ATI RN
ATI Capstone Mental Health Questions
Question 1 of 5
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)
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
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 5
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 5 of 5
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.