ATI RN
ATI Mental Health Capstone Assessment Questions
Question 1 of 5
The biological approach to treating depression with electrodes surgically implanted into specific areas of the brain to stimulate the regions identified to be underactive in depression is:
Correct Answer: B
Rationale: The correct answer is B: Deep brain stimulation. This approach involves surgically implanting electrodes in specific brain areas to stimulate underactive regions in depression. It is effective in modulating neural circuits associated with mood regulation. Transcranial magnetic stimulation (A) involves non-invasive magnetic pulses to stimulate brain regions. Vagus nerve stimulation (C) targets the vagus nerve to regulate mood. Electroconvulsive therapy (D) uses controlled electric currents to induce seizures, primarily for severe depression cases. However, deep brain stimulation is specifically aimed at targeting and stimulating underactive brain regions associated with depression, making it the most appropriate choice in this context.
Question 2 of 5
A client with a history of opioid abuse is exhibiting manifestations of moderate withdrawal. Which of the following would the nurse expect to assess?
Correct Answer: C
Rationale: The correct answer is C: Dilated pupils. Opioid withdrawal commonly presents with dilated pupils due to the noradrenergic rebound effect. This occurs as the body tries to compensate for the suppression of noradrenaline caused by chronic opioid use. Rhinorrhea and lacrimation are associated with opioid withdrawal but are typically seen in early withdrawal stages. Dysphoria is a common symptom in opioid withdrawal but is not specific to moderate withdrawal.
Question 3 of 5
A patient with an abdominal mass is scheduled for a biopsy. The patient has difficulty understanding the nurse's comments and asks, "What do you mean? What are they going to do?" Assessment findings include tremulous voice, respirations 28, and pulse 110. What is the patient's level of anxiety?
Correct Answer: B
Rationale: The correct answer is B: Moderate. The patient's tremulous voice, increased respirations, and elevated pulse indicate a moderate level of anxiety. These physiological signs suggest heightened stress and arousal, which are characteristic of moderate anxiety. Mild anxiety would not typically present with such pronounced physical symptoms. Severe anxiety would exhibit even more severe physical manifestations, while panic anxiety would involve extreme distress and potential loss of control.
Question 4 of 5
When caring for a client in the psychiatric unit, the new nurse in the unit approaches the client with the morning medications. The client responds to the nurse with, 'I know I can't trust you!' What should the nurse consider when attempting to understand the client's statement?
Correct Answer: B
Rationale: The correct answer is B: The statement could be an example of transference to the nurse. Transference occurs when a client unconsciously projects feelings and attitudes from past relationships onto the nurse. In this scenario, the client's mistrust may stem from previous negative experiences with healthcare providers. It is crucial for the nurse to recognize transference to understand the client's behavior and provide appropriate care. Incorrect options: A: The statement being inappropriate is a judgment and does not address the underlying psychological dynamics. C: Countertransference refers to the nurse's emotional reaction to the client, not the client's projection. D: While the statement reflects the client's feelings, it does not address the deeper psychological process of transference.
Question 5 of 5
A nurse encounters an unfamiliar psychiatric disorder on a new patient's admission form. Which resource should the nurse consult to determine criteria used to establish this diagnosis?
Correct Answer: C
Rationale: Rationale: The correct answer is C: Diagnostic and Statistical Manual of Mental Disorders (DSM-V). The DSM-V is the standard classification of mental disorders used by healthcare professionals. It provides criteria for diagnosing psychiatric disorders based on research and clinical expertise. Other choices are incorrect because: A (ICD-10) is a classification system for all diseases, not specific to psychiatric disorders; B (ANA's standards) focuses on nursing practice, not diagnosis; D (behavioral health manual) may not provide standardized diagnostic criteria. The DSM-V is the most appropriate resource for accurate psychiatric diagnosis.