ATI RN
RN ATI Capstone Mental Health Quiz Questions
Question 1 of 9
Which of the following are examples of the therapeutic communication technique of"clarification"? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B because clarification involves seeking understanding by asking for more information or explaining a vague statement. In this case, the statement "I'm not sure what you mean when you use the word fragile" demonstrates the use of clarification by seeking clarity on the meaning of a term used by the client. This technique helps the client to express themselves more clearly and aids in effective communication. Choices A, C, and D are incorrect because they do not involve seeking clarification or further explanation from the client. Choice A focuses on exploring emotions related to a specific topic, choice C reflects an observation rather than seeking clarification, and choice D compares the client's mood without seeking clarification on any specific term or concept.
Question 2 of 9
A psychiatric-mental health nurse is implementing evidence-based practice. The nurse understands that this approach is developed by doing which of the following first?
Correct Answer: B
Rationale: The correct answer is B: Identifying a clinical question. This is the first step in implementing evidence-based practice because it helps focus the research efforts on a specific issue or problem. By identifying a clinical question, the nurse can then conduct research to gather evidence that will guide decision-making. The other choices are incorrect: A: Conducting research - While conducting research is an essential part of evidence-based practice, it comes after identifying a clinical question. C: Determining outcomes - Determining outcomes is crucial for evaluating the effectiveness of interventions, but it is not the first step in developing evidence-based practice. D: Collaborating with the patient - Collaborating with the patient is important in providing individualized care, but it is not the initial step in implementing evidence-based practice.
Question 3 of 9
A client diagnosed with male orgasmic dysfunction is receiving desensitization as part of the treatment plan. The nurse understands that this treatment focuses on achieving which of the following?
Correct Answer: D
Rationale: Desensitization aims to reduce anxiety and fear associated with sexual activity in male orgasmic dysfunction. By gradually exposing the client to sexual stimuli and teaching relaxation techniques, anxiety and fear decrease, leading to improved sexual function. Choices A, B, and C are incorrect as desensitization primarily targets anxiety and fear, not pressure to perform, pleasure awareness, or spectatoring.
Question 4 of 9
A person was supposed to meet a friend at a local theatre to see a movie. The friend never showed up. The person's initial thought was, 'My friend didn't come because she doesn't like me.' This automatic thought was most likely inferred from which irrational belief?
Correct Answer: A
Rationale: The correct answer is A: "I'm worthless, so no one could really want to be my friend." This automatic thought reflects the irrational belief of personal worthlessness leading to the assumption that others do not genuinely like or care about the person. This cognitive distortion is known as personalization, where the individual attributes external events to themselves in a negative way. In this scenario, the person's immediate conclusion that the friend didn't show up because of a personal flaw is an example of personalization. Other choices are incorrect because: B: "Movies are a waste of time and money anyway." - This choice introduces a different irrational belief about movies, not about personal worthiness. C: "I'm sure she just got confused and thought we were going to a different movie." - This choice reflects a more neutral assumption without negative self-evaluation. D: "I'm so forgetful and confused sometimes; I probably wrote down the wrong time." - This choice involves self-blame for a practical
Question 5 of 9
A 22-year-old college student was involved in an automobile accident that resulted in permanent cognitive and physical disability. The client feels guilty about his friend's death in the accident. Which of the following would be a priority assessment for this client?
Correct Answer: A
Rationale: Correct Answer: A - Risk for suicide Rationale: Given the client's feelings of guilt and the significant life-altering consequences of the accident, assessing the risk for suicide is crucial to ensure the client's safety and well-being. Suicidal ideation may be present due to overwhelming guilt and disability. Summary of other choices: B: Level of depression - While important, assessing depression is secondary to assessing the immediate risk of suicide in this scenario. C: Social support systems - While social support is important, assessing the risk for suicide takes precedence in this high-risk situation. D: Financial status - While financial concerns may be relevant, they are not the priority in this case where the client's mental health and safety are at stake.
Question 6 of 9
Which principle should guide the nurse in determining the extent of silence to use during patient interview sessions?
Correct Answer: C
Rationale: The correct answer is C because utilizing silence during patient interviews allows for meaningful moments of reflection, fostering a deeper connection and promoting patient introspection. This principle aligns with therapeutic communication techniques that encourage patients to explore their thoughts and feelings. Choice A is incorrect because nurses should respect and utilize silence when appropriate. Choice B is incorrect as prolonged silences can encourage patient self-reflection. Choice D is incorrect because silence is not solely about confirming understanding, but also about creating a space for patients to process their thoughts.
Question 7 of 9
A nurse is caring for a client receiving IV moderate sedation with midazolam. The client has a respiratory rate of 9/min and is not responding to commands. Which of the following is an appropriate action by the nurse?
Correct Answer: B
Rationale: The correct answer is B: Implement positive pressure ventilation. This action is appropriate because the client's respiratory rate of 9/min indicates hypoventilation, which can lead to hypoxemia and respiratory arrest. Positive pressure ventilation helps support adequate oxygenation and ventilation. Placing the client in a prone position (choice A) can further compromise breathing. Nasopharyngeal suctioning (choice C) is not indicated unless airway obstruction is confirmed. Administering flumazenil (choice D) is contraindicated in clients with significant respiratory depression due to the risk of precipitating seizures.
Question 8 of 9
The nurse is caring for a client with major depression. The client tells the nurse that she just isn't sure that life is worth living. The nurse documents which nursing diagnosis as the priority?
Correct Answer: B
Rationale: The correct answer is B: Hopelessness related to symptoms of depression. This is the priority nursing diagnosis because the client expressing uncertainty about the value of life indicates a profound sense of hopelessness, which is a significant concern in major depression. By addressing hopelessness, the nurse can work towards improving the client's outlook on life and potential suicidal ideation. Choices A, C, and D are incorrect as self-esteem, anxiety, and thought processes may be influenced by depression but do not directly address the client's expressed feelings of hopelessness and worthlessness. Hopelessness is the most critical issue to address in this scenario to ensure the client's safety and well-being.
Question 9 of 9
A client believes that their uterus was removed when they had a gynecological examination. Despite evidence on ultrasound that it is still intact, they hold firm to the belief. What delusion is the client experiencing?
Correct Answer: D
Rationale: The correct answer is D: somatic. This client is experiencing a somatic delusion, which involves a false belief about the body or its functions. In this case, the client believes their uterus was removed despite evidence to the contrary. This delusion is specific to bodily functions or sensations. A: Grandiose delusions involve an exaggerated sense of importance or power, not related to bodily functions. B: Jealous delusions involve unfounded beliefs about a partner's infidelity, not related to bodily functions. C: Persecutory delusions involve beliefs of being targeted or persecuted, not related to bodily functions. In summary, the client's persistent belief about their uterus being removed despite evidence points to a somatic delusion, making it the correct choice over the other options.