developing programs for this community, which of the following would be most important for the nurse to address?
Correct Answer: C
Rationale: The correct answer is C: Label avoidance. In Asian cultures, there is a strong emphasis on saving face and avoiding labels related to mental health issues. This can lead individuals to avoid seeking help or disclosing their struggles to others. Addressing label avoidance is crucial in order to reduce barriers to accessing mental health services within the Asian community. Incorrect choices: A: Public stigma - While public stigma is important to address, the focus should be on understanding and addressing the specific cultural factors that contribute to stigma within the Asian community. B: Self-stigma - While self-stigma is significant, addressing label avoidance can help individuals overcome internalized stigma by creating a more accepting environment. D: Negative life events - While negative life events can impact mental health, addressing label avoidance is more essential in this context to ensure individuals feel comfortable seeking help despite these challenges.
Question 5 of 5
A female psychiatric patient is talking to the nurse about her reasons for being hospitalized. She begins to discuss her relationship with her female significant other. The patient is describing the things in her relationship that are making her uncomfortable, and she asks the nurse, 'Should I break up with my partner?' Which response by the nurse would be most effective in building rapport between the patient and nurse?
Correct Answer: C
Rationale: The correct response is C: "It sounds like you're beginning to be uncomfortable in this relationship." This response is effective because it acknowledges the patient's feelings and shows empathy without judgment. It validates the patient's concerns and opens up further discussion. Option A is incorrect as it is judgmental and dismissive of the patient's sexual orientation. Option B is also incorrect as it ignores the patient's current feelings and suggests pursuing a relationship based on societal norms. Option D is incorrect as it shifts the focus away from the patient's concerns and does not address the underlying issues in the relationship.