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
A nurse is preparing a presentation for mental health promotion for young and middle-aged adults and is planning to address changes in family structure. Which of the following would the nurse include as reflecting marriage?
Correct Answer: C
Rationale: Rationale: - Option C is correct because middle-aged adults are most likely to be married, reflecting a common life stage where many individuals have already established long-term relationships or families. - Option A is incorrect because the peak marriage age can vary and is not a universal range. - Option B is incorrect as marrying in one's teens does not necessarily predict divorce rates for all individuals. - Option D is incorrect as there is no direct correlation between marrying between the ages of 23 to 27 years and divorce rates.
Question 3 of 5
After teaching a group of nursing students about crisis, the instructor determines that the teaching was successful when the students state which of the following?
Correct Answer: B
Rationale: The correct answer is B: Crisis is a time-limited event. This is correct because a crisis is typically a temporary situation that occurs when an individual is unable to cope with a stressful event or situation. It is characterized by a sense of urgency and the need for immediate action to restore stability. Understanding that a crisis is time-limited helps individuals focus on problem-solving and coping strategies to navigate through the difficult period. Incorrect Choices: A: Crisis triggers maladaptive responses - This is incorrect because not everyone responds to a crisis in a maladaptive way. Individuals may exhibit a range of responses, including adaptive coping mechanisms. C: Chronic crisis is a real situation - This is incorrect as a crisis, by definition, is an acute, time-limited event. Chronic stressors may lead to ongoing challenges, but these are typically not considered crises. D: Events causing a crisis are similar for everyone - This is incorrect because the events leading to a crisis can vary greatly among individuals, depending on their unique
Question 4 of 5
A client is prescribed phenelzine (Nardil) to treat her depression. She is at a local café for lunch with a friend. Which of the following items on the menu would be least appropriate for the client to order?
Correct Answer: B
Rationale: The correct answer is B: A Cobb salad with blue cheese and Roquefort salad dressing. Phenelzine is a monoamine oxidase inhibitor (MAOI), which can interact with foods high in tyramine, such as aged cheeses like blue cheese and Roquefort. The interaction can lead to a hypertensive crisis, posing a serious health risk for the client. Choices A, C, and D are all safe options as they do not contain high levels of tyramine-rich foods that can interact with phenelzine.
Question 5 of 5
A nurse is talking with a 57-year-old client who has been a heavy drinker for many years. The client is being treated for alcoholism, and this is her second week as an inpatient on the psychiatric unit. It is 5:00 AM, and the client has been having difficulty sleeping. The client is an orthopedic nurse, and although she is clothed in a hospital-issued gown and robe, she is wearing a stethoscope around her neck that the nurse recognizes as belonging to one of the staff nurses. When the nurse asks her why she is wearing the stethoscope and where she got it, the client gives her a long and involved reply that basically describes how her nursing supervisor came to visit and gave it to her to wear 'so she'd remember to get well.' The nurse suspects that the client may be experiencing which of the following?
Correct Answer: C
Rationale: Rationale: The correct answer is C: Korsakoff's psychosis. This is because the client's long and involved reply with false information about receiving the stethoscope from her nursing supervisor is indicative of confabulation, a common symptom of Korsakoff's psychosis. This condition is typically associated with chronic alcohol abuse and thiamine deficiency, leading to memory issues and confabulation. Incorrect options: A: Wernicke's syndrome is characterized by a triad of symptoms including confusion, ataxia, and ophthalmoplegia, not confabulation. B: Delirium tremens is a severe form of alcohol withdrawal that presents with hallucinations, tremors, and autonomic instability, not confabulation. D: Malignant hyperthermia is a rare but life-threatening reaction to certain medications used during anesthesia, not related to the client's behaviors or symptoms described in the scenario.