ATI RN
ATI Capstone Mental Health Proctored Assessment Questions
Question 1 of 5
The nurse is helping a 56-year-old homeless woman develop a plan for after discharge. Which of the following would be most appropriate to include?
Correct Answer: A
Rationale: The correct answer is A: Contacting the woman's daughter as a possible source of support after the client's discharge. This is the most appropriate choice because involving family members can provide emotional and practical support for the client. It is important to leverage existing relationships and support systems to enhance the client's post-discharge plan. Summary of other choices: B: Contacting the woman's parents may not be appropriate as the client's relationship with her parents is not specified and involving them without consent may not be beneficial. C: Providing resources in a three-ring binder is not as personal or tailored to the client's specific needs and may not address the emotional support aspect. D: Providing telephone numbers of health insurance companies is important but not as crucial as establishing a support system through family members.
Question 2 of 5
Nurse is giving discharge instructions to a client who has a new ileostomy. The nurse should recognize that the teaching has been effective when the client states:
Correct Answer: B
Rationale: The correct answer is B because ileostomy typically drains liquid continuously due to the high fluid content of the small intestine. This statement indicates the client understands the normal function of their stoma. A is incorrect because medications for ileostomy patients are usually not enteric coated. C is incorrect because pouch system change frequency varies, often daily or every few days, not every two weeks. D is incorrect because the stoma will change in size during the healing process.
Question 3 of 5
Cabot has multiple symptoms of depression including mood reactivity, social phobia, anxiety, and overeating. With a history of mild hypertension, which classification of antidepressants dispensed as a transdermal patch would be a safe medication?
Correct Answer: D
Rationale: Rationale: The correct answer is D, Monoamine oxidase inhibitor. MAOIs are safe for patients with mild hypertension as they do not have adverse effects on blood pressure. Additionally, MAOIs are known to be effective in treating symptoms of depression, anxiety, and overeating, which are present in Cabot's case. Tricyclic antidepressants (A) can have cardiovascular side effects, SSRIs (B) can cause weight gain, and SNRIs (C) may increase blood pressure. MAOIs are the safest option considering Cabot's symptoms and medical history.
Question 4 of 5
Sigmund Freud, Karl Menninger, and Aaron Beck theorized that hopelessness was an integral part of why a person commits suicide. A more recent theory suggest suicide results from:
Correct Answer: B
Rationale: The correct answer is B: The diathesis-stress model. This model suggests that individuals have a predisposition (diathesis) towards a certain mental health condition, such as depression, and this predisposition interacts with environmental stressors to trigger the condition. Suicide can result from the combination of genetic vulnerability (diathesis) and stressful life events (stressors). Elevated serotonin levels (choice A) are more associated with mood disorders like depression, not directly linked to suicide. Outward aggression turned inward (choice C) is more related to internalizing behaviors like self-harm, but not necessarily suicide. A lack of perfectionism (choice D) is not a widely recognized factor in suicide risk. The diathesis-stress model provides a comprehensive explanation for the complex interplay of genetic and environmental factors leading to suicide.
Question 5 of 5
A bereavement group run by a local hospice includes a woman who is distraught over her supervisor's death. The woman appears severely distressed. She has trouble functioning with activities of daily living and making the simplest of decisions. The group facilitator recognizes that this woman is suffering from disenfranchised grief after learning:
Correct Answer: A
Rationale: The correct answer is A: The woman was in love with her married supervisor. This is correct because disenfranchised grief occurs when a person experiences a loss that is not openly acknowledged or socially supported, such as a secret romantic relationship with the deceased. In this case, the woman's profound distress and inability to function suggest a deep emotional connection beyond a professional one, explaining her intense reaction. Incorrect choices: B: She has not taken enough time off work to grieve properly - This choice assumes that time off work is the primary factor in grieving, which may not be relevant to the woman's situation. C: The supervisor died over a year ago - The timeline of the supervisor's death is not necessarily indicative of disenfranchised grief, as the nature of the relationship matters more. D: Her family is not involved enough to support her - While family support is important, disenfranchised grief is more about the nature of the relationship with the deceased rather than familial support.