ATI RN
ATI Mental Health Capstone Assessment Questions
Question 1 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 2 of 5
A nurse is working in a community mental health center that provides care to a large population of Asian descent. When developing programs for this community, which of the following would be most important for the nurse to address?
Correct Answer: C
Rationale: The correct answer is C: Label avoidance. In Asian cultures, there is a strong emphasis on saving face and avoiding labels related to mental health issues. This can lead individuals to avoid seeking help or disclosing their struggles to others. Addressing label avoidance is crucial in order to reduce barriers to accessing mental health services within the Asian community. Incorrect choices: A: Public stigma - While public stigma is important to address, the focus should be on understanding and addressing the specific cultural factors that contribute to stigma within the Asian community. B: Self-stigma - While self-stigma is significant, addressing label avoidance can help individuals overcome internalized stigma by creating a more accepting environment. D: Negative life events - While negative life events can impact mental health, addressing label avoidance is more essential in this context to ensure individuals feel comfortable seeking help despite these challenges.
Question 3 of 5
While assessing an older adult, the nurse allows ample time for the patient to respond based on the understanding of which of the following?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Allowing ample time for the older adult to respond acknowledges the possible cognitive changes that may come with aging. 2. It promotes effective communication and respects the individual's autonomy. 3. It helps reduce the risk of miscommunication and misunderstanding. 4. It enhances the nurse's ability to gather accurate information and provide appropriate care. Summary: B: This choice assumes irreversible memory impairment without evidence, leading to premature judgment. C: Decreased cerebral oxygen flow is not necessarily related to the need for ample time in communication with older adults. D: Weighing pros and cons of perceived risk is not directly related to the need for ample time in communication with older adults.
Question 4 of 5
A nurse encounters an unfamiliar psychiatric disorder on a new patient's admission form. Which resource should the nurse consult to determine criteria used to establish this diagnosis?
Correct Answer: C
Rationale: Rationale: The correct answer is C: Diagnostic and Statistical Manual of Mental Disorders (DSM-V). The DSM-V is the standard classification of mental disorders used by healthcare professionals. It provides criteria for diagnosing psychiatric disorders based on research and clinical expertise. Other choices are incorrect because: A (ICD-10) is a classification system for all diseases, not specific to psychiatric disorders; B (ANA's standards) focuses on nursing practice, not diagnosis; D (behavioral health manual) may not provide standardized diagnostic criteria. The DSM-V is the most appropriate resource for accurate psychiatric diagnosis.
Question 5 of 5
A nurse is working for a mobile homeless treatment program. Which method would the nurse most likely use to provide follow-up care to clients?
Correct Answer: B
Rationale: The correct answer is B, riding a bicycle to wherever the client happens to be. This method is most likely used for follow-up care in a mobile homeless treatment program because it allows the nurse to reach clients who may not have consistent access to transportation or a fixed address. By being mobile, the nurse can ensure continuity of care and provide services directly to clients in their own environment. Option A, seeing them by appointment at a clinic office, may not be feasible for homeless clients due to transportation and scheduling challenges. Option C, meeting the client in a public place easily accessible by taxi, may not be practical if the client's location changes frequently. Option D, using the telephone to determine how well the clients are doing, lacks the personal connection and hands-on assessment that may be necessary for providing effective follow-up care in this setting.