ATI RN
ATI Capstone Mental Health Proctored Assessment Questions
Question 1 of 9
Which is an example of the therapeutic communication technique of"voicing doubt"?
Correct Answer: B
Rationale: The correct answer is B, "I find that hard to believe." This statement demonstrates the therapeutic communication technique of voicing doubt by expressing skepticism in a non-confrontational manner. It allows the client to further elaborate on their thoughts and feelings, fostering open communication and exploration of underlying issues. Choice A paraphrases the client's statement, choice C assumes the client's feelings, and choice D shifts the focus to finding a solution rather than exploring the client's perspective.
Question 2 of 9
A nurse is completing an admission assessment of a young adult woman who has a history of depression and who was brought to the hospital by her boyfriend. In response to the nurse's question regarding suicidal ideation, the patient discloses that she is thinking about killing herself. Which question would be most appropriate for the nurse to ask next?
Correct Answer: D
Rationale: The correct answer is D: "What thoughts have you had about how you would kill yourself?" This question is appropriate as it assesses the patient's specific suicidal ideation, providing crucial information for risk assessment and intervention planning. By asking about the method, the nurse can gauge the immediacy and lethality of the patient's suicidal thoughts. A: "What does your boyfriend think about your desire to kill yourself?" - This question focuses on the boyfriend's perspective rather than the patient's own thoughts and feelings, not directly addressing the immediate risk. B: "What are your spiritual beliefs about suicide?" - While spiritual beliefs can be important, this question does not directly address the severity or immediacy of the patient's suicidal thoughts. C: "What will killing yourself accomplish?" - While exploring the patient's reasons for suicidal ideation is important, this question does not address the specific method or immediate risk.
Question 3 of 9
How will the nurse evaluate if trust has been established with the client?
Correct Answer: C
Rationale: The correct answer is C because when the client states, "I'll tell you about my sister," it shows a willingness to share personal information, indicating a level of trust. This statement implies a desire for the nurse to know more about their personal life, which is a positive sign of trust being established. Choice A does not necessarily indicate trust as it could just be a statement of longing. Choice B shows resistance or defensiveness, which is not indicative of trust. Choice D does not directly relate to the nurse-client relationship and does not provide insight into trust being established.
Question 4 of 9
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 5 of 9
After studying nursing interventions in the context of nursing theory, the nursing student understands that Neuman is to primary, secondary, or tertiary prevention as Roy is to:
Correct Answer: C
Rationale: Rationale: Neuman's theory focuses on prevention through interventions that alter or manage stimuli for adaptive responses. Roy's theory, on the other hand, emphasizes adapting to stimuli. This makes choice C the correct answer. Choices A, B, and D do not align with Roy's theory as they focus on different aspects of nursing care unrelated to her theory.
Question 6 of 9
A nurse is preparing an inservice program about substance abuse and its etiology. Which of the following would the nurse most likely include in the presentation when discussing possible psychologic etiologies?
Correct Answer: A
Rationale: The correct answer is A: Low self-esteem. Low self-esteem is a common psychological etiology of substance abuse as individuals may turn to substances to cope with feelings of inadequacy or self-doubt. This can lead to a cycle of self-medication and addiction. Incorrect choices: B: Genetic predisposition - While genetics can play a role in substance abuse, it is not a psychological etiology but rather a biological factor. C: Dysfunctional family - While family dynamics can contribute to substance abuse, it is more related to environmental factors than psychological ones. D: Peer influence - Peer influence is a social factor, not a psychological one, that can contribute to substance abuse behavior.
Question 7 of 9
When assessing a client with depression, the client states, I just feel so sad and hopeless. I just don't care anymore. I don't even enjoy doing the crossword puzzles like I used to. The nurse documents this finding as indicative of which of the following?
Correct Answer: B
Rationale: The correct answer is B: Anhedonia. Anhedonia refers to the inability to experience pleasure or joy in activities that were previously enjoyable. In the scenario provided, the client's statement about not enjoying crossword puzzles anymore indicates a loss of pleasure, which is a key symptom of anhedonia commonly seen in depression. A: Dysthymic disorder is a type of chronic mood disorder characterized by persistently depressed mood. The client's symptoms do not meet the criteria for a diagnosis of dysthymic disorder based on the information provided. C: Delusion refers to a fixed false belief that is not based in reality. The client's statement does not involve any delusional beliefs, so this choice is incorrect. D: Psychosis involves a loss of contact with reality, often manifesting as hallucinations or delusions. The client's statement does not indicate a break from reality, so psychosis is not the correct choice.
Question 8 of 9
A hospitalized patient diagnosed with depression asks the nurse, 'Should I go home this weekend?' Which response by the nurse uses the technique of reflection?
Correct Answer: A
Rationale: Step 1: Option A reflects the patient's question back to them without adding any personal interpretation, allowing them to further explore their feelings. Step 2: This technique of reflection demonstrates active listening and encourages the patient to delve deeper into their thoughts. Step 3: Option B is a therapeutic technique called clarification, not reflection. Option C is an example of paraphrasing. Option D is a form of confrontation, not reflection. Summary: Choice A is correct as it reflects the patient's question back to them, facilitating self-exploration. Choices B, C, and D are incorrect as they represent different communication techniques.
Question 9 of 9
The nurse is caring for an adolescent in the outpatient psychiatric setting. To help the adolescent feel more in control of the initial therapy sessions, which statement by the nurse would be most appropriate?
Correct Answer: D
Rationale: The correct answer is D. By stating "If something is uncomfortable for you, you don't have to talk about it," the nurse empowers the adolescent to have control over the therapy session, fostering a sense of autonomy and trust. This statement respects the adolescent's boundaries and emotions, promoting a therapeutic relationship based on mutual understanding. Choice A is incorrect because it may undermine the adolescent's trust in confidentiality. Choice B is incorrect as it assumes distrust without allowing the adolescent to express their feelings. Choice C is incorrect as it may make the adolescent feel guilty or pressured by their parents' concern, potentially hindering open communication.