ATI RN
ATI Capstone Mental Health Pre Assessment Questions
Question 1 of 5
Which principle usually applies? Giving advice
Correct Answer: A
Rationale: Step-by-step rationale: 1. Giving advice can create dependency on the advisor. 2. It may hinder the individual's ability to think for themselves. 3. Encouraging self-reliance and problem-solving is more effective. 4. Therefore, giving advice is rarely helpful in promoting independence and personal growth. Summary of other choices: B. Fostering independence would involve guiding individuals to make their own decisions. C. Lifting the burden of decision-making could lead to reliance on external opinions rather than self-reflection. D. Developing feelings of personal adequacy is better achieved through self-discovery and empowerment rather than being told what to do.
Question 2 of 5
Considering the many criteria for good mental health, the nursing student has been instructed to list four of these criteria. The student's list consists of the following: (1) an appropriate perception of reality, (2) the ability to accept oneself, (3) the ability to establish relationships, and (4) a need for detachment and the desire for privacy. How would the nurse evaluate the nursing student's list?
Correct Answer: B
Rationale: The correct answer is B because three out of the four criteria listed by the student are correct. (1) an appropriate perception of reality, (2) the ability to accept oneself, and (3) the ability to establish relationships are indeed important criteria for good mental health. However, (4) a need for detachment and the desire for privacy is not typically considered a criteria for good mental health. It is important to emphasize that maintaining healthy boundaries and privacy is essential, but it is not a defining criteria for good mental health. Therefore, the student's list is good but not perfect.
Question 3 of 5
A nurse is talking with a 57-year-old client who has been a heavy drinker for many years. The client is being treated for alcoholism, and this is her second week as an inpatient on the psychiatric unit. It is 5:00 AM, and the client has been having difficulty sleeping. The client is an orthopedic nurse, and although she is clothed in a hospital-issued gown and robe, she is wearing a stethoscope around her neck that the nurse recognizes as belonging to one of the staff nurses. When the nurse asks her why she is wearing the stethoscope and where she got it, the client gives her a long and involved reply that basically describes how her nursing supervisor came to visit and gave it to her to wear 'so she'd remember to get well.' The nurse suspects that the client may be experiencing which of the following?
Correct Answer: C
Rationale: Rationale: The correct answer is C: Korsakoff's psychosis. This is because the client's long and involved reply with false information about receiving the stethoscope from her nursing supervisor is indicative of confabulation, a common symptom of Korsakoff's psychosis. This condition is typically associated with chronic alcohol abuse and thiamine deficiency, leading to memory issues and confabulation. Incorrect options: A: Wernicke's syndrome is characterized by a triad of symptoms including confusion, ataxia, and ophthalmoplegia, not confabulation. B: Delirium tremens is a severe form of alcohol withdrawal that presents with hallucinations, tremors, and autonomic instability, not confabulation. D: Malignant hyperthermia is a rare but life-threatening reaction to certain medications used during anesthesia, not related to the client's behaviors or symptoms described in the scenario.
Question 4 of 5
Which statement made to the grieving patient demonstrates effective therapeutic communication? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because it acknowledges and validates the patient's feelings without making assumptions or imposing personal beliefs. It focuses on the patient's emotions and provides empathy and support. B: Imposes a religious belief that may not align with the patient's beliefs. C: Implies the patient should feel a certain way, which can be invalidating. D: Assumes what the patient wants without considering their feelings or preferences.
Question 5 of 5
Which Western cultural feature may result in establishing unrealistic outcomes for patients of other cultural groups?
Correct Answer: D
Rationale: The correct answer is D: Direct confrontation to solve problems. This Western cultural feature may result in establishing unrealistic outcomes for patients of other cultural groups because direct confrontation may be perceived as aggressive or disrespectful in many cultures. Patients from these cultural groups may prefer indirect communication or conflict resolution methods. Therefore, using direct confrontation could lead to misunderstandings, resistance, or lack of cooperation from patients. A: Interdependence is a common cultural value in many cultures and does not necessarily lead to unrealistic outcomes for patients of other cultural groups. B: Present orientation is a temporal orientation and does not directly impact outcomes for patients from other cultural groups. C: Flexible perception of time may differ across cultures but does not inherently lead to unrealistic outcomes for patients of other cultural groups.