ATI RN
Mental Health Assessment ATI Capstone Questions
Question 1 of 9
What is the significance of empathy and positive regard, according to Rogers's theory?
Correct Answer: D
Rationale: The correct answer is D because in Rogers's person-centered therapy, empathy and positive regard are considered essential. Empathy helps therapists understand clients' perspectives, fostering a trusting therapeutic relationship. Positive regard involves accepting clients unconditionally, promoting self-exploration and growth. Without these qualities, the therapeutic process may lack effectiveness and authenticity. Choices A and B are incorrect because empathy and positive regard are not specific to group or family therapy. Choice C is incorrect because empathy and positive regard are fundamental, not optional, in person-centered therapy.
Question 2 of 9
A young child is found wandering alone at a mall. A male store employee approaches and asks where her parents are. She responds, 'I don't know. Maybe you will take me home with you?' This sort of response in children may be due to:
Correct Answer: A
Rationale: The correct answer is A: A lack of bonding as an infant. This response from the child suggests a lack of secure attachment to a caregiver, leading to a sense of insecurity and seeking attachment with anyone present. This behavior is commonly seen in children who have not formed a secure bond with their primary caregiver in early childhood. Choices B, C, and D are incorrect because a healthy confidence in the child, adequate parental bonding, and normal parenting would not typically lead to a child seeking attachment with a stranger in a situation like this.
Question 3 of 9
What is the significance of empathy and positive regard, according to Rogers's theory?
Correct Answer: D
Rationale: The correct answer is D because in Rogers's person-centered therapy, empathy and positive regard are considered essential. Empathy helps therapists understand clients' perspectives, fostering a trusting therapeutic relationship. Positive regard involves accepting clients unconditionally, promoting self-exploration and growth. Without these qualities, the therapeutic process may lack effectiveness and authenticity. Choices A and B are incorrect because empathy and positive regard are not specific to group or family therapy. Choice C is incorrect because empathy and positive regard are fundamental, not optional, in person-centered therapy.
Question 4 of 9
When a nurse assesses an older adult patient, answers seem vague or unrelated to the questions. The patient also leans forward and frowns, listening intently to the nurse. An appropriate question for the nurse to ask would be
Correct Answer: A
Rationale: The correct answer is A: "Are you having difficulty hearing when I speak?" This is the most appropriate question as the patient's leaning forward and frowning could indicate potential hearing difficulties. By asking this question, the nurse can address a possible communication barrier and provide necessary accommodations. Option B, "How can I make this assessment interview easier for you?" is more general and may not directly address the specific issue of hearing difficulty. Option C, "I notice you are frowning. Are you feeling annoyed with me?" assumes the patient's emotions without addressing the potential hearing issue. Option D, "You're having trouble focusing on what I'm saying. What is distracting you?" assumes a focus issue rather than considering hearing impairment.
Question 5 of 9
A parent of a child who is newly diagnosed with ADHD wants to know where to find resources to help her better understand this condition. You are the school nurse where the child is enrolled. What could you suggest to the mother?
Correct Answer: B
Rationale: The correct answer is B: Check the ADHD Resource Center for more information. This option is the best choice because the ADHD Resource Center is specifically dedicated to providing resources and information about ADHD. By accessing this center, the parent can find accurate and reliable information to better understand the condition and how to support their child. Option A is not recommended as relying solely on a Google search may lead to misinformation or overwhelming and unreliable sources. Option C is incorrect as early intervention and education are crucial in managing ADHD, so waiting may delay necessary support. Option D is not the most direct or specific resource for ADHD information compared to the ADHD Resource Center.
Question 6 of 9
The spouse of a patient diagnosed with schizophrenia says, 'I don't understand how events from childhood have anything to do with this disabling illness.' Which response by the nurse will best help the spouse understand the cause of this disorder?
Correct Answer: C
Rationale: The correct answer is C: Research shows that this condition more likely has a biological basis. Schizophrenia is a complex disorder with strong evidence pointing to a biological origin, such as genetics and brain structure abnormalities. By emphasizing the biological basis, the nurse can help the spouse understand that it is not solely related to childhood events. Incorrect Choices: A: Psychological stress is the basis of most mental disorders - This statement is too general and not specific to schizophrenia. B: This illness results from developmental factors rather than stress - While developmental factors may play a role, research indicates a strong biological component in schizophrenia. D: It must be frustrating for you that your spouse is sick so much of the time - This response does not address the cause of schizophrenia and focuses on the spouse's feelings instead.
Question 7 of 9
A nurse is interviewing a client who has a co-occurring diagnosis. The client is trying to explain why it is so easy to start drinking again even though hospitalization and prescribed medications can eventually control his mental problems. Which statement by the client would the nurse interpret as reflecting the client's beliefs?
Correct Answer: B
Rationale: Rationale: The correct answer is B because it reflects the client's belief that drinking provides an escape from negative emotions and a sense of euphoria that medication cannot offer. This statement indicates the client's preference for the emotional effects of alcohol over the functional benefits of medication. Summary of other choices: A: Focuses on the financial aspect and convenience of alcohol, not the emotional aspect. C: Highlights issues with side effects and forgetfulness, not the emotional appeal of alcohol. D: Mentions avoiding responsibility as a reason for not taking medication, rather than seeking emotional relief from alcohol.
Question 8 of 9
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 9 of 9
What safety-related responsibility does the nurse have in any situation of suspected abuse?
Correct Answer: D
Rationale: The correct answer is D because reporting suspected abuse to the proper authorities is a legal and ethical requirement for healthcare professionals to protect vulnerable individuals. Reporting ensures that the appropriate agencies can investigate and intervene to safeguard the victim. Choice A is incorrect as it focuses solely on future prevention rather than immediate action. Choice B is incorrect as it may compromise the safety of the victim by alerting the abuser. Choice C is incorrect as counseling is not the primary responsibility when abuse is suspected, reporting is.