ATI RN
ATI Capstone Mental Health Assessment Quizlet Questions
Question 1 of 9
The nurse uses the clock face assessment test to obtain which assessment data?
Correct Answer: A
Rationale: The clock face assessment test is used to assess cognitive function, particularly visuospatial abilities and executive functioning. The correct answer is A because it helps in detecting early signs of neurocognitive disorders such as Alzheimer's disease. By analyzing how the patient draws a clock face, the nurse can identify cognitive impairment. Choice B is incorrect as the clock face test is not used to assess overall functioning. Choice C is incorrect as it does not specifically provide evidence of alcohol/substance use disorders. Choice D is incorrect as the clock face test is not primarily used to detect signs and symptoms of depression.
Question 2 of 9
Larry is from a small town and began displaying aggressive and manipulative traits while still a teenager. Now at 40 years old, Larry is serving a life sentence for the murders of his wife and her brother. John, the prison psychiatric nurse practitioner, recognizes that Larry's treatment will most likely:
Correct Answer: D
Rationale: The correct answer is D because Larry's long history of aggressive and manipulative behavior suggests deep-rooted issues that are unlikely to change dramatically. Small incremental changes indicate a more realistic expectation for progress in his treatment. Choice A is incorrect as transforming Larry into a model prisoner is overly optimistic given his history. Choice B is incorrect as it assumes no improvement in coping skills, which may occur to some extent through therapy. Choice C is incorrect as reaffirming high-risk behaviors would be detrimental to Larry's rehabilitation.
Question 3 of 9
An intramuscular dose of antipsychotic medication needs to be administered to a patient who is becoming increasingly more aggressive and refused to leave the day room. The nurse should enter the day room
Correct Answer: B
Rationale: The correct answer is B because it prioritizes de-escalation and patient cooperation by using a calm and empathetic approach. Accompanied by staff members ensures safety and support. It communicates the purpose of the medication positively. Choice A lacks support and may not address the patient's aggression. Choice C uses a physical hold, which can escalate the situation. Choice D introduces a security guard, potentially increasing hostility and fear. Overall, choice B aligns with best practices for managing aggressive behavior in a therapeutic and respectful manner.
Question 4 of 9
Anxiety problems in older adults can manifest as a fear of falling, greatly influencing an older adult's personal freedom. A home health nurse checking on a patient with mild dementia and anxiety related to falling should question which new order?
Correct Answer: D
Rationale: The correct answer is D: Electric wheelchair. This is because anxiety related to falling can impact an older adult's mobility and independence. Providing an electric wheelchair can help the patient move around safely and independently, reducing the fear of falling and promoting personal freedom. Choice A: Yoga and tai-chi may help with relaxation and balance, but they may not address the immediate mobility concerns of the patient with mild dementia and anxiety related to falling. Choice B: Xanax is a medication commonly used to treat anxiety, but it may not address the underlying mobility issues and could potentially cause side effects in older adults. Choice C: Relaxation techniques can be beneficial for managing anxiety, but in this case, addressing the patient's mobility concerns with an electric wheelchair would be more appropriate and effective.
Question 5 of 9
A nurse is constructing a genogram of a family. Which of the following would the nurse do?
Correct Answer: C
Rationale: The correct answer is C because genograms typically use horizontal lines to show marriages. This allows for a clear visual representation of the relationships between family members. Using circles to represent male members (choice A) would be inaccurate as circles usually represent females. Horizontal lines connecting parents with children (choice B) are used to show parent-child relationships, not marriages. Using asterisks to denote ages listed at the bottom (choice D) is not a common practice in constructing genograms. Therefore, choice C is the most appropriate and accurate way to represent marriages in a genogram.
Question 6 of 9
The nurse is caring for a 78-year-old client who is taking an anticholinergic medication and complains of dry mouth. Which of the following would be most appropriate for the nurse to suggest?
Correct Answer: B
Rationale: The correct answer is B: Rinse the mouth with a mouthwash. Anticholinergic medications can cause dry mouth due to decreased saliva production. Rinsing with a mouthwash can help moisturize the oral mucosa and provide temporary relief. Chewing hard candies (choice A) may provide temporary relief but can also increase the risk of dental caries. Using more seasonings on food (choice C) and drinking decaffeinated beverages often (choice D) do not directly address the dry mouth concern.
Question 7 of 9
Which assessment finding exhibited by a patient being assessed for posttraumatic stress disorder (PTSD) would be considered a defining behavior and support such a diagnosis?
Correct Answer: C
Rationale: The correct answer is C because describing vivid 'flashbacks' of being attacked is a defining behavior of PTSD according to the DSM-5 criteria. This symptom is specific to PTSD and indicates re-experiencing of the traumatic event. Choice A is not specific to PTSD and can occur in other conditions. Choice B is more related to mood disorders than PTSD. Choice D is more indicative of a need to disclose the trauma, which is common but not a defining behavior of PTSD.
Question 8 of 9
After teaching a class on antipsychotic agents, the instructor determines that the teaching was successful when the class identifies which of the following as an example of a second-generation antipsychotic agent?
Correct Answer: C
Rationale: The correct answer is C: Quetiapine (Seroquel) is a second-generation antipsychotic agent. This is because second-generation antipsychotics, also known as atypical antipsychotics, have a lower risk of extrapyramidal side effects compared to first-generation antipsychotics. Quetiapine is known for its efficacy in treating both positive and negative symptoms of schizophrenia. Fluphenazine, Thiothixene, and Chlorpromazine are all first-generation antipsychotic agents and are associated with a higher risk of extrapyramidal side effects and other adverse effects. Therefore, the correct choice for a second-generation antipsychotic agent is Quetiapine.
Question 9 of 9
A patient is engaged in bibliotherapy and begins to express his feelings because he closely associates his experience with that provided by the reading material. The nurse interprets this as which of the following?
Correct Answer: B
Rationale: The correct answer is B: Catharsis. Catharsis refers to the process of emotional release and purification through expressing feelings and emotions. In this scenario, the patient is engaging in bibliotherapy and expressing his feelings, indicating a release of pent-up emotions. This is a therapeutic process that allows the patient to process and cope with their emotions in a healthy way. Choice A: Insight is incorrect as it refers to gaining a deeper understanding or awareness, which is not explicitly mentioned in the scenario. Choice C: Anxiety reduction is incorrect as the scenario does not specify that the patient's goal is to reduce anxiety, but rather to express feelings associated with the reading material. Choice D: Problem solving is incorrect as the scenario does not involve the patient actively working through a specific problem, but rather expressing emotions related to the reading material.