NGN ATI Capstone Mental Health 2024/2025
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? -
CORRECT ANSWER Ask the partner to talk about his difficulties in caring for
the client.
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? -
CORRECT 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 - CORRECT 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.
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? - CORRECT 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."
The Five stages of Grief may not be experienced in order, and the length of each
stage will vary from person to person.
A nurse is discussing restraint with a newly licensed nurse. Which of the following
situations should the nurse identify as an acceptable indication for using restraints
for a client? - CORRECT ANSWER Continued self-destructive behavior
A nurse my use mechanical restraints for a client who presents a specific danger to
themselves or others. The nurse must follow all facility policies, such as
documentation of the behavior that led up to the use of restraints and other
interventions the staff used prior to the restraints.
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? - CORRECT ANSWER Disturbed self-esteem
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? -
CORRECT ANSWER Ask the partner to talk about his difficulties in caring for
the client.
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? -
CORRECT 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 - CORRECT 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.
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? - CORRECT 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."
The Five stages of Grief may not be experienced in order, and the length of each
stage will vary from person to person.
A nurse is discussing restraint with a newly licensed nurse. Which of the following
situations should the nurse identify as an acceptable indication for using restraints
for a client? - CORRECT ANSWER Continued self-destructive behavior
A nurse my use mechanical restraints for a client who presents a specific danger to
themselves or others. The nurse must follow all facility policies, such as
documentation of the behavior that led up to the use of restraints and other
interventions the staff used prior to the restraints.
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? - CORRECT ANSWER Disturbed self-esteem
