ATI RN
ATI Capstone Mental Health Questions
Question 1 of 5
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 5
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 3 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 4 of 5
A client with a history of alcohol abuse is participating in a 12-step Alcoholics Anonymous (AA) program. The nurse determines that the client is at step two when he states which of the following?
Correct Answer: B
Rationale: Step-by-step rationale: 1. Step 2 in AA involves believing in a higher power's ability to help overcome alcoholism. 2. The client stating "I realize that there is a higher power that can help me" aligns with step 2. 3. This step acknowledges the need for external support beyond oneself in the recovery process. 4. Choice A refers to step 9, making amends. Choice C refers to step 1, admitting powerlessness. Choice D refers to step 8, making amends.
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.