ATI Capstone Mental Health Study Guide Exam And Actual Answers.
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Ati capstone mental health assessment
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Ati Capstone Mental Health Assessment
A nurse in an acute care facility is assisting with the admission of an older adult client who has late stage Alzheimer's disease. The nurse notes that the client's partner appears exhausted. He states that he is finding it more and more difficult to care for his partner. Which of the following act...
ATI Capstone Mental Health Study Guide
Exam And Actual Answers.
A nurse in an acute care facility is assisting with the admission of an older adult client who has late stage
Alzheimer's disease. The nurse notes that the client's partner appears 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? - Answer Ask the partner to talk about his difficulties in caring for the client.
The first action the nurse should take, using the nursing process priority framework, is to collect data
regarding the partner's ability to take care of the client.
A nurse is collecting data from a client who is taking bupropion. Which of the following findings indicates
the medications is effective? - Answer Decrease in urge to smoke
Bupropion is an antidepressant that is also used for smoking cessation.
A nurse is evaluating the outcome for a client who has depression following the death of his wife 3
months ago. Which of the following client statements indicates a need for further intervention? - Answer
"I just don't feel like eating because I never like to eat alone."
At risk for malnutrition and injury.
A nurse in a long-term care setting is caring for a client who has Alzheimer's disease. The client states, "I
just came back from a hard day's work in my office." The nurse should identify this statement is an
example of which of the following coping mechanisms? - Answer Confabulation
Confabulation is the creation of information which is untrue to fill in gaps in memory and to protect self-
esteem in clients who have dementia.
A nurse is planning care for a new client. Which of the following actions should the nurse plan to take in
order to use the technique of presence to establish the nurse- client relationship? - Answer Use active
listening when with the client.
, The nurse should use active listening to establish presence with the client. presence involves eye
contact, body language, voice tone, listening, and reflection to convay openness and understanding.
A nurse is assessing a client in the emergency department who drank alcohol while taking disulfiram. The
client states, "The nurse told me not to drink when taking the medication. I am just a 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? - Answer Rationalization
The client is demonstrating rationalization when he creates reasonable and acceptable explanations for
unacceptable behavior. The client is using rationalization asa defense mechanisms to justify why he had
just one drink. Even though the nurse told him not to drink alcohol.
A nurse is caring for a group of older adult clients. Which of the following client findings indicates
delirium? - Answer A client asks when family members will be arriving after visiting 1 hr earlier.
Delirium is characterized by a change in cognition that occurs over a short period of time. It always
results from secondary physiological condition, ( infection, surgery, prolonged hospitalization, hypoxia,
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 from a client newly admitted for anorexia nervousa. Which of the following
findings should the nurse expect? - Answer Amenorrhea
The nurse should expect the client to report amenorrhea due to low body weight.
A nurse is collecting data from a client who has bipolar disorder with main. Which of the following
findings is the nurse's priority? - Answer The client paces in the hallway during the day and most of the
night.
When using Maslow's hierarchy of needs, the nurse determines that the priority findings is the client's
physiological need for rest and food. Nonstop activity is an emergency situation for a client who has
mania, since the client might go for long periods without eating or sleep.
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