ATI RN
ATI Capstone Mental Health Proctored Assessment Questions
Question 1 of 5
How will the nurse evaluate if trust has been established with the client?
Correct Answer: C
Rationale: The correct answer is C because when the client states, "I'll tell you about my sister," it shows a willingness to share personal information, indicating a level of trust. This statement implies a desire for the nurse to know more about their personal life, which is a positive sign of trust being established. Choice A does not necessarily indicate trust as it could just be a statement of longing. Choice B shows resistance or defensiveness, which is not indicative of trust. Choice D does not directly relate to the nurse-client relationship and does not provide insight into trust being established.
Question 2 of 5
The desired outcome for a patient experiencing insomnia is, "Patient will sleep for a minimum of 5 hours nightly within 7 days." At the end of 7 days, review of sleep data shows the patient sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. What is the nurse's next action?
Correct Answer: D
Rationale: The correct answer is D. The nurse should examine interventions for possible revision of the target date. This is because the patient is not meeting the desired outcome of sleeping for a minimum of 5 hours nightly within 7 days. By examining interventions, the nurse can assess the effectiveness of the current plan and make necessary adjustments to help the patient achieve the desired outcome. Continuing the current plan without changes (choice A) would not address the issue of the patient not meeting the sleep goal. Removing the nursing diagnosis from the plan of care (choice B) would neglect the patient's ongoing sleep difficulties. Writing a new nursing diagnosis (choice C) does not address the need to evaluate and adjust the current interventions.
Question 3 of 5
The nurse is helping a 56-year-old homeless woman develop a plan for after discharge. Which of the following would be most appropriate to include?
Correct Answer: A
Rationale: The correct answer is A: Contacting the woman's daughter as a possible source of support after the client's discharge. This is the most appropriate choice because involving family members can provide emotional and practical support for the client. It is important to leverage existing relationships and support systems to enhance the client's post-discharge plan. Summary of other choices: B: Contacting the woman's parents may not be appropriate as the client's relationship with her parents is not specified and involving them without consent may not be beneficial. C: Providing resources in a three-ring binder is not as personal or tailored to the client's specific needs and may not address the emotional support aspect. D: Providing telephone numbers of health insurance companies is important but not as crucial as establishing a support system through family members.
Question 4 of 5
A patient is being treated in an interdisciplinary clinic. During interactions with a patient who is receiving cognitive behavior therapy, which of the following would the nurse concentrate on first?
Correct Answer: C
Rationale: The correct answer is C: Identifying the underlying beliefs. In cognitive behavior therapy, identifying the underlying beliefs is crucial as they drive the patient's thoughts and behaviors. By focusing on these core beliefs first, the nurse can help the patient understand the root causes of their issues and work towards challenging and modifying them effectively. A: Identifying alternative explanations of an event - This step usually comes after identifying the underlying beliefs. B: Exploring evidence to support or refute the beliefs - This step comes after identifying the beliefs and is not the initial focus. D: Examining the real implications if the beliefs are true - This step is important but is typically addressed after identifying and working on the underlying beliefs.
Question 5 of 5
A nurse is preparing an inservice program about substance abuse and its etiology. Which of the following would the nurse most likely include in the presentation when discussing possible psychologic etiologies?
Correct Answer: A
Rationale: The correct answer is A: Low self-esteem. Low self-esteem is a common psychological etiology of substance abuse as individuals may turn to substances to cope with feelings of inadequacy or self-doubt. This can lead to a cycle of self-medication and addiction. Incorrect choices: B: Genetic predisposition - While genetics can play a role in substance abuse, it is not a psychological etiology but rather a biological factor. C: Dysfunctional family - While family dynamics can contribute to substance abuse, it is more related to environmental factors than psychological ones. D: Peer influence - Peer influence is a social factor, not a psychological one, that can contribute to substance abuse behavior.