ATI RN
ATI Capstone Mental Health Questions
Question 1 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 2 of 9
A client on an inpatient psychiatric unit states,"My mother hates me. My father is a drunk. Right now, I am homeless." The nurse responds,"Let's talk more about your feelings toward your mother." Which is a description of the technique used by the nurse?
Correct Answer: A
Rationale: The correct answer is A because the nurse is using questions or statements to help the client expand on a topic of importance, which in this case is the client's feelings towards their mother. By encouraging the client to talk more about their feelings, the nurse is facilitating a deeper exploration of the client's emotions and thoughts. This technique fosters trust, empathy, and a therapeutic relationship. Incorrect Choices: B: The nurse is not asking the client to select a topic for discussion but rather guiding the conversation based on the client's initial statement. C: While the nurse is delving further into the client's feelings about their mother, the focus is on the client's emotions rather than a subject or idea. D: The nurse is not being persistent with questioning but rather offering a supportive and open-ended approach to exploring the client's feelings.
Question 3 of 9
A client comes to the emergency department complaining of a severe pounding headache in the temples and a stiff neck. The client is flushed and diaphoretic, and his pulse is racing. The client states that he is being treated for depression with selegiline. Which question by the nurse would be most important to ask at this time?
Correct Answer: B
Rationale: The correct answer is B: "What have you had to eat or drink today?" This question is important because the client is taking selegiline, a monoamine oxidase inhibitor (MAOI), which has dietary restrictions. Foods high in tyramine can lead to a hypertensive crisis when combined with MAOIs. The client's symptoms of severe headache, flushing, and diaphoresis are indicative of a potential hypertensive crisis. By asking about the client's recent dietary intake, the nurse can assess for potential tyramine-containing foods that may have triggered the symptoms. Choice A: "When did you last have blood drawn to check your drug level?" is not as important at this time because the client's symptoms suggest an acute issue that requires immediate intervention, rather than monitoring drug levels. Choice C: "Are you having any chest pain?" is important for assessing cardiac involvement but is not the most crucial question in this scenario. Choice D: "Do you use any herbal remedies
Question 4 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 5 of 9
In the majority culture of the United States, which individual has the greatest risk to be labeled mentally ill? One who
Correct Answer: A
Rationale: The correct answer is A because describing hearing God's voice speaking is often associated with religious delusions, a symptom of certain mental illnesses like schizophrenia. This can lead to being labeled mentally ill due to societal norms. Option B is incorrect as being pessimistic but goal-oriented is a common personality trait. Option C is incorrect as being generous does not inherently indicate mental illness. Option D is incorrect as having an optimistic viewpoint and meeting personal needs are not indicative of mental illness.
Question 6 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 7 of 9
When engaged in therapeutic communication in a therapeutic relationship with a patient with a mental health problem, which of the following would be most important for the nurse to keep in mind?
Correct Answer: B
Rationale: The correct answer is B because in a therapeutic relationship, the patient should be the primary focus to address their needs effectively. Self-disclosure (A) may shift the focus from the patient to the nurse, affecting the therapeutic process. Empathy (C) is important but not the most crucial aspect; the patient's needs should come first. Recording conversations (D) violates patient confidentiality and trust, hindering the therapeutic relationship. Thus, maintaining the patient as the primary focus ensures effective communication and support.
Question 8 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 9 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.