ATI RN
ATI Mental Health Capstone Assessment Questions
Question 1 of 5
When caring for a client in the psychiatric unit, the new nurse in the unit approaches the client with the morning medications. The client responds to the nurse with, 'I know I can't trust you!' What should the nurse consider when attempting to understand the client's statement?
Correct Answer: B
Rationale: The correct answer is B: The statement could be an example of transference to the nurse. Transference occurs when a client unconsciously projects feelings and attitudes from past relationships onto the nurse. In this scenario, the client's mistrust may stem from previous negative experiences with healthcare providers. It is crucial for the nurse to recognize transference to understand the client's behavior and provide appropriate care. Incorrect options: A: The statement being inappropriate is a judgment and does not address the underlying psychological dynamics. C: Countertransference refers to the nurse's emotional reaction to the client, not the client's projection. D: While the statement reflects the client's feelings, it does not address the deeper psychological process of transference.
Question 2 of 5
Which interaction is an example of dialogue that would be used in the context of reality therapy?
Correct Answer: D
Rationale: The correct answer is D because it reflects the key principles of reality therapy, which focuses on personal responsibility and choices. In this dialogue, the nurse is helping the client explore their behavior and choices that led to the consequence of losing their pass. By asking the client about their actions and readiness for the pass, the nurse is encouraging self-reflection and accountability. This approach aligns with reality therapy's emphasis on helping clients understand how their choices impact their lives. Choices A, B, and C are incorrect because they do not directly address personal responsibility and choice. Choice A focuses on offering a relaxation exercise without addressing the client's role in managing their anxiety. Choice B focuses on exploring the client's past experiences with punishment but does not guide the client towards self-reflection on their current behavior. Choice C suggests discussing anxiety without directly addressing the client's choices or accountability.
Question 3 of 5
Demanding proof from the client is to"challenging" as persistent questioning of the client and pushing for answers the client does not wish to discuss is to:
Correct Answer: D
Rationale: The correct answer is D: "Probing." Probing involves persistently questioning and pushing for answers from the client, similar to how demanding proof challenges the client. Probing seeks to uncover deeper insights or information, even if the client may not initially wish to discuss it. A: "Advising" is incorrect because advising involves offering guidance or recommendations to the client, which is different from persistent questioning. B: "Defending" is incorrect as it involves supporting or justifying the client's actions or positions, not pushing for more information. C: "Rejecting" is incorrect as it involves dismissing or refusing the client's input or requests, not actively seeking more information like probing does.
Question 4 of 5
A nurse is part of a multidisciplinary team working with groups of depressed patients. One group of patients receives supportive interventions and antidepressant medication. The other group receives only medication. The team measures outcomes for each group. Which type of study is evident?
Correct Answer: D
Rationale: The correct answer is D: Clinical epidemiology. Clinical epidemiology involves studying the outcomes of interventions in patient groups, which is evident in this scenario. The nurse is part of a team measuring outcomes in depressed patients receiving different treatment approaches. A: Incidence refers to the rate of occurrence of new cases in a population over a specified period. This study is not focused on new cases but rather on the outcomes of interventions. B: Prevalence refers to the proportion of a population found to have a condition at a specific point in time. This study is not assessing the prevalence of depression but rather the outcomes of different treatment approaches. C: Comorbidity refers to the presence of two or more conditions in a patient. While comorbidity may be relevant in this study, the main focus is on the outcomes of interventions rather than the presence of multiple conditions. In summary, the study described involves evaluating outcomes of interventions in depressed patients, aligning with the principles of clinical epidemiology.
Question 5 of 5
Before assessing a new patient, a nurse is told by another health care worker, "I know that patient. No matter how hard we work, there isn't much improvement by the time of discharge." The nurse's responsibility is to
Correct Answer: B
Rationale: The correct answer is B because the nurse should assess the patient based on data collected from all sources to form an independent evaluation. This ensures a comprehensive understanding of the patient's condition and needs. Documenting the other worker's assessment (choice A) may limit the nurse's own assessment. Validating the worker's impression by contacting the patient's significant other (choice C) may introduce bias. Discussing the worker's impression with the patient during the assessment interview (choice D) may influence the patient's responses. The best approach is for the nurse to gather all relevant information and make an objective assessment.