ATI RN
ATI Capstone Mental Health Proctored Assessment Questions
Question 1 of 9
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 9
A nurse is preparing an inservice program about substance abuse and its etiology. Which of the following would the nurse most likely include in the presentation when discussing possible psychologic etiologies?
Correct Answer: A
Rationale: The correct answer is A: Low self-esteem. Low self-esteem is a common psychological etiology of substance abuse as individuals may turn to substances to cope with feelings of inadequacy or self-doubt. This can lead to a cycle of self-medication and addiction. Incorrect choices: B: Genetic predisposition - While genetics can play a role in substance abuse, it is not a psychological etiology but rather a biological factor. C: Dysfunctional family - While family dynamics can contribute to substance abuse, it is more related to environmental factors than psychological ones. D: Peer influence - Peer influence is a social factor, not a psychological one, that can contribute to substance abuse behavior.
Question 3 of 9
A patient checks and rechecks electrical cords related to an obsessive thought that the house may burn down. The nurse and patient explore the likelihood of an actual fire. The patient states this event is not likely. This counseling demonstrates principles of
Correct Answer: D
Rationale: The correct answer is D: cognitive restructuring. This counseling technique involves challenging and changing irrational thoughts, like the fear of the house burning down, by exploring evidence and creating more balanced perspectives. In this scenario, the nurse and patient are addressing the patient's obsessive thought by examining the likelihood of an actual fire, which aligns with cognitive restructuring. A: Flooding involves exposing the patient to the feared stimulus at full intensity, which is not demonstrated in the scenario. B: Desensitization involves gradually exposing the patient to the feared stimulus, not directly challenging irrational thoughts. C: Relaxation techniques aim to reduce anxiety and stress but do not address the underlying irrational thoughts like cognitive restructuring does.
Question 4 of 9
A group of nursing students is reviewing the physical changes that occur in older adults. The students demonstrate understanding of the information when they identify which of the following as contributing to the patient's risk for drug toxicity?
Correct Answer: A
Rationale: The correct answer is A: Reduced liver function. In older adults, liver function declines, affecting drug metabolism and clearance. This can lead to drug toxicity as medications may not be broken down effectively. Reduced liver function is a common age-related change that can impact the pharmacokinetics of drugs. Choices B, C, and D do not directly contribute to drug toxicity risk in older adults. Reduced brain gray matter volume, lower metabolic rate at rest, and decreased body water are not specifically related to drug metabolism and clearance. Thus, they are incorrect choices for contributing to the patient's risk for drug toxicity.
Question 5 of 9
A hospitalized patient diagnosed with depression asks the nurse, 'Should I go home this weekend?' Which response by the nurse uses the technique of reflection?
Correct Answer: A
Rationale: Step 1: Option A reflects the patient's question back to them without adding any personal interpretation, allowing them to further explore their feelings. Step 2: This technique of reflection demonstrates active listening and encourages the patient to delve deeper into their thoughts. Step 3: Option B is a therapeutic technique called clarification, not reflection. Option C is an example of paraphrasing. Option D is a form of confrontation, not reflection. Summary: Choice A is correct as it reflects the patient's question back to them, facilitating self-exploration. Choices B, C, and D are incorrect as they represent different communication techniques.
Question 6 of 9
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 7 of 9
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 8 of 9
When assessing a client with depression, the client states, I just feel so sad and hopeless. I just don't care anymore. I don't even enjoy doing the crossword puzzles like I used to. The nurse documents this finding as indicative of which of the following?
Correct Answer: B
Rationale: The correct answer is B: Anhedonia. Anhedonia refers to the inability to experience pleasure or joy in activities that were previously enjoyable. In the scenario provided, the client's statement about not enjoying crossword puzzles anymore indicates a loss of pleasure, which is a key symptom of anhedonia commonly seen in depression. A: Dysthymic disorder is a type of chronic mood disorder characterized by persistently depressed mood. The client's symptoms do not meet the criteria for a diagnosis of dysthymic disorder based on the information provided. C: Delusion refers to a fixed false belief that is not based in reality. The client's statement does not involve any delusional beliefs, so this choice is incorrect. D: Psychosis involves a loss of contact with reality, often manifesting as hallucinations or delusions. The client's statement does not indicate a break from reality, so psychosis is not the correct choice.
Question 9 of 9
A patient is being treated in an interdisciplinary clinic. During interactions with a patient who is receiving cognitive behavior therapy, which of the following would the nurse concentrate on first?
Correct Answer: C
Rationale: The correct answer is C: Identifying the underlying beliefs. In cognitive behavior therapy, identifying the underlying beliefs is crucial as they drive the patient's thoughts and behaviors. By focusing on these core beliefs first, the nurse can help the patient understand the root causes of their issues and work towards challenging and modifying them effectively. A: Identifying alternative explanations of an event - This step usually comes after identifying the underlying beliefs. B: Exploring evidence to support or refute the beliefs - This step comes after identifying the beliefs and is not the initial focus. D: Examining the real implications if the beliefs are true - This step is important but is typically addressed after identifying and working on the underlying beliefs.