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
Which statement made by a patient demonstrates acceptance of criteria required of hospice care?
Correct Answer: B
Rationale: The correct answer is B because acceptance of the terminal nature of the illness is a key criterion for hospice care eligibility. By acknowledging that there is no cure for their illness and accepting this fact, the patient demonstrates understanding and readiness for the supportive care provided by hospice. Choices A, C, and D focus on personal preferences and concerns rather than acceptance of the terminal condition, making them incorrect in the context of hospice care criteria.
Question 3 of 5
Each American state and territory establishes legal nursing practice through what?
Correct Answer: B
Rationale: The correct answer is B: Nurse Practice Act. This legislation is enacted by each state and territory to define the scope of nursing practice, standards of care, licensure requirements, and regulations. It is the primary legal framework that governs nursing practice within a specific jurisdiction. Research function (A) and evidence-based practice guidelines (C) focus on guiding clinical practice but do not have the same legal authority as the Nurse Practice Act. Building a nursing database (D) may support research and practice, but it does not establish legal nursing practice.
Question 4 of 5
Which assessment is most important when evaluating signs and symptoms of mental illness?
Correct Answer: D
Rationale: The correct answer is D because assessing the client's social and cultural norms is crucial in understanding their behavior within the context of their community. By considering these norms, the evaluator can differentiate between normal variations and potential signs of mental illness. Understanding social and cultural influences helps in providing effective and culturally sensitive interventions. Choice A is incorrect because creativity is not a definitive indicator of mental illness. Choice B is incorrect as the inability to face problems can be a symptom of mental illness, but it is not the most important assessment. Choice C is incorrect as the intensity of emotional reactions alone does not determine mental illness; it must be considered in relation to social and cultural norms.
Question 5 of 5
A client admitted for alcohol detoxification states,"I don't think my drinking has anything to do with why I am here in the hospital. I think I have problems with depression." Which statement by the nurse is the most therapeutic response?
Correct Answer: A
Rationale: The correct response is A because it demonstrates empathy and encourages self-reflection without invalidating the client's feelings. By acknowledging the client's perspective and gently prompting them to consider the impact of their drinking on their family, the nurse opens up the conversation for further exploration. Option B is incorrect as it dismisses the client's viewpoint and can lead to defensiveness. Option C is also incorrect as it imposes the nurse's perspective on the client and does not consider the complexity of the client's situation. Option D is incorrect as it assumes a causal relationship between the client's life events and drinking without exploring the client's feelings or thoughts.