ATI RN
ATI Capstone Mental Health Pre Assessment Questions
Question 1 of 5
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.
Question 2 of 5
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 3 of 5
A client is prescribed phenelzine (Nardil) to treat her depression. She is at a local café for lunch with a friend. Which of the following items on the menu would be least appropriate for the client to order?
Correct Answer: B
Rationale: The correct answer is B: A Cobb salad with blue cheese and Roquefort salad dressing. Phenelzine is a monoamine oxidase inhibitor (MAOI), which can interact with foods high in tyramine, such as aged cheeses like blue cheese and Roquefort. The interaction can lead to a hypertensive crisis, posing a serious health risk for the client. Choices A, C, and D are all safe options as they do not contain high levels of tyramine-rich foods that can interact with phenelzine.
Question 4 of 5
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 5 of 5
A nurse identifies the nursing diagnosis of Ineffective Sexuality Patterns based on which of the following?
Correct Answer: B
Rationale: The correct answer is B because identifying Ineffective Sexuality Patterns involves recognizing a change in the client's sexual functioning, which is a key criterion for this nursing diagnosis. A: Dissatisfaction alone does not necessarily indicate ineffective sexuality patterns. C: Feeling inadequacy is related to self-esteem, not specifically to sexual functioning. D: Perceiving sexual activity as unrewarding does not directly address changes in sexual functioning, which are crucial in diagnosing ineffective sexuality patterns.