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ATI RN · ATI Mental Health · ATI Capstone Mental Health Proctored Assessment

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

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?

A. What does your boyfriend think about your desire to kill yourself?

B. What are your spiritual beliefs about suicide?

C. What will killing yourself accomplish?

D. What thoughts have you had about how you would kill yourself?

Expert Explanatory Rationale

Correct Answer: What thoughts have you had about how you would kill yourself?

Question 2 of 5

The desired outcome for a patient experiencing insomnia is, "Patient will sleep for a minimum of 5 hours nightly within 7 days." At the end of 7 days, review of sleep data shows the patient sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. What is the nurse's next action?

A. Continue the current plan without changes.

B. Remove this nursing diagnosis from the plan of care.

C. Write a new nursing diagnosis that better reflects the problem.

D. Examine interventions for possible revision of the target date.

Expert Explanatory Rationale

Correct Answer: Examine interventions for possible revision of the target date.

Question 3 of 5

A 25-year-old woman who recently had abdominal surgery was admitted to the psychiatric unit, where it was determined that she had a borderline personality disorder. During the first week on the unit, it was determined that she also has diabetes. Her diabetes mellitus would be listed in which axis of her DSM-IV-TR diagnosis?

A. Axis I

B. Axis II

C. Axis III

D. Axis IV

Expert Explanatory Rationale

Correct Answer: Axis III

Question 4 of 5

How will the nurse evaluate if trust has been established with the client?

A. The client states, 'I wish my mom was here.'

B. The client states, 'You don't even know me.'

C. The client states, 'I'll tell you about my sister.'

D. The client states, 'I looked up that doctor online.'

Expert Explanatory Rationale

Correct Answer: The client states, 'I'll tell you about my sister.'

Question 5 of 5

Cabot has multiple symptoms of depression including mood reactivity, social phobia, anxiety, and overeating. With a history of mild hypertension, which classification of antidepressants dispensed as a transdermal patch would be a safe medication?

A. Tricyclic antidepressants

B. Selective serotonin reuptake inhibitors

C. Serotonin and norepinephrine reuptake inhibitors

D. Monoamine oxidase inhibitor

Expert Explanatory Rationale

Correct Answer: Monoamine oxidase inhibitor

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