ATI RN
ATI Capstone Mental Health Pre Assessment Questions
Question 1 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 2 of 5
When the nurse has developed a therapeutic relationship with the client, what is a true statement about nursing care?
Correct Answer: B
Rationale: The correct answer is B because when the nurse has a therapeutic relationship with the client, it means they work collaboratively. The nurse considers the client a partner in care planning, involving them in decision-making and respecting their autonomy. This approach fosters trust and empowers the client in their care. A: The nurse should maintain professional boundaries and not become friends with the client to avoid conflicts of interest. C: Adhering strictly to the plan of care without flexibility may not meet the client's individual needs and preferences. D: While avoiding a directive approach is important, there are times when the nurse needs to provide guidance and direction for the client's benefit.
Question 3 of 5
A client has had a major stroke and is struggling to adjust to living with consequent changes and permanent disabilities related to speech and mobility. The nurse assesses the client closely based on the understanding that the client is at increased risk for which of the following?
Correct Answer: B
Rationale: The correct answer is B: Major depressive disorder. Following a major stroke, individuals often experience feelings of grief, sadness, and hopelessness due to the significant life changes and disabilities. This can lead to the development of major depressive disorder. Depression is common post-stroke due to neurobiological changes and psychosocial factors. The other choices are incorrect because bipolar I disorder is characterized by distinct episodes of mania and depression, which are not directly related to stroke. Generalized anxiety disorder and posttraumatic stress disorder are also not directly associated with the typical emotional response following a stroke.
Question 4 of 5
A nurse in a hospital cafeteria overhears two assistive personnel (AP) discussing a client. They are using the client's name and discussing details of his diagnosis. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct action for the nurse to take first is to tell the AP to discontinue their conversation (Choice D). This is because addressing the issue directly with the individuals involved is the most immediate and effective way to stop the breach of client confidentiality. Reporting to the supervisor (Choice A) can be done after addressing the immediate situation. Completing an incident report (Choice B) should come after resolving the issue in real-time. Providing written documentation (Choice C) may be necessary for education but is not the most immediate response to stop the confidentiality breach.
Question 5 of 5
A client with Alzheimer's disease is admitted to the acute care facility for treatment of an infection. Assessment reveals that the client is anxious. When developing the client's plan of care, which of the following would be least appropriate to include?
Correct Answer: A
Rationale: The correct answer is A because frequently providing reality orientation may increase the client's anxiety due to the inability to retain new information. Choice B is correct as simplifying routines can reduce confusion. Choice C is correct as limiting choices can decrease anxiety. Choice D is correct as establishing predictable routines can provide a sense of security and familiarity.