ATI RN
ATI Mental Health Capstone Assessment Questions
Question 1 of 5
The nurse is assessing an 8-year-old child's self-concept. Which of the following would be least appropriate for the nurse to ask?
Correct Answer: D
Rationale: The correct answer is D because asking about breakfast is unrelated to self-concept assessment. Choices A, B, and C are relevant as they explore the child's aspirations, interests, and self-perception. Breakfast is a daily routine and does not provide insights into the child's self-concept. It is important for the nurse to focus on questions that directly relate to the child's thoughts, feelings, and perceptions of themselves rather than their daily activities.
Question 2 of 5
Which patient statement indicates the helpfulness of the nurse-patient relationship?
Correct Answer: A
Rationale: The correct answer is A because the patient expresses gratitude for the nurse's support, acknowledges increased understanding, and demonstrates empowerment in managing their issue. This indicates a positive and effective nurse-patient relationship. Choice B focuses on seeking advice rather than mutual understanding. Choice C highlights the nurse's role in controlling anxiety, overshadowing the patient's agency. Choice D emphasizes sympathy from the nurse rather than the patient's growth and understanding.
Question 3 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 4 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.
Question 5 of 5
The nurse is caring for a 30-year-old white man whose wife has recently died. The patient has been diagnosed with clinical depression and is demonstrating insufficient coping skills. Which action by the nurse would be most important?
Correct Answer: D
Rationale: The correct answer is D because asking the patient if he is thinking about killing himself is crucial in assessing suicide risk, which is a primary concern in cases of clinical depression. This step allows the nurse to evaluate the patient's safety and take appropriate measures to prevent self-harm. Referring the patient for long-term psychotherapy (A) is important but not the most immediate concern in ensuring the patient's safety. Determining the patient's risk of psychosis (B) is not as relevant in this scenario as addressing the immediate risk of suicide. While understanding the patient's family history of depression (C) may provide context, it does not directly address the patient's current safety and well-being.