ATI RN
ATI Capstone Mental Health Pre Assessment Questions
Question 1 of 9
When the nurse has developed a therapeutic relationship with the client, what is a true statement about nursing care?
Correct Answer: B
Rationale: The correct answer is B because when the nurse has a therapeutic relationship with the client, it means they work collaboratively. The nurse considers the client a partner in care planning, involving them in decision-making and respecting their autonomy. This approach fosters trust and empowers the client in their care. A: The nurse should maintain professional boundaries and not become friends with the client to avoid conflicts of interest. C: Adhering strictly to the plan of care without flexibility may not meet the client's individual needs and preferences. D: While avoiding a directive approach is important, there are times when the nurse needs to provide guidance and direction for the client's benefit.
Question 2 of 9
A 33-year-old female diagnosed with bipolar I disorder has been functioning well on lithium for 11 months. At her most recent checkup, the psychiatric nurse practitioner states, 'You are ready to enter the maintenance therapy stage, so at this time I am going to adjust your dosage by prescribing':
Correct Answer: C
Rationale: The correct answer is C: A lower dosage. This adjustment is appropriate for maintenance therapy in bipolar I disorder to prevent toxicity and maintain therapeutic levels. Lowering the dose reduces the risk of adverse effects while still providing the necessary benefits. Increasing the dosage (choice A) may lead to toxicity. Once a week dosing (choice B) is not standard for lithium. Switching to a different drug (choice D) is not necessary if the patient has been responding well to lithium.
Question 3 of 9
A nurse is preparing a presentation for mental health promotion for young and middle-aged adults and is planning to address changes in family structure. Which of the following would the nurse include as reflecting marriage?
Correct Answer: C
Rationale: Rationale: - Option C is correct because middle-aged adults are most likely to be married, reflecting a common life stage where many individuals have already established long-term relationships or families. - Option A is incorrect because the peak marriage age can vary and is not a universal range. - Option B is incorrect as marrying in one's teens does not necessarily predict divorce rates for all individuals. - Option D is incorrect as there is no direct correlation between marrying between the ages of 23 to 27 years and divorce rates.
Question 4 of 9
Larry is a 50-year-old man who works about 60 hours per week. He arrives at the clinic seeking assistance with a weight gain of 50 pounds over the past year. Larry admits to sleeping 4 to 5 hours a night. The nurse recognizes that the weight gain may be related to:
Correct Answer: C
Rationale: Rationale for Choice C (Correct Answer): 1. Hormones like leptin and ghrelin regulate appetite and energy balance. 2. Lack of sleep disrupts these hormones, leading to increased appetite. 3. Larry's sleep deprivation may have dysregulated his appetite hormones. 4. This dysregulation could result in increased food intake and subsequent weight gain. Summary of Incorrect Choices: A. Diabetes: No information suggests Larry has diabetes symptoms. B. Cardiovascular disease: Weight gain may be a risk factor, but sleep deprivation's direct impact on hormones is more likely. D. Depression: While depression can contribute to weight gain, there's no indication of comorbidity in Larry's case.
Question 5 of 9
When the nurse has developed a therapeutic relationship with the client, what is a true statement about nursing care?
Correct Answer: B
Rationale: The correct answer is B because when the nurse has a therapeutic relationship with the client, it means they work collaboratively. The nurse considers the client a partner in care planning, involving them in decision-making and respecting their autonomy. This approach fosters trust and empowers the client in their care. A: The nurse should maintain professional boundaries and not become friends with the client to avoid conflicts of interest. C: Adhering strictly to the plan of care without flexibility may not meet the client's individual needs and preferences. D: While avoiding a directive approach is important, there are times when the nurse needs to provide guidance and direction for the client's benefit.
Question 6 of 9
A nurse is talking with a 57-year-old client who has been a heavy drinker for many years. The client is being treated for alcoholism, and this is her second week as an inpatient on the psychiatric unit. It is 5:00 AM, and the client has been having difficulty sleeping. The client is an orthopedic nurse, and although she is clothed in a hospital-issued gown and robe, she is wearing a stethoscope around her neck that the nurse recognizes as belonging to one of the staff nurses. When the nurse asks her why she is wearing the stethoscope and where she got it, the client gives her a long and involved reply that basically describes how her nursing supervisor came to visit and gave it to her to wear 'so she'd remember to get well.' The nurse suspects that the client may be experiencing which of the following?
Correct Answer: C
Rationale: Rationale: The correct answer is C: Korsakoff's psychosis. This is because the client's long and involved reply with false information about receiving the stethoscope from her nursing supervisor is indicative of confabulation, a common symptom of Korsakoff's psychosis. This condition is typically associated with chronic alcohol abuse and thiamine deficiency, leading to memory issues and confabulation. Incorrect options: A: Wernicke's syndrome is characterized by a triad of symptoms including confusion, ataxia, and ophthalmoplegia, not confabulation. B: Delirium tremens is a severe form of alcohol withdrawal that presents with hallucinations, tremors, and autonomic instability, not confabulation. D: Malignant hyperthermia is a rare but life-threatening reaction to certain medications used during anesthesia, not related to the client's behaviors or symptoms described in the scenario.
Question 7 of 9
A nurse identifies the nursing diagnosis of Ineffective Sexuality Patterns based on which of the following?
Correct Answer: B
Rationale: The correct answer is B because identifying Ineffective Sexuality Patterns involves recognizing a change in the client's sexual functioning, which is a key criterion for this nursing diagnosis. A: Dissatisfaction alone does not necessarily indicate ineffective sexuality patterns. C: Feeling inadequacy is related to self-esteem, not specifically to sexual functioning. D: Perceiving sexual activity as unrewarding does not directly address changes in sexual functioning, which are crucial in diagnosing ineffective sexuality patterns.
Question 8 of 9
A client is prescribed phenelzine (Nardil) to treat her depression. She is at a local café for lunch with a friend. Which of the following items on the menu would be least appropriate for the client to order?
Correct Answer: B
Rationale: The correct answer is B: A Cobb salad with blue cheese and Roquefort salad dressing. Phenelzine is a monoamine oxidase inhibitor (MAOI), which can interact with foods high in tyramine, such as aged cheeses like blue cheese and Roquefort. The interaction can lead to a hypertensive crisis, posing a serious health risk for the client. Choices A, C, and D are all safe options as they do not contain high levels of tyramine-rich foods that can interact with phenelzine.
Question 9 of 9
Considering the many criteria for good mental health, the nursing student has been instructed to list four of these criteria. The student's list consists of the following: (1) an appropriate perception of reality, (2) the ability to accept oneself, (3) the ability to establish relationships, and (4) a need for detachment and the desire for privacy. How would the nurse evaluate the nursing student's list?
Correct Answer: B
Rationale: The correct answer is B because three out of the four criteria listed by the student are correct. (1) an appropriate perception of reality, (2) the ability to accept oneself, and (3) the ability to establish relationships are indeed important criteria for good mental health. However, (4) a need for detachment and the desire for privacy is not typically considered a criteria for good mental health. It is important to emphasize that maintaining healthy boundaries and privacy is essential, but it is not a defining criteria for good mental health. Therefore, the student's list is good but not perfect.