ATI CAPSTONE MENTAL HEALTH EXAM PREP NEWEST 2025/2026
ACTUAL EXAM COMPLETE 130 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH DETAILED RATIONALES
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A nurse on an inpatient mental health unit is assisting with the admission of a
client who reports feeling depressed, sad, moody, and overly anxious. Which of
the following assessments should the nurse make first?
Coping abilities
Support systems
Suicide risk
Psychiatric history - Correct Answer-Suicide risk;
The greatest risk to the safety of a client who is depressed is self-harm. Therefore,
the priority for the nurse to determine is the client's thoughts or plans for suicide.
A nurse is assessing a client who has schizophrenia which has been treated with
fluphenazine for several years. Which of the following findings should the nurse
document as manifestations of tardive dyskinesia?
Shuffling gait
Constant tapping of feet when sitting
Sudden onset of high fever
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Twisting tongue movements - Correct Answer-Twisting tongue movements;
Twisting tongue movement, tics, sudden involuntary jerking movements of the
extremities, and other findings occur in TD. The nurse should notify the provider of
these findings since treatment includes reducing dosage of antipsychotic
medications or perhaps changing to a second-general antipsychotic medication.
A nurse is providing discharge teachings to a client who has bipolar disorder and
will be discharged with a prescription for lithium. The nurse should teach the
client that which of the following factors puts her at risk for lithium toxicity?
The client runs 4 miles outdoors every afternoon.
The client drinks 2 liters of liquids daily.
The client eats 2 to 3 gm of sodium-containing foods daily.
The client eats foods high in tyramine. - Correct Answer-The client runs 4 miles
outdoors every afternoon;
Strenuous exercise in outdoor heat, which can lead to dehydration, puts the client
at risk for lithium toxicity. Mild to moderate exercise will not lead to lithium
toxicity, but if the client engages in strenuous exercise during hot weather, she
should take care to replace any water and sodium that have been lost through
profuse sweating. This also applies to other factors that can cause the client to
become dehydrated, such as having diarrhea or taking diuretics.
A nurse is initiating a plan of care for a client who has been admitted to a medical
unit for acute care of manifestations of anorexia nervosa. Which of the following
interventions should the nurse include in the plan?
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Allow the client to exercise freely.
Assess for weekly weight gain of at least 0.9 kg (2 lb) per week.
Allow the client to eat meals privately in their room.
Sit with the client for 30 min following meals. - Correct Answer-Assess for weekly
weight gain of at least 0.9 kg (2 lb) per week;
The nurse should plan to assess the client's weight for a gain of 0.9 to 1.4 kg (2 to
3 lb) per week. Weight gain of 2.3 kg (5 lb) or more in a week can cause pulmonary
edema. If the client does not gain adequate weight, they might need additional
calories from supplements or tube feedings.
A nurse is caring for a client who has signed an informed consent form to receive
electroconvulsive therapy (ECT). The client states to the nurse, "I think it is going
to hurt so I have changed my mind." Which of the following responses should the
nurse make?
"Your provider wouldn't have requested this if it wasn't necessary."
"It is too late to cancel the procedure now."
"Don't worry. You will feel so much better afterwards."
"Tell me your concerns about the procedure." - Correct Answer-"Tell me your
concerns about the procedure.";
The nurse should encourage the client to express their concerns and fears about
the procedure by using open-ended statements. If the client still wants to cancel
treatment, the nurse should inform the client that they have the right to refuse
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treatment at any time. Even if the client changes their mind after the procedure
has begun, the client can request to stop the procedure.
A nurse is caring for a client who has schizophrenia and was admitted
involuntarily. The client states "I don't want to be here. Which of the following
statements should the nurse make?
"You have the right to legal counsel if you wish."
"You have the right to leave the facility against medical advice."
"You will need to provide a written explanation about why you wish to leave."
"You will need a letter from an attorney stating your decision to discontinue
treatment." - Correct Answer-"You have the right to legal counsel if you wish.";
The nurse should inform the client that they have a right to request legal counsel
to review their case regarding their involuntary admission and their desire to be
discharged.
A nurse overhears a visitor ask an assistive personnel (AP), "Can you tell me why
my neighbor was admitted?" The AP begins to look up the information. Which of
the following actions should the nurse take?
Ask to speak with the AP privately.
Tell the AP to provide the information.
Tell the visitor to speak with the client's provider.
Instruct the visitor to fill out an information request form. - Correct Answer-Ask to
speak with the AP privately;
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