ATI RN
ATI Capstone Mental Health Assessment Questions
Question 1 of 5
What personality disorder is characterized by a pervasive and excessive need to be taken care of by others?
Correct Answer: A
Rationale: The correct answer is A: Dependent personality disorder (DPD). This disorder is characterized by a pervasive and excessive need to be taken care of by others, leading to submissive and clinging behavior. Individuals with DPD have difficulty making everyday decisions without reassurance from others. Rationale: 1. Dependent personality disorder aligns with the description of needing excessive care and being submissive. 2. Histrionic personality disorder is characterized by attention-seeking behavior, not a need for dependency. 3. Narcissistic personality disorder involves a grandiose sense of self-importance, not a need for dependency. 4. Avoidant personality disorder is marked by social inhibition and feelings of inadequacy, not a need for excessive care from others. In summary, the key characteristic of dependency and excessive need for care points to dependent personality disorder as the correct answer.
Question 2 of 5
A client who practices Orthodox Judaism is upset. The client's son has recently committed suicide. The client tearfully tells the nurse that the son may not be able to be buried with honors. Which intervention should the nurse implement?
Correct Answer: D
Rationale: The correct answer is D: Sit with the client and allow expression of loss and sorrow. This intervention is appropriate as it demonstrates empathy, support, and active listening. By sitting with the client and allowing them to express their emotions, the nurse is providing a safe space for the client to grieve. This approach aligns with the principles of therapeutic communication and client-centered care. A: Asking the client why the son won't be buried with honors may come off as insensitive and could potentially make the client feel judged or misunderstood. B: Accepting that the client is upset and leaving them alone does not address the client's emotional distress or provide support during a difficult time. C: Calling the psychiatrist for antianxiety medication does not address the client's immediate emotional needs and may not be the most appropriate intervention in this situation.
Question 3 of 5
Which comment best indicates a patient is self-actualized?
Correct Answer: D
Rationale: The correct answer is D because it reflects self-actualization by showing an appreciation for simple pleasures and being in touch with nature, indicating a sense of fulfillment and inner peace. Choice A focuses on external factors, choice B relies on a plan for validation, and choice C emphasizes success through hard work, all of which are not necessarily indicative of self-actualization.
Question 4 of 5
At what point in the nurse–patient relationship should a nurse plan to first address termination?
Correct Answer: A
Rationale: The correct answer is A, during the orientation phase. This is the initial phase where the nurse establishes rapport, gathers information, and sets the tone for the relationship. Planning for termination during orientation allows for a smooth transition and helps manage expectations. Addressing termination at the end of the working phase (choice B) may be abrupt and disrupt the therapeutic process. Near the beginning of the termination phase (choice C) is too late as it doesn't allow sufficient time for the patient to process and prepare for closure. Waiting for the patient to bring up termination (choice D) may lead to uncertainty and anxiety for the patient.
Question 5 of 5
A confused older adult patient in a skilled nursing facility was asleep when unlicensed assistive personnel (UAP) entered the room quietly and touched the bed to see if it was wet. The patient awakened and hit the UAP in the face. Which statement best explains the patient's action?
Correct Answer: D
Rationale: The correct answer is D because the patient's action can be explained by the concept of interpreting the UAP's behavior as potentially harmful. In this scenario, the patient was asleep and suddenly awakened by the UAP quietly entering the room and touching the bed. The patient's instinctive response of hitting the UAP in the face can be seen as a defensive reaction triggered by perceiving a potential threat or harm from the UAP's unexpected actions. This aligns with the idea that older adults in a vulnerable state may react aggressively when feeling threatened or unsafe. Choice A is incorrect because it generalizes behavior without considering the specific context of the situation. Choice B is incorrect as it does not directly address the patient's perception of harm from the UAP's actions. Choice C is incorrect as there is no evidence provided in the scenario to support the idea that the patient learned violent behavior from other patients.