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
The nurse is preparing to assess a 78-year-old patient who has been diagnosed with major depression. Which of the following would the nurse expect to assess as a normal finding?
Correct Answer: C
Rationale: The correct answer is C: Dulled taste sensation. Major depression can affect taste perception causing dulled taste sensation. This is a normal finding in older adults with depression due to changes in neurotransmitters. A: Decrease in body fat and B: Increased muscle mass are not typical findings in major depression, as it can lead to changes in appetite and weight loss. D: Enhanced visual acuity is not a normal finding in major depression; it is more likely a symptom of another condition or unrelated to the depressive disorder.
Question 3 of 5
Martin is a 23-year-old male with a new diagnosis of schizophrenia, and his family is receiving information from a home health nurse. The topic of education is suicide prevention, and the nurse recognizes effective teaching when the mother says:
Correct Answer: B
Rationale: The correct answer is B because suicide risk is indeed highest in the first few years after a schizophrenia diagnosis due to the stress of adjusting to the illness, medication side effects, and stigma. Choice A is incorrect as individuals with schizophrenia have a higher risk of suicide compared to the general population. Choice C is incorrect because confusion is not a significant factor in suicide risk for individuals with schizophrenia. Choice D is incorrect as while suicide risk is elevated in schizophrenia, most individuals diagnosed do not die by suicide.
Question 4 of 5
A client on an inpatient psychiatric unit states,"My mother hates me. My father is a drunk. Right now, I am homeless." The nurse responds,"Let's talk more about your feelings toward your mother." Which is a description of the technique used by the nurse?
Correct Answer: A
Rationale: The correct answer is A because the nurse is using questions or statements to help the client expand on a topic of importance, which in this case is the client's feelings towards their mother. By encouraging the client to talk more about their feelings, the nurse is facilitating a deeper exploration of the client's emotions and thoughts. This technique fosters trust, empathy, and a therapeutic relationship. Incorrect Choices: B: The nurse is not asking the client to select a topic for discussion but rather guiding the conversation based on the client's initial statement. C: While the nurse is delving further into the client's feelings about their mother, the focus is on the client's emotions rather than a subject or idea. D: The nurse is not being persistent with questioning but rather offering a supportive and open-ended approach to exploring the client's feelings.
Question 5 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.