ATI RN
Mental Health Assessment ATI Capstone Questions
Question 1 of 5
The nurse is caring for a family with a 3-year-old child who has autism disorders. When developing the teaching plan for the parents, which of the following would the nurse most likely include?
Correct Answer: D
Rationale: The correct answer is D: A structured physical environment is an important aspect. Children with autism disorders often benefit from a structured environment to help them feel safe and secure. This includes having clear routines, visual schedules, and designated spaces for different activities. Providing a structured environment can help reduce anxiety and improve the child's ability to focus and learn. Choice A is incorrect because autism and seizure disorders are not typically directly related. Choice B is incorrect as there is no correlation between autism and higher IQ. Choice C is incorrect as dyslexia is not a common comorbid condition with autism.
Question 2 of 5
A client suffered a stroke resulting in aphasia and dysarthria. Which communication adaptation technique by the nurse would be most helpful to this client?
Correct Answer: C
Rationale: The correct answer is C because for a client with aphasia and dysarthria, listening attentively, allowing time, and not interrupting are crucial for effective communication. By being patient and giving the client time to express themselves, the nurse can better understand their needs and facilitate communication. This approach shows respect and empathy towards the client's communication challenges. Choice A is incorrect because while using simple sentences can be helpful, it may not address the client's specific communication needs. Choice B is incorrect as speaking as though the client could hear may not necessarily improve understanding for someone with aphasia and dysarthria. Choice D is incorrect as providing an interpreter may not be necessary if the nurse can effectively communicate using techniques like active listening and patience.
Question 3 of 5
A client is developing a sense of identity and learning to form relationships with persons of the opposite sex. According to Sullivan's theory, this client would be assessed at which stage of development?
Correct Answer: D
Rationale: According to Sullivan's theory, the stage of development where individuals develop a sense of identity and start forming relationships with persons of the opposite sex is Early Adolescence (12-14 years). At this stage, individuals transition into adolescence, exploring their identity and social interactions. This is a critical period for developing intimacy and identity formation. The other choices are incorrect because childhood (A), juvenile (B), and preadolescence (C) do not specifically focus on the development of identity and relationships with the opposite sex, which are key aspects highlighted in the Early Adolescence stage.
Question 4 of 5
A nurse is leading a group in which members are encouraged to discuss their feelings and emotions. The group session is just starting when a patient stomps into the room, slams his notebook down on a table, and sits down. His affect is one of anger and hostility. Which response by the nurse would be most appropriate?
Correct Answer: D
Rationale: The correct response is D: Encourage the patient to discuss his anger with the group. This option promotes open communication, which can help the patient express and process his emotions in a supportive environment. By addressing the anger directly, the nurse can facilitate the patient's emotional expression and potentially uncover underlying issues contributing to his hostility. It also allows the group members to practice empathy and understanding towards the patient's emotions, fostering a sense of community and trust. Option A: Keeping the focus off the patient may lead to avoidance of the issue and hinder potential therapeutic progress. Option B: Suggesting private counseling may be beneficial but does not address the immediate situation or utilize the group dynamic for support. Option C: Asking the patient to leave the group may escalate the situation and could isolate the patient further, potentially exacerbating his anger.
Question 5 of 5
When communicating with a patient, which of the following would the nurse use to convey positive body language?
Correct Answer: C
Rationale: The correct answer is C: Sitting at the patient's eye level. This choice promotes open communication and shows respect to the patient. It helps establish a connection and makes the patient feel valued. Sitting erect (A) shows attentiveness, but not necessarily positive body language. Crossing arms (B) can signal defensiveness or closed-off attitude. Keeping feet flat on the floor with legs crossed (D) may appear relaxed but can be perceived as too casual or disengaged in a healthcare setting.