ATI RN
ATI Capstone Mental Health Assessment Quizlet Questions
Question 1 of 9
Inpatient hospitalization for persons with mental illness is generally reserved for patients who
Correct Answer: A
Rationale: The correct answer is A because inpatient hospitalization for mental illness is typically reserved for patients who present a clear danger to themselves or others. This criterion ensures the safety of the individual and those around them. Patients who pose a risk require immediate intervention and close monitoring in a controlled environment to prevent harm. Choices B, C, and D are incorrect because noncompliance with medication, limited support systems, or developing new symptoms may not necessarily warrant inpatient hospitalization unless they lead to a clear danger to self or others. It is crucial to prioritize safety and address imminent risks in determining the need for inpatient care.
Question 2 of 9
An intramuscular dose of antipsychotic medication needs to be administered to a patient who is becoming increasingly more aggressive and refused to leave the day room. The nurse should enter the day room
Correct Answer: B
Rationale: The correct answer is B because it prioritizes de-escalation and patient cooperation by using a calm and empathetic approach. Accompanied by staff members ensures safety and support. It communicates the purpose of the medication positively. Choice A lacks support and may not address the patient's aggression. Choice C uses a physical hold, which can escalate the situation. Choice D introduces a security guard, potentially increasing hostility and fear. Overall, choice B aligns with best practices for managing aggressive behavior in a therapeutic and respectful manner.
Question 3 of 9
The right to determine one's own destiny is to"autonomy" as the duty to benefit or promote the good of others is to:
Correct Answer: D
Rationale: The correct answer is D, "Beneficence." Beneficence refers to the duty to benefit others and promote their well-being, which is parallel to autonomy's focus on self-determination. Autonomy emphasizes individuals making decisions for themselves, while beneficence emphasizes acting in the best interests of others. Nonmaleficence (A) is the duty to do no harm, not necessarily to actively promote good. Justice (B) is about fairness and equal treatment, not specifically about benefiting others. Veracity (C) is about truth-telling, not necessarily about promoting the good of others. In this context, "Beneficence" is the most appropriate choice as it aligns with the concept of promoting the well-being of others.
Question 4 of 9
Larry is from a small town and began displaying aggressive and manipulative traits while still a teenager. Now at 40 years old, Larry is serving a life sentence for the murders of his wife and her brother. John, the prison psychiatric nurse practitioner, recognizes that Larry's treatment will most likely:
Correct Answer: D
Rationale: The correct answer is D because Larry's long history of aggressive and manipulative behavior suggests deep-rooted issues that are unlikely to change dramatically. Small incremental changes indicate a more realistic expectation for progress in his treatment. Choice A is incorrect as transforming Larry into a model prisoner is overly optimistic given his history. Choice B is incorrect as it assumes no improvement in coping skills, which may occur to some extent through therapy. Choice C is incorrect as reaffirming high-risk behaviors would be detrimental to Larry's rehabilitation.
Question 5 of 9
Anxiety problems in older adults can manifest as a fear of falling, greatly influencing an older adult's personal freedom. A home health nurse checking on a patient with mild dementia and anxiety related to falling should question which new order?
Correct Answer: D
Rationale: The correct answer is D: Electric wheelchair. This is because anxiety related to falling can impact an older adult's mobility and independence. Providing an electric wheelchair can help the patient move around safely and independently, reducing the fear of falling and promoting personal freedom. Choice A: Yoga and tai-chi may help with relaxation and balance, but they may not address the immediate mobility concerns of the patient with mild dementia and anxiety related to falling. Choice B: Xanax is a medication commonly used to treat anxiety, but it may not address the underlying mobility issues and could potentially cause side effects in older adults. Choice C: Relaxation techniques can be beneficial for managing anxiety, but in this case, addressing the patient's mobility concerns with an electric wheelchair would be more appropriate and effective.
Question 6 of 9
A nurse is constructing a genogram of a family. Which of the following would the nurse do?
Correct Answer: C
Rationale: The correct answer is C because genograms typically use horizontal lines to show marriages. This allows for a clear visual representation of the relationships between family members. Using circles to represent male members (choice A) would be inaccurate as circles usually represent females. Horizontal lines connecting parents with children (choice B) are used to show parent-child relationships, not marriages. Using asterisks to denote ages listed at the bottom (choice D) is not a common practice in constructing genograms. Therefore, choice C is the most appropriate and accurate way to represent marriages in a genogram.
Question 7 of 9
A group of nursing students is reviewing information about intimate partner violence (IPV). The group demonstrates understanding of this topic when they identify which of the following?
Correct Answer: B
Rationale: The correct answer is B because it highlights a common misconception that men may not recognize certain behaviors as abusive. This is important in understanding IPV dynamics as it can lead to underreporting and lack of support for male victims. Choice A is incorrect because typically women are more likely to be seriously injured in IPV situations. Choice C is incorrect as IPV rates are similar in same-sex and heterosexual relationships. Choice D is incorrect as reactions to IPV can vary based on gender due to societal norms and expectations.
Question 8 of 9
The nurse is developing a care plan for a client with schizotypal personality disorder. The client has reported a recent history of magical thinking. What does the nurse note is the priority nursing diagnosis?
Correct Answer: D
Rationale: The correct answer is D: disturbed thought process. This is the priority nursing diagnosis because magical thinking is a common symptom of schizotypal personality disorder, indicating a disturbance in thought process. Addressing this issue is crucial for the client's overall well-being and treatment success. Choice A (anxiety) may be a secondary concern related to the client's symptoms but not the priority. Choice B (risk for loneliness) is not directly related to the client's current symptom of magical thinking. Choice C (risk for self-harm) is important to assess but may not be the priority at this time compared to addressing the core symptom of disturbed thought process.
Question 9 of 9
Which assessment finding exhibited by a patient being assessed for posttraumatic stress disorder (PTSD) would be considered a defining behavior and support such a diagnosis?
Correct Answer: C
Rationale: The correct answer is C because describing vivid 'flashbacks' of being attacked is a defining behavior of PTSD according to the DSM-5 criteria. This symptom is specific to PTSD and indicates re-experiencing of the traumatic event. Choice A is not specific to PTSD and can occur in other conditions. Choice B is more related to mood disorders than PTSD. Choice D is more indicative of a need to disclose the trauma, which is common but not a defining behavior of PTSD.