ATI CAPSTONE MENTAL HEALTH FINAL
ASSESSMENT NEWEST 2024 ACTUAL EXAM 100
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+.
A nurse is caring for client who escapes anxiety - causing thoughts by
ignoring their existence. The nurse should recognize this behavior as
which of the following defense mechanisms? - ANSWER>>> Undoing
The nurse correctly identifies this as an example of denial which is
escaping unpleasant or anxiety - causing thoughts or feelings by
ignoring their existence.
A nurse is caring for an older adult client who is scheduled for surgery.
The client becomes upset when the nurse asks her to remove her
dentures prior to the surgery. Which of the following is a therapeutic
response by the nurse? - ANSWER>>> " You seem worried. Are you
concerned someone may see you without your teeth?"
The nurse uses two therapeutic communication tools in this response.
One is empathy, which is shown by focusing on the client's feelings.
The other is validation/clarification, in which the nurse seeks to
validate the reason for the client's feelings.
A nurse is talking with a client who has schizophrenia. Suddenly the
client states, "Im tightened. Do you hear that? The voices are telling
me to do terrible things." Which of the following responses by the
nurse is appropriate ? - ANSWER>>> "What are the voices telling you
to do?"
This statement recognizes the risk involved with a command
hallucination an asks there client directly about the hallucination. This
, is a therapeutic approach to communicating with a client who is
experiencing a hallucination.
A nurse is collecting data from a client who has a major depressive
disorder (MDD). Which of the following findings should the nurse
expect? - ANSWER>>> Significant change in weight
A signifiant change in weight, either loss or gain, is an expected
finding of MDD.
A nurse is reinforcing teaching with a client about a new prescription
for lithium. Which of the following statements should the nurse include
in the teaching? - ANSWER>>> "We will need to check your lithium
levels in the next 3 to 5 days."
Lithium is prescribed to treat bipolar disorder. The medications has a
narrow therapeutic range and establishing a therapeutic lithium level is
an essential component of care. It is recommended to check lithium
levels within the first 5 days of beginning of treatment and possibly
twice weekly until a maintenance dosage has been reached. Lithium
levels are checked about every 3 months during maintenance therapy
when lithium levels have stabilized.
A nurse is discussing comorbidities associated with eating disorders
with a newly licensed nurse. Which of the following comorbidities
should the nurse include in the discussion? SATA - ANSWER>>> -
Anxiety
Anxiety is a comordid condition common in clients who have an eating
disorder.
-Obsessive-compulsive Disorder
OCD is a comorbid condition common in clients who have an eating
disorder, especially anorexia nervosa.
-Depression
Depression is a comorbid condition common in clients who have an
eating disorder.
ASSESSMENT NEWEST 2024 ACTUAL EXAM 100
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+.
A nurse is caring for client who escapes anxiety - causing thoughts by
ignoring their existence. The nurse should recognize this behavior as
which of the following defense mechanisms? - ANSWER>>> Undoing
The nurse correctly identifies this as an example of denial which is
escaping unpleasant or anxiety - causing thoughts or feelings by
ignoring their existence.
A nurse is caring for an older adult client who is scheduled for surgery.
The client becomes upset when the nurse asks her to remove her
dentures prior to the surgery. Which of the following is a therapeutic
response by the nurse? - ANSWER>>> " You seem worried. Are you
concerned someone may see you without your teeth?"
The nurse uses two therapeutic communication tools in this response.
One is empathy, which is shown by focusing on the client's feelings.
The other is validation/clarification, in which the nurse seeks to
validate the reason for the client's feelings.
A nurse is talking with a client who has schizophrenia. Suddenly the
client states, "Im tightened. Do you hear that? The voices are telling
me to do terrible things." Which of the following responses by the
nurse is appropriate ? - ANSWER>>> "What are the voices telling you
to do?"
This statement recognizes the risk involved with a command
hallucination an asks there client directly about the hallucination. This
, is a therapeutic approach to communicating with a client who is
experiencing a hallucination.
A nurse is collecting data from a client who has a major depressive
disorder (MDD). Which of the following findings should the nurse
expect? - ANSWER>>> Significant change in weight
A signifiant change in weight, either loss or gain, is an expected
finding of MDD.
A nurse is reinforcing teaching with a client about a new prescription
for lithium. Which of the following statements should the nurse include
in the teaching? - ANSWER>>> "We will need to check your lithium
levels in the next 3 to 5 days."
Lithium is prescribed to treat bipolar disorder. The medications has a
narrow therapeutic range and establishing a therapeutic lithium level is
an essential component of care. It is recommended to check lithium
levels within the first 5 days of beginning of treatment and possibly
twice weekly until a maintenance dosage has been reached. Lithium
levels are checked about every 3 months during maintenance therapy
when lithium levels have stabilized.
A nurse is discussing comorbidities associated with eating disorders
with a newly licensed nurse. Which of the following comorbidities
should the nurse include in the discussion? SATA - ANSWER>>> -
Anxiety
Anxiety is a comordid condition common in clients who have an eating
disorder.
-Obsessive-compulsive Disorder
OCD is a comorbid condition common in clients who have an eating
disorder, especially anorexia nervosa.
-Depression
Depression is a comorbid condition common in clients who have an
eating disorder.
