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 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 3 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.
Question 4 of 5
A patient with an abdominal mass is scheduled for a biopsy. The patient has difficulty understanding the nurse's comments and asks, "What do you mean? What are they going to do?" Assessment findings include tremulous voice, respirations 28, and pulse 110. What is the patient's level of anxiety?
Correct Answer: B
Rationale: The correct answer is B: Moderate. The patient's tremulous voice, increased respirations, and elevated pulse indicate a moderate level of anxiety. These physiological signs suggest heightened stress and arousal, which are characteristic of moderate anxiety. Mild anxiety would not typically present with such pronounced physical symptoms. Severe anxiety would exhibit even more severe physical manifestations, while panic anxiety would involve extreme distress and potential loss of control.
Question 5 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.