10/20/24, 7:15 PM ATI CAPSTONE MENTAL HEALTH FINAL ASSESSMENT NEWEST 2024 ACTUAL EXAM 130 QUESTIONS AND CORRECT DE…
ATI CAPSTONE MENTAL HEALTH FINAL
ASSESSMENT NEWEST 2024 ACTUAL EXAM 130
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES
Terms in this set (132)
A nurse in an acute care Ask the partner to talk about his difficulties in caring
facility is assisting with the for the client.
admission of an older
adult client who has late The first action the nurse should take, using the
stage Alzheimer's disease. nursing process priority framework, is to collect data
The nurse notes that the regarding the partner's ability to take care of the
client's partner appears client.
exhausted. He states that
he is finding it more and
more difficult to care for
his partner. Which of the
following actions should
the nurse take first?
A nurse is collecting data Decrease in urge to smoke
from a client who is taking
bupropion. Which of the Bupropion is an antidepressant that is also used for
following findings smoking cessation.
indicates the medications
is effective?
,10/20/24, 7:15 PM ATI CAPSTONE MENTAL HEALTH FINAL ASSESSMENT NEWEST 2024 ACTUAL EXAM 130 QUESTIONS AND CORRECT DE…
A nurse is evaluating the "I just don't feel like eating because I never like to eat
outcome for a client who alone."
has depression following
the death of his wife 3 At risk for malnutrition and injury.
months ago. Which of the
following client
statements indicates a
need for further
intervention?
A nurse in a long-term Confabulation
care setting is caring for a
client who has Alzheimer's Confabulation is the creation of information which is
disease. The client states, untrue to fill in gaps in memory and to protect self-
"I just came back from a esteem in clients who have dementia.
hard day's work in my
office." The nurse should
identify this statement is
an example of which of
the following coping
mechanisms?
A nurse is planning care Use active listening when with the client.
for a new client. Which of
the following actions The nurse should use active listening to establish
should the nurse plan to presence with the client. presence involves eye
take in order to use the contact, body language, voice tone, listening, and
technique of presence to reflection to convay openness and understanding.
establish the nurse- client
relationship?
,10/20/24, 7:15 PM ATI CAPSTONE MENTAL HEALTH FINAL ASSESSMENT NEWEST 2024 ACTUAL EXAM 130 QUESTIONS AND CORRECT DE…
A nurse is assessing a Rationalization
client in the emergency
department who drank The client is demonstrating rationalization when he
alcohol while taking creates reasonable and acceptable explanations for
disulfiram. The client unacceptable behavior. The client is using
states, "The nurse told me rationalization asa defense mechanisms to justify why
not to drink when taking he had just one drink. Even though the nurse told him
the medication. I am just a not to drink alcohol.
social drinker. I didn't
realize that having just one
drink with my friends
would cause such a
problem." Which of the
following defense
mechanisms is the client
demonstrating?
A client asks when family members will be arriving
after visiting 1 hr earlier.
A nurse is caring for a Delirium is characterized by a change in cognition
group of older adult that occurs over a short period of time. It always
clients. Which of the results from secondary physiological condition, (
following client findings infection, surgery, prolonged hospitalization, hypoxia,
indicates delirium? fever, medication) and is a transient disorder. Although
delirium can occur at any age, it is more common in
older adults. It frequently progresses in the evening
hours and is sometimes called "sundown syndrome"
A nurse is collecting data Amenorrhea
from a client newly
admitted for anorexia The nurse should expect the client to report
nervousa. Which of the amenorrhea due to low body weight.
following findings should
the nurse expect?
, 10/20/24, 7:15 PM ATI CAPSTONE MENTAL HEALTH FINAL ASSESSMENT NEWEST 2024 ACTUAL EXAM 130 QUESTIONS AND CORRECT DE…
The client paces in the hallway during the day and
most of the night.
A nurse is collecting data
from a client who has
When using Maslow's hierarchy of needs, the nurse
bipolar disorder with main.
determines that the priority findings is the client's
Which of the following
physiological need for rest and food. Nonstop activity
findings is the nurse's
is an emergency situation for a client who has mania,
priority?
since the client might go for long periods without
eating or sleep.
- Electroencephalogram (EEG) monitor.
A nurse is preparing to The provider will monitor the client's brainwave
assist with the care of a patterns during the procedure.
client of a client who is
undergo - Oxygen saturation monitor
electroconvulsive therapy The client requires continuous oxygen saturation
(ECT). Which of the monitoring because she will receive a short-acting
following pieces of barbiturate to induce sleep and a muscle-paralyzing
equipment should the agent to prevent muscle distress and injury.
nurse set up in the room
prior to the treatment? -Electrocardiogram (ECG) monitor.
SATA The provider will monitor the client's cardiac response
during the procedure.
A nurse is assisting with a "Can you tell me the reason you get upset each time I
family therapy session for go to the mall?"
parents and 2 school-age
children. Which of the This is an expel of effective and healthy
following statements communication. Healthy communication expresses
should the nurse clear, understandable messages between family
recognize as an example members. Each family member is encourage to
of effective express his or her feelings and thoughts.
communication among
family members?
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