ATI RN
ATI Capstone Mental Health Assessment Questions
Question 1 of 5
How can a nurse determine that a client is experiencing ineffective coping?
Correct Answer: C
Rationale: The correct answer is C because ineffective coping is characterized by difficulty managing day-to-day stress. This can manifest as increased anxiety, irritability, or withdrawal. The other choices are incorrect because: A indicates the client is actively coping; B suggests motivation for behavioral change; and D implies symptoms of depression, not necessarily ineffective coping.
Question 2 of 5
A client on an inpatient psychiatric unit exhibits traits of borderline personality disorder. Which action by the nurse would initiate collaboration with the member of the mental health-care team who can best confirm this diagnosis?
Correct Answer: C
Rationale: Correct Answer: C. Collaborate with the clinical psychologist to prepare the client for personality testing. Rationale: 1. Borderline personality disorder (BPD) diagnosis requires comprehensive assessment, including personality testing. 2. Clinical psychologists are trained to administer and interpret psychological tests, including those for personality disorders. 3. Collaborating with the clinical psychologist ensures the client receives appropriate evaluation and diagnosis. 4. Requesting medication or focusing on occupational or recreational needs may not address the core issue of confirming a BPD diagnosis. Summary: A: Requesting medication is premature without confirming the diagnosis. B: Occupational therapy focuses on retraining skills, not diagnosing personality disorders. D: Planning recreational activities may help with anxiety but does not address the need for a formal diagnosis like personality testing.
Question 3 of 5
A client who practices Orthodox Judaism is upset. The client's son has recently committed suicide. The client tearfully tells the nurse that the son may not be able to be buried with honors. Which intervention should the nurse implement?
Correct Answer: D
Rationale: The correct answer is D: Sit with the client and allow expression of loss and sorrow. This intervention is appropriate as it demonstrates empathy, support, and active listening. By sitting with the client and allowing them to express their emotions, the nurse is providing a safe space for the client to grieve. This approach aligns with the principles of therapeutic communication and client-centered care. A: Asking the client why the son won't be buried with honors may come off as insensitive and could potentially make the client feel judged or misunderstood. B: Accepting that the client is upset and leaving them alone does not address the client's emotional distress or provide support during a difficult time. C: Calling the psychiatrist for antianxiety medication does not address the client's immediate emotional needs and may not be the most appropriate intervention in this situation.
Question 4 of 5
Which comment best indicates a patient is self-actualized?
Correct Answer: D
Rationale: The correct answer is D because it reflects self-actualization by showing an appreciation for simple pleasures and being in touch with nature, indicating a sense of fulfillment and inner peace. Choice A focuses on external factors, choice B relies on a plan for validation, and choice C emphasizes success through hard work, all of which are not necessarily indicative of self-actualization.
Question 5 of 5
At what point in the nurse–patient relationship should a nurse plan to first address termination?
Correct Answer: A
Rationale: The correct answer is A, during the orientation phase. This is the initial phase where the nurse establishes rapport, gathers information, and sets the tone for the relationship. Planning for termination during orientation allows for a smooth transition and helps manage expectations. Addressing termination at the end of the working phase (choice B) may be abrupt and disrupt the therapeutic process. Near the beginning of the termination phase (choice C) is too late as it doesn't allow sufficient time for the patient to process and prepare for closure. Waiting for the patient to bring up termination (choice D) may lead to uncertainty and anxiety for the patient.