RN ATI Capstone Mental Health Proctored Comprehensive Assessment Exam Questions and Answers

A nurse is caring for a client who has been diagnosed with obsessive compulsive disorder (OCD) and is constantly picking up after others in the day room. The nurse should recognize that the client uses this behavior to do which of the following? - Decrease anxiety to a tolerable level A nurse is caring for a client who has autism spectrum disorder. Which of the following findings should the nurse expect? - Echolalia A nurse is assessing an adolescent client who has attention deficit hyperactivity disorder (ADHD). Which of the following finding should the nurse expect? - Impulsivity A nurse in an urgent care is studying the developmental stages of various clients. In which of the following clients should the nurse expect to see manifestations of autism? - Toddler A nurse is planning care for a client who has a prescription for alprazolam. For which of the following adverse effects should the nurse plan to monitor? - Inability to recall events 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? - Agoraphobia A nurse in a mental health facility is interacting with a client experiencing severe anxiety, who is becoming increasingly upset and agitated. Which of the following actions should the nurse take? - Use clarification to determine what the client is feeling. A nurse is teaching a female client who has anxiety disorder about alprazolam. Which of the following information should the nurse include in the teaching? - "Use a reliable form of contraception while taking this mediation." A nurse notices that a client who has moderate anxiety is pacing the hall and mumbling as the nurse approaches the client, he states, "I am at the end of my rope. I don't think I can take any more bad news." Which of the following responses should the nurse make? - "Come with me to an area where we can talk without interruption." A nurse is performing an admission assessment for a client who is receiving treatment following a situational crisis. Which of the following assessments by the nurse is the highest priority? - Determining if the client has psychotic thinking A nurse at a walk-in mental health clinic is assessing a client experiencing severe anxiety. The nurse should recognize the client might exhibit which of the following maniestations? - Threatening behavior A nurse is caring for a client who is cognitively impaired. Which of the following rooms will provide therapeutic enviorment for this client? - A room containing personal belongings A nurse is caring for a child who has autism spectrum disorder. Which of the following findings should the nurse expect? Select all that apply. - Delayed language development Spinning a toy repetitively Ritualistic behavior A nurse in a special education program is planning care for a child who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan of care? - Establish a reward system for positive behavior A nurse is teaching a group of newly licensed nurses about the progressive nature of Alzheimer's disease. Which of the following should the nurse include in the teaching as manifestations seen in the moderate stage of Alzheimer's disease? (Select all that apply) - Inability to perform common tasks Difficulty with talking or reading A nurse is preparing a client who has a chronic anxiety for discharge form the psychiatric unit. Which of the following instructions should the nurse include in the client's discharge plan? - Identify anxiety-producing situations A nurse is discussing stress management techniques with a group of clients. Which of the following techniques mentioned by a client should the nurse recognize as the least effective? - "I fix myself a pot of coffee when I get anxious." A home health nurse is reinforcing oping strategies with the family caregiver of a client who has Alzheimer's disease. Which of the following information should the nurse include in the teaching? - Actions to reduce stress Identification of a social support system Referral to available community resources Expected physiological changes of the disease A nurse on an inpatient mental health unit is admitting a client who has a panic-level anxiety. After showing the client to his room, which of the following nursing actions is most therapeutic at this time? - Remain with the client for a while. A nurse is caring for a client who was involved in heavy combat and observed war casualties. The nurse should suspect that the client is suffering from posttraumatic stress disorder (PTSD) if the client makes which of the following statements? - "In my dreams, all I can see are the wounded reaching out and trying to grab me." A nurse is planning care for a client who has generalized anxiety disorder. Which of the following intervention should the nurse implement to promote relaxation? - A nurse in a mental health clinic is discussing guided imagery with a newly licensed nurse. Which of the following clients should the nurse suggest offering the therapy too? - Post-traumatic stress disorder A nurse is teaching the parents of school-aged child who has ADHD about atomoxetine. Which of the following instructions should the nurse include in the teaching? - "Give the dose in the morning to help prevent insomnia." A nurse in a long-term care facility is caring for a client who has Alzheimer's disease. Which of the following actions should the nurse include in the plan of care? - Provider a consistent daily routine A nurse on a psychiatric unit is assess a client who has moderate anxiety disorder. Which of the following findings should the nurse expect? - Urinary frequency A nurse is caring for a client who has late-stage Alzheimer's disease and is hospitalized for treatment of pneumonia. During the night shift, the client is found climbing into the bed of another client who becomes upset and frightened. Which of the following actions should the nruse take? - Assist the client to the correct room A nurse in the emergency department is caring for a client who reports chest pain, headache, and shortness o breath. He continues to state, " I don't know why my wife left me." The client receives a diagnosis of anxiety. The nurse realizes the client's findings support which level of anxiety? - Severe A nurse is assessing a cleint who is experiencing chronic stress. Which of the following findings should the nurse expect? - Viral Infection June, a recovering alcoholic, was caught in a tornado 6 months ago in which she lost her home and a sibling. She was trapped in the rubble for over 24 hours. After about 3 months she began having difficulty with performing her normal ADLs. She was plagued with unwanted thoughts and dreams. Her family noted that she just seems flat and unable to react to important life events. Her mood was increasingly irritable, and she seemed always on guard. Family feared she would start drinking to cope and encouraged her to get help. After seeking treatment, June was better able to manage her symptoms and reported no further difficulty with performing her ADLs. Choose the one statement which would NOT be true of PTSD? - Symptoms occur 3 months or more after the trauma Complete recovery occurs within 3 months for 50% Severity/duration of trauma, & proximity to the person or event affects likelihood of getting PTSD Other life events or conditions can exacerbate symptoms While in treatment June developed new ways of looking at her situation and tools to help her cope. While all treatment is unique, which of the following would be considered the most beneficial treatment method for someone with PTSD. - Benzodiazepines Mild Anxiety - Perceptual field: wide Sharpened senses Increased motivation and learning ability Effective problem solving Fidgeting GI "butterflies" Moderate Anxiety - Perceptual field narrowed to: immediate task Concentration difficult but able to be redirected Headache, dry mouth and diaphoresis Faster rate of speech and high voice pitch GI "upset" Frequent urination Severe Anxiety - Perceptual field reduced to: one detail or scattered details Cannot solve problems, learn effectively or complete tasks Feels dread, or horror and doesn't respond to redirection Restlessness, agitation, possible aggression Nausea, vomiting, and diarrhea Shaking, crying or chest pain Panic Attack - Perceptual field reduced to: focus only on self Loss of rational thought and ability to process environmental stimuli Can't communicate verbally or recognize potential danger May be suicidal with possible delusions and hallucination Dilated pupils Flight, fight, or freeze The intensity of these problems has varied over the years, but has become worse again during the past 8 months following her husband's diagnosis of heart problems. She has been drinking wine most evenings to try to calm herself down. Her anxiety causes her to avoid many basic things that she used to do without issue. More recently things have become so bad that she has sometimes felt that if she were left on her own she might harm herself. Her family has been very supportive and stayed with her during these periods until she calmed down, but is now finding this difficult to manage. What diagnosis would you anticipate based on these cues? - GAD As GAD is markedly interfering with Jill's functioning and her symptoms have not responded to lower level self-guided interventions. Which of the following interventions should the nurse suggest to help Jill manage her condition? - Medication management and or cbt ) Progression...Jill notes she is not keen on taking any more drugs, and her alcohol intake is considered to be non-harmful as currently reported, so she decides to try a psychological intervention, with individual CBT her preferred option. After 15 sessions of CBT, Jill continues to have significant symptoms of anxiety. She is finding it increasingly difficult to manage everyday tasks and is very agitated and frightened a lot of the time. Which of the following observations by the nurse would be appropriate? - "You do not seem to be responding to therapy alone; the addition of medication could improve your ability to apply the techniques."