ATI RN
Mental Health Assessment ATI Capstone Questions
Question 1 of 5
When communicating with a patient, which of the following would the nurse use to convey positive body language?
Correct Answer: C
Rationale: The correct answer is C: Sitting at the patient's eye level. This choice promotes open communication and shows respect to the patient. It helps establish a connection and makes the patient feel valued. Sitting erect (A) shows attentiveness, but not necessarily positive body language. Crossing arms (B) can signal defensiveness or closed-off attitude. Keeping feet flat on the floor with legs crossed (D) may appear relaxed but can be perceived as too casual or disengaged in a healthcare setting.
Question 2 of 5
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.
Question 3 of 5
The nurse is caring for a family with a 3-year-old child who has autism disorders. When developing the teaching plan for the parents, which of the following would the nurse most likely include?
Correct Answer: D
Rationale: The correct answer is D: A structured physical environment is an important aspect. Children with autism disorders often benefit from a structured environment to help them feel safe and secure. This includes having clear routines, visual schedules, and designated spaces for different activities. Providing a structured environment can help reduce anxiety and improve the child's ability to focus and learn. Choice A is incorrect because autism and seizure disorders are not typically directly related. Choice B is incorrect as there is no correlation between autism and higher IQ. Choice C is incorrect as dyslexia is not a common comorbid condition with autism.
Question 4 of 5
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 5 of 5
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.