ATI RN
ATI Capstone Mental Health Questions
Question 1 of 5
In the majority culture of the United States, which individual has the greatest risk to be labeled mentally ill? One who
Correct Answer: A
Rationale: The correct answer is A because describing hearing God's voice speaking is often associated with religious delusions, a symptom of certain mental illnesses like schizophrenia. This can lead to being labeled mentally ill due to societal norms. Option B is incorrect as being pessimistic but goal-oriented is a common personality trait. Option C is incorrect as being generous does not inherently indicate mental illness. Option D is incorrect as having an optimistic viewpoint and meeting personal needs are not indicative of mental illness.
Question 2 of 5
A patient fearfully runs from chair to chair crying, "They're coming! They're coming!" The patient does not follow the staff's directions or respond to verbal interventions. Which nursing diagnosis has the highest priority?
Correct Answer: B
Rationale: The correct answer is B: Risk for injury. This diagnosis takes priority because the patient's behavior poses an immediate threat to their safety. Running and not responding to staff instructions increases the risk of falls and accidents. Addressing this risk is crucial to ensure the patient's physical well-being. Choice A (Fear) is important but not as urgent as addressing the immediate risk of injury. Choice C (Self-care deficit) and D (Disturbed thought processes) are not the priority in this scenario as the patient's safety is the primary concern.
Question 3 of 5
A female patient was admitted to the hospital with pneumonia, and in the course of her treatment, it was determined that she was experiencing alcohol dependence because she began experiencing alcohol withdrawal while she was in the hospital. When the psychiatrist who was called in as a consultant documented the patient's mental disorder, he identified her alcohol dependence on which axis?
Correct Answer: A
Rationale: The correct answer is A: Axis I. In the DSM-IV-TR, mental disorders, including substance-related disorders like alcohol dependence, are classified under Axis I. This axis is for clinical disorders and other conditions that may be a focus of clinical attention. Alcohol dependence is a primary psychiatric disorder that affects the patient's mental and behavioral functioning, which is why it is categorized under Axis I. Choice B: Axis II is incorrect because Axis II is for personality disorders and mental retardation, not for substance-related disorders like alcohol dependence. Choice C: Axis III is incorrect because Axis III is for general medical conditions that may be relevant to the individual's mental health, not for mental disorders like alcohol dependence. Choice D: Axis IV is incorrect because Axis IV is for psychosocial and environmental problems that may influence the diagnosis, treatment, and prognosis of mental disorders, not for the mental disorders themselves.
Question 4 of 5
When engaged in therapeutic communication in a therapeutic relationship with a patient with a mental health problem, which of the following would be most important for the nurse to keep in mind?
Correct Answer: B
Rationale: The correct answer is B because in a therapeutic relationship, the patient should be the primary focus to address their needs effectively. Self-disclosure (A) may shift the focus from the patient to the nurse, affecting the therapeutic process. Empathy (C) is important but not the most crucial aspect; the patient's needs should come first. Recording conversations (D) violates patient confidentiality and trust, hindering the therapeutic relationship. Thus, maintaining the patient as the primary focus ensures effective communication and support.
Question 5 of 5
A nurse is preparing to reinforce the use of cognitive behavior therapy with a patient. When interacting with the patient, which of the following would be appropriate?
Correct Answer: C
Rationale: The correct answer is C: Using a future-oriented goal focus. In cognitive behavior therapy, focusing on future-oriented goals helps the patient set achievable objectives and work towards positive outcomes. This approach encourages the patient to look forward and make changes that align with their desired future. Establishing the agenda (A) can be helpful but may not be as effective as focusing on goal setting. Focusing primarily on behavior (B) is too narrow and may not address the underlying thoughts and emotions. Identifying the problem from the nurse's perspective (D) is not client-centered and may not promote active participation in the therapy process.