ATI RN
ATI Capstone Mental Health Questions
Question 1 of 9
Nursing theorists identify the nurse-client relationship as central to nursing practice. After studying these concepts, the nursing student understands that Peplau is to the phases of the nurse-client relationship as Watson is to:
Correct Answer: A
Rationale: Rationale: 1. Peplau focuses on phases of nurse-client relationship, emphasizing therapeutic communication and interpersonal skills. 2. Watson is known for her Theory of Human Caring, which includes the seven assumptions about the science of caring. 3. Both theories highlight the importance of the nurse-client relationship in nursing practice. 4. Therefore, the correct answer is A (Seven assumptions about the science of caring). Summary: B: Cultural care diversity and universality is associated with Leininger's Theory of Culture Care Diversity and Universality. C: Modeling and role modeling is associated with Erickson, Tomlin, and Swain's Theory of Modeling and Role Modeling. D: Human energy fields is associated with Rogers' Science of Unitary Human Beings.
Question 2 of 9
Guadalupe is the matriarch of a large family. She is terminally ill and none of her family members know her end-of-life wishes. The best action for the nurse is to:
Correct Answer: B
Rationale: The correct answer is B because organizing a family meeting with Guadalupe's permission allows for open communication about her end-of-life wishes. This approach respects her autonomy and ensures her preferences are known. Discussing durable power of attorney (A) may be premature without knowing Guadalupe's wishes. Having a family meeting without her (C) disregards her right to be involved in decision-making. Asking the doctor to inform Guadalupe about her terminal illness (D) should be done by a healthcare provider, not a nurse, and may cause distress without addressing her specific wishes.
Question 3 of 9
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 4 of 9
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 5 of 9
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. The nurse will document the outcome as
Correct Answer: D
Rationale: The correct answer is D: never demonstrate. The rationale is that the desired outcome was for the patient to sleep for a minimum of 5 hours nightly within 7 days. However, the patient only sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap, which does not meet the desired outcome. Therefore, the nurse would document that the patient has never demonstrated the desired outcome of sleeping for a minimum of 5 hours nightly within 7 days. Choices A, B, and C are incorrect because the patient did not consistently, often, or sometimes demonstrate meeting the desired outcome.
Question 6 of 9
A nurse has formulated several nursing diagnoses for a homeless client after a thorough nursing assessment. Of these, which of the following would the nurse determine as the priority?
Correct Answer: C
Rationale: The correct answer is C: Imbalanced nutrition. This is the priority because it addresses the client's physiological needs, which are essential for survival and overall well-being. The nurse should prioritize addressing basic needs such as nutrition before addressing psychological or social needs. Anxiety (A), powerlessness (B), and impaired social interaction (D) are important but secondary to addressing the client's immediate physiological needs. It is important to address the most critical issue first to ensure the client's health and safety.
Question 7 of 9
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 8 of 9
To establish rapport with a 10-year-old child who is hospitalized in a psychiatric setting, which statement by the nurse would be most appropriate?
Correct Answer: D
Rationale: The correct answer is D: "Would you like to play a game of checkers with me?" This choice is most appropriate as it focuses on building a therapeutic relationship through a non-threatening and engaging activity. Playing a game of checkers can help establish rapport, foster trust, and create a sense of normalcy for the child in a psychiatric setting. It allows for social interaction, provides a distraction, and can help the child feel more comfortable and open up to the nurse. Explanation of why the other choices are incorrect: A: Comparing the child's situation to Cinderella's in a fairy tale may not be relatable or relevant to the child's experiences, potentially minimizing their feelings and concerns. B: Using a tool to measure self-control and initiative may come off as clinical and impersonal, possibly making the child feel like they are being evaluated rather than supported. C: Asking the child to draw a picture of themselves may be intimidating or invasive, as it delves into personal expression without
Question 9 of 9
Tammy, a 28-year-old with major depressive disorder and bulimia nervosa, is ready for discharge from the county hospital after 2 weeks of inpatient therapy. Tammy is taking citalopram (Celexa) and reports that it has made her feel more hopeful. With a secondary diagnosis of bulimia nervosa, what is an alternative antidepressant to consider?
Correct Answer: A
Rationale: The correct answer is A: Fluoxetine (Prozac). Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) that is FDA-approved for both major depressive disorder and bulimia nervosa. It is commonly used in treating patients with co-occurring depression and eating disorders, like bulimia nervosa. Fluoxetine has shown efficacy in reducing binge eating and purging behaviors associated with bulimia nervosa. Now, let's analyze the other choices: B: Isocarboxazid (Marplan) is a monoamine oxidase inhibitor (MAOI) that is not commonly used as a first-line treatment for bulimia nervosa. MAOIs have more dietary and drug interaction concerns compared to SSRIs. C: Amitriptyline is a tricyclic antidepressant (TCA) that is not typically preferred for bulimia nervosa due to its side effect profile and overdose risk. D: Duloxetine (Cymbalta)