1|Page
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 a 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
A nurse is caring for a client whose wife died 6 months ago. For
which of the following findings should the nurse monitor to
identify a maladaptive grieving response? - ANSWER-
Disturbed self-esteem
A nurse is evaluating the outcomes 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 liked to eat alone."
,2|Page
A nurse is talking with a client who has schizophrenia. Suddenly
the client states, "I'm frightened. 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?"
A nurse is preparing to assist with the care of a client who is to
undergo electroconvulsive therapy (ECT). What pieces of
equipment should the nurse set up in the room prior to the
treatment? - ANSWER- -Electroencephalogram (EEG) monitor
-Oxygen saturation monitor
-ECG monitor
A nurse is collecting data from a client newly admitted for
anorexia nervosa. Which of the following findings should the
nurse expect? - ANSWER- Amenorrhea
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?
- ANSWER- - Anxiety
- Obssesive compulsive disorder.
- Depression
,3|Page
A nurse is discussing restraints with a newly licensed nurse.
Which of the following situations should the nurse identify as an
acceptable indication for using restraints for a client? -
ANSWER- Continued self-destructive behavior
A nurse is caring for a client who has been diagnosed with end-
stage liver cancer. Which of the following statements by the
client indicates that the client is in the denial phase of the grief
process? - ANSWER- "The doctor says I only have a few
months to live, but I know he is exaggerating to get me to take
my medication."
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.
A nurse is reinforcing discharge teaching with a client who has
several new prescriptions for psychotropic medications. The
client tells the nurse that she has always had trouble following a
medication regimen. Which of the following responses should
the nurse make? - ANSWER- "Let's work together to devise a
schedule that is convenient for you on a daily basis."
, 4|Page
A nurse is caring for a client who witnessed her brother's
homicide and has posttraumatic stress disorder (PTSD). Which
of the following findings should the nurse expect? - ANSWER-
The client is easily startled by loud voices.
A nurse in a mental health clinic is assessing a client who was
brought in by her adult daughter stating that her mother has not
been able to leave her home for weeks because she is afraid to
be outdoors alone. the nurse should anticipate planning care for
managing which of the following phobias?
a. Xenophobia
b. Acrophobia
c. Mysophobia
d. Agoraphobia - ANSWER- d. Agoraphobia
Rationale; Agoraphobia is an irrational fear about being in
places or circumstances where the client would not have help
in the event of panic or other forms of anxiety. Fear of being
alone outdoor is a common example.
A nurse is providing discharge teaching for a client who has
multiple medication prescriptions and must take the medications
at specific intervals when at home. Which of the following
instructions should the nurse include in the teaching?
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 a 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
A nurse is caring for a client whose wife died 6 months ago. For
which of the following findings should the nurse monitor to
identify a maladaptive grieving response? - ANSWER-
Disturbed self-esteem
A nurse is evaluating the outcomes 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 liked to eat alone."
,2|Page
A nurse is talking with a client who has schizophrenia. Suddenly
the client states, "I'm frightened. 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?"
A nurse is preparing to assist with the care of a client who is to
undergo electroconvulsive therapy (ECT). What pieces of
equipment should the nurse set up in the room prior to the
treatment? - ANSWER- -Electroencephalogram (EEG) monitor
-Oxygen saturation monitor
-ECG monitor
A nurse is collecting data from a client newly admitted for
anorexia nervosa. Which of the following findings should the
nurse expect? - ANSWER- Amenorrhea
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?
- ANSWER- - Anxiety
- Obssesive compulsive disorder.
- Depression
,3|Page
A nurse is discussing restraints with a newly licensed nurse.
Which of the following situations should the nurse identify as an
acceptable indication for using restraints for a client? -
ANSWER- Continued self-destructive behavior
A nurse is caring for a client who has been diagnosed with end-
stage liver cancer. Which of the following statements by the
client indicates that the client is in the denial phase of the grief
process? - ANSWER- "The doctor says I only have a few
months to live, but I know he is exaggerating to get me to take
my medication."
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.
A nurse is reinforcing discharge teaching with a client who has
several new prescriptions for psychotropic medications. The
client tells the nurse that she has always had trouble following a
medication regimen. Which of the following responses should
the nurse make? - ANSWER- "Let's work together to devise a
schedule that is convenient for you on a daily basis."
, 4|Page
A nurse is caring for a client who witnessed her brother's
homicide and has posttraumatic stress disorder (PTSD). Which
of the following findings should the nurse expect? - ANSWER-
The client is easily startled by loud voices.
A nurse in a mental health clinic is assessing a client who was
brought in by her adult daughter stating that her mother has not
been able to leave her home for weeks because she is afraid to
be outdoors alone. the nurse should anticipate planning care for
managing which of the following phobias?
a. Xenophobia
b. Acrophobia
c. Mysophobia
d. Agoraphobia - ANSWER- d. Agoraphobia
Rationale; Agoraphobia is an irrational fear about being in
places or circumstances where the client would not have help
in the event of panic or other forms of anxiety. Fear of being
alone outdoor is a common example.
A nurse is providing discharge teaching for a client who has
multiple medication prescriptions and must take the medications
at specific intervals when at home. Which of the following
instructions should the nurse include in the teaching?
