ATI RN
ATI Capstone Mental Health Proctored Assessment Quizlet Questions
Question 1 of 5
Tatiana has been hospitalized for an acute manic episode. On admission the nurse suspects lithium toxicity. What assessment findings would indicate the nurse's suspicion as correct?
Correct Answer: C
Rationale: Step 1: Lithium toxicity commonly presents with gastrointestinal distress, such as nausea and vomiting. Step 2: Thirst is a common symptom due to lithium-induced nephrogenic diabetes insipidus. Step 3: Nystagmus is an ocular manifestation seen in severe cases of lithium toxicity. Step 4: Therefore, choice C is correct as it includes all three typical assessment findings for lithium toxicity. Summary: Choices A, B, and D do not include the specific assessment findings associated with lithium toxicity.
Question 2 of 5
A nurse is working with an adolescent girl who describes herself as a 'compulsive overeater' and presents with a history of using food to cope with stress. The nurse decides to use journaling as an intervention for this patient based on the rationale that journaling will help the patient identify which of the following?
Correct Answer: D
Rationale: The correct answer is D because journaling can help the patient become more self-aware of her self-perception and responses to stress. By writing down thoughts and feelings, the patient can identify patterns in her behavior and emotions that contribute to compulsive eating. This self-reflection can lead to recognizing triggers for overeating and understanding how stress impacts her eating habits. Choice A is incorrect because it focuses solely on the frequency of compulsive eating without addressing the underlying emotional triggers. Choice B is incorrect as it emphasizes external factors in the daily schedule rather than internal emotional responses. Choice C is incorrect as it involves external behaviors of others triggering the patient's eating behavior, which may not be the primary focus for addressing compulsive overeating.
Question 3 of 5
When providing care to a patient, the psychiatric-mental health nurse is implementing the therapeutic use of self. The nurse is applying the concepts based on the work of which individual?
Correct Answer: A
Rationale: The correct answer is A: Hildegarde Peplau. Peplau is known for her work on interpersonal relations in nursing, emphasizing the therapeutic nurse-patient relationship. She developed the Theory of Interpersonal Relations, which focuses on the nurse's role in facilitating the patient's growth and development. Through this theory, nurses use themselves as therapeutic tools to promote healing. Florence Nightingale is known for her contributions to nursing practice, but not specifically for therapeutic use of self. Dorothea Dix was a mental health advocate, not directly related to therapeutic nurse-patient relationship. Sigmund Freud is known for psychoanalytic theory, which is not directly related to nurse-patient interactions.
Question 4 of 5
A nurse is using motivational therapy with a female client with alcoholism. The client, who is unwilling to consider changing her drinking behavior, emphatically states, 'I am not an alcoholic; you can't make me stop drinking.' Which response by the nurse would be most appropriate?
Correct Answer: D
Rationale: The correct answer is D because it aligns with the principles of motivational therapy. The nurse acknowledges the client's autonomy and emphasizes personal responsibility for change. By stating, "You're the only one who can make yourself stop drinking," the nurse empowers the client to recognize her agency in making positive changes. This response respects the client's autonomy and promotes self-efficacy. Choices A, B, and C are incorrect because they do not support motivational therapy principles. Option A uses fear tactics, which can be counterproductive. Option B dismisses the client's denial without building rapport. Option C focuses on external factors rather than empowering the client to take control of her behavior. Ultimately, choice D is the most appropriate as it encourages the client to take ownership of her actions and the change process.
Question 5 of 5
The nurse is providing follow-up care to victims of a disaster that occurred several months ago. Assessment of which of the following would lead the nurse to suspect that the victims are experiencing possible aftereffects of the disaster?
Correct Answer: C
Rationale: The correct answer is C: Unexplained gastrointestinal disturbance. Victims of a disaster may experience ongoing stress and anxiety, leading to gastrointestinal disturbances like nausea, diarrhea, or stomach pain. This can be a manifestation of post-traumatic stress disorder (PTSD) or ongoing psychological impact. Tachycardia (choice A) and profuse perspiration (choice B) are more immediate physiological responses to stress and may not necessarily indicate ongoing effects. Tremors (choice D) are often associated with neurological conditions rather than psychological trauma. Therefore, choice C is the most likely indicator of possible aftereffects of the disaster in this scenario.