ATI Capstone Mental Health Actual Exam
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? -
Ask the partner to talk about his difficulties in caring for the client.
The first action the nurse should take, using the nursing process priority
framework, is to collect data regarding the partner's ability to take care of the
client.
A nurse is collecting data from a client who is taking bupropion. Which of the
following findings indicates the medications is effective? - Decrease in urge to
smoke
Bupropion is an antidepressant that is also used for smoking cessation.
A nurse is evaluating the outcome 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? - "I just don't feel like eating because I never like to
eat alone."
At risk for malnutrition and injury.
ATI Capstone Mental Health
,ATI Capstone Mental Health
A nurse in a long-term care setting is caring for a client who has Alzheimer's
disease. The client states, "I just came back from a hard day's work in my office."
The nurse should identify this statement is an example of which of the following
coping mechanisms? - Confabulation
Confabulation is the creation of information which is untrue to fill in gaps in
memory and to protect self-esteem in clients who have dementia.
A nurse is planning care for a new client. Which of the following actions should
the nurse plan to take in order to use the technique of presence to establish the
nurse- client relationship? - Use active listening when with the client.
The nurse should use active listening to establish presence with the client. presence
involves eye contact, body language, voice tone, listening, and reflection to convay
openness and understanding.
A nurse is assessing a client in the emergency department who drank alcohol while
taking disulfiram. The client states, "The nurse told me not to drink when taking
the medication. I am just a social drinker. I didn't realize that having just one drink
with my friends would cause such a problem." Which of the following defense
mechanisms is the client demonstrating? - Rationalization
The client is demonstrating rationalization when he creates reasonable and
acceptable explanations for unacceptable behavior. The client is using
rationalization asa defense mechanisms to justify why he had just one drink. Even
though the nurse told him not to drink alcohol.
ATI Capstone Mental Health
,ATI Capstone Mental Health
A nurse is caring for a group of older adult clients. Which of the following client
findings indicates delirium? - A client asks when family members will be arriving
after visiting 1 hr earlier.
Delirium is characterized by a change in cognition that occurs over a short period
of time. It always results from secondary physiological condition, ( infection,
surgery, prolonged hospitalization, hypoxia, fever, medication) and is a transient
disorder. Although delirium can occur at any age, it is more common in older
adults. It frequently progresses in the evening hours and is sometimes called
"sundown syndrome"
A nurse is collecting data from a client newly admitted for anorexia nervousa.
Which of the following findings should the nurse expect? - Amenorrhea
The nurse should expect the client to report amenorrhea due to low body weight.
A nurse is collecting data from a client who has bipolar disorder with main. Which
of the following findings is the nurse's priority? - The client paces in the hallway
during the day and most of the night.
When using Maslow's hierarchy of needs, the nurse determines that the priority
findings is the client's physiological need for rest and food. Nonstop activity is an
emergency situation for a client who has mania, since the client might go for long
periods without eating or sleep.
A nurse is preparing to assist with the care of a client of a client who is undergo
electroconvulsive therapy (ECT). Which of the following pieces of equipment
should the nurse set up in the room prior to the treatment? SATA - -
Electroencephalogram (EEG) monitor.
ATI Capstone Mental Health
, ATI Capstone Mental Health
The provider will monitor the client's brainwave patterns during the procedure.
- Oxygen saturation monitor
The client requires continuous oxygen saturation monitoring because she will
receive a short-acting barbiturate to induce sleep and a muscle-paralyzing agent to
prevent muscle distress and injury.
-Electrocardiogram (ECG) monitor.
The provider will monitor the client's cardiac response during the procedure.
A nurse is assisting with a family therapy session for parents and 2 school-age
children. Which of the following statements should the nurse recognize as an
example of effective communication among family members? - "Can you tell me
the reason you get upset each time I go to the mall?"
This is an expel of effective and healthy communication. Healthy communication
expresses clear, understandable messages between family members. Each family
member is encourage to express his or her feelings and thoughts.
A n urse is reinforcing teaching with a client who is 2 days postpartum and has a
history of postpartum depression. Which of the following instructions should the
nurse include? - Sleep as much as possible.
The nurse should encourage the client to sleep as much as she can during the next
few weeks. Sleep deprivation can increase the risk for postpartum depression.
ATI Capstone Mental Health