ATI RN
ATI Capstone Mental Health Pre Assessment Questions
Question 1 of 5
The nurse is assessing a young adult and determines that the individual has achieved successful resolution of the previous stage of growth and development, evidenced by demonstrating which of the following?
Correct Answer: C
Rationale: The correct answer is C: Devotion and fidelity. This indicates that the individual has successfully resolved the stage of growth and development according to Erikson's theory of psychosocial development. Devotion refers to the ability to form solid relationships and commitments, while fidelity means being able to maintain loyalty and trust in these relationships. These qualities show that the individual has successfully navigated the intimacy vs. isolation stage, which is characteristic of young adulthood. Now, let's analyze why the other choices are incorrect: A: Drive and hope - These qualities are more related to the stage of initiative vs. guilt in early childhood, not the young adulthood stage. B: Direction and purpose - While important, these qualities are more reflective of the previous stage of identity vs. role confusion in adolescence. D: Production and care - These qualities are more associated with the later stage of generativity vs. stagnation in middle adulthood, not young adulthood.
Question 2 of 5
During a staff meeting, a therapist mentions planning to use bibliotherapy with a patient. Later that morning, the patient approaches the nurse and says his therapist just talked to him but that he is having trouble understanding what his therapist wants him to do. When the nurse asks him to clarify his concern, he asks what 'bibliotherapy' really means. Which response by the nurse would be most appropriate?
Correct Answer: D
Rationale: The correct answer is D because bibliotherapy involves using books to help individuals understand and cope with emotional or psychological problems. This form of therapy encourages patients to read specific books that address their issues, providing insights and strategies for personal growth and healing. Option A is incorrect as it focuses on listing books rather than actual reading for therapeutic purposes. Option B is incorrect as it misrepresents bibliotherapy as a shopping-related coping technique. Option C is incorrect as it suggests the therapist imparts knowledge rather than utilizing books as the main therapeutic tool.
Question 3 of 5
Which statement made to the grieving patient demonstrates effective therapeutic communication? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because it acknowledges and validates the patient's feelings without making assumptions or imposing personal beliefs. It focuses on the patient's emotions and provides empathy and support. B: Imposes a religious belief that may not align with the patient's beliefs. C: Implies the patient should feel a certain way, which can be invalidating. D: Assumes what the patient wants without considering their feelings or preferences.
Question 4 of 5
Which Western cultural feature may result in establishing unrealistic outcomes for patients of other cultural groups?
Correct Answer: D
Rationale: The correct answer is D: Direct confrontation to solve problems. This Western cultural feature may result in establishing unrealistic outcomes for patients of other cultural groups because direct confrontation may be perceived as aggressive or disrespectful in many cultures. Patients from these cultural groups may prefer indirect communication or conflict resolution methods. Therefore, using direct confrontation could lead to misunderstandings, resistance, or lack of cooperation from patients. A: Interdependence is a common cultural value in many cultures and does not necessarily lead to unrealistic outcomes for patients of other cultural groups. B: Present orientation is a temporal orientation and does not directly impact outcomes for patients from other cultural groups. C: Flexible perception of time may differ across cultures but does not inherently lead to unrealistic outcomes for patients of other cultural groups.
Question 5 of 5
The client states,"I'm not sure that the doctor has prescribed the correct medication for my sadness." Which would be a therapeutic nursing response?
Correct Answer: B
Rationale: The correct answer is B because it reflects active listening and encourages the client to express their concerns further. It shows empathy and validates the client's feelings. Choice A provides information without addressing the client's feelings. Choice C puts the client on the spot and may come off as confrontational. Choice D dismisses the client's concerns and lacks empathy. Overall, choice B is therapeutic as it fosters a supportive and open communication environment.