ATI RN
ATI Capstone Mental Health Proctored Assessment Questions
Question 1 of 5
Which assessment finding most clearly indicates that a patient may be experiencing a mental illness? The patient
Correct Answer: B
Rationale: The correct answer is B because a consistently sad, discouraged, and hopeless mood is a hallmark symptom of many mental illnesses, such as depression. This persistent negative mood is a red flag for potential mental health concerns. A: Reports of occasional sleeplessness and anxiety are common and can be caused by various factors, not solely indicative of mental illness. C: Being able to differentiate between 'as if' and 'for real' is related to cognitive functioning and does not directly point to mental illness. D: Difficulty making decisions can be a symptom of mental illness, but it is not as specific as a consistently sad, discouraged, and hopeless mood in indicating potential mental health issues.
Question 2 of 5
The nurse is helping a 56-year-old homeless woman develop a plan for after discharge. Which of the following would be most appropriate to include?
Correct Answer: A
Rationale: The correct answer is A: Contacting the woman's daughter as a possible source of support after the client's discharge. This is the most appropriate choice because involving family members can provide emotional and practical support for the client. It is important to leverage existing relationships and support systems to enhance the client's post-discharge plan. Summary of other choices: B: Contacting the woman's parents may not be appropriate as the client's relationship with her parents is not specified and involving them without consent may not be beneficial. C: Providing resources in a three-ring binder is not as personal or tailored to the client's specific needs and may not address the emotional support aspect. D: Providing telephone numbers of health insurance companies is important but not as crucial as establishing a support system through family members.
Question 3 of 5
A group of nursing students is reviewing the physical changes that occur in older adults. The students demonstrate understanding of the information when they identify which of the following as contributing to the patient's risk for drug toxicity?
Correct Answer: A
Rationale: The correct answer is A: Reduced liver function. In older adults, liver function declines, affecting drug metabolism and clearance. This can lead to drug toxicity as medications may not be broken down effectively. Reduced liver function is a common age-related change that can impact the pharmacokinetics of drugs. Choices B, C, and D do not directly contribute to drug toxicity risk in older adults. Reduced brain gray matter volume, lower metabolic rate at rest, and decreased body water are not specifically related to drug metabolism and clearance. Thus, they are incorrect choices for contributing to the patient's risk for drug toxicity.
Question 4 of 5
Sigmund Freud, Karl Menninger, and Aaron Beck theorized that hopelessness was an integral part of why a person commits suicide. A more recent theory suggest suicide results from:
Correct Answer: B
Rationale: The correct answer is B: The diathesis-stress model. This model suggests that individuals have a predisposition (diathesis) towards a certain mental health condition, such as depression, and this predisposition interacts with environmental stressors to trigger the condition. Suicide can result from the combination of genetic vulnerability (diathesis) and stressful life events (stressors). Elevated serotonin levels (choice A) are more associated with mood disorders like depression, not directly linked to suicide. Outward aggression turned inward (choice C) is more related to internalizing behaviors like self-harm, but not necessarily suicide. A lack of perfectionism (choice D) is not a widely recognized factor in suicide risk. The diathesis-stress model provides a comprehensive explanation for the complex interplay of genetic and environmental factors leading to suicide.
Question 5 of 5
The desired outcome for a patient experiencing insomnia is, "Patient will sleep for a minimum of 5 hours nightly within 7 days." At the end of 7 days, review of sleep data shows the patient sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. What is the nurse's next action?
Correct Answer: D
Rationale: The correct answer is D. The nurse should examine interventions for possible revision of the target date. This is because the patient is not meeting the desired outcome of sleeping for a minimum of 5 hours nightly within 7 days. By examining interventions, the nurse can assess the effectiveness of the current plan and make necessary adjustments to help the patient achieve the desired outcome. Continuing the current plan without changes (choice A) would not address the issue of the patient not meeting the sleep goal. Removing the nursing diagnosis from the plan of care (choice B) would neglect the patient's ongoing sleep difficulties. Writing a new nursing diagnosis (choice C) does not address the need to evaluate and adjust the current interventions.