ATI RN
ATI Capstone Mental Health Questions
Question 1 of 5
The nurse manager conducts a hand hygiene surveillance project on the mental health unit. This activity demonstrates nursing competency in which two QSEN categories?
Correct Answer: A
Rationale: The correct answer is A: safety and quality improvement. Hand hygiene surveillance project aligns with safety by preventing infections and quality improvement by enhancing patient outcomes. Safety includes preventing harm, while quality improvement focuses on optimizing processes. Teamwork (B) and informatics (C) are not directly related to hand hygiene surveillance. Evidence-based practice (D) and person-centered care (D) are important but not the primary focus of a hand hygiene surveillance project.
Question 2 of 5
A client on an inpatient psychiatric unit states,"My mother hates me. My father is a drunk. Right now, I am homeless." The nurse responds,"Let's talk more about your feelings toward your mother." Which is a description of the technique used by the nurse?
Correct Answer: A
Rationale: The correct answer is A because the nurse is using questions or statements to help the client expand on a topic of importance, which in this case is the client's feelings towards their mother. By encouraging the client to talk more about their feelings, the nurse is facilitating a deeper exploration of the client's emotions and thoughts. This technique fosters trust, empathy, and a therapeutic relationship. Incorrect Choices: B: The nurse is not asking the client to select a topic for discussion but rather guiding the conversation based on the client's initial statement. C: While the nurse is delving further into the client's feelings about their mother, the focus is on the client's emotions rather than a subject or idea. D: The nurse is not being persistent with questioning but rather offering a supportive and open-ended approach to exploring the client's feelings.
Question 3 of 5
In the majority culture of the United States, which individual has the greatest risk to be labeled mentally ill? One who
Correct Answer: A
Rationale: The correct answer is A because describing hearing God's voice speaking is often associated with religious delusions, a symptom of certain mental illnesses like schizophrenia. This can lead to being labeled mentally ill due to societal norms. Option B is incorrect as being pessimistic but goal-oriented is a common personality trait. Option C is incorrect as being generous does not inherently indicate mental illness. Option D is incorrect as having an optimistic viewpoint and meeting personal needs are not indicative of mental illness.
Question 4 of 5
The desired outcome for a patient experiencing insomnia is, "Patient will sleep for a minimum of 5 hours nightly within 7 days." At the end of 7 days, review of sleep data shows the patient sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. The nurse will document the outcome as
Correct Answer: D
Rationale: The correct answer is D: never demonstrate. The rationale is that the desired outcome was for the patient to sleep for a minimum of 5 hours nightly within 7 days. However, the patient only sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap, which does not meet the desired outcome. Therefore, the nurse would document that the patient has never demonstrated the desired outcome of sleeping for a minimum of 5 hours nightly within 7 days. Choices A, B, and C are incorrect because the patient did not consistently, often, or sometimes demonstrate meeting the desired outcome.
Question 5 of 5
A patient fearfully runs from chair to chair crying, "They're coming! They're coming!" The patient does not follow the staff's directions or respond to verbal interventions. Which nursing diagnosis has the highest priority?
Correct Answer: B
Rationale: The correct answer is B: Risk for injury. This diagnosis takes priority because the patient's behavior poses an immediate threat to their safety. Running and not responding to staff instructions increases the risk of falls and accidents. Addressing this risk is crucial to ensure the patient's physical well-being. Choice A (Fear) is important but not as urgent as addressing the immediate risk of injury. Choice C (Self-care deficit) and D (Disturbed thought processes) are not the priority in this scenario as the patient's safety is the primary concern.