Capstone: Mental Health, ATI Mental
health Assessment ACTUAL EXAM / ATI
MENTAL HEALTH PROCTORED
EXAM 2025 COMPREHENSIVE
QUESTIONS AND DETAILEDVERIFIED
100% CORRECT ANSWERS
A nurse in an acute care facility is assisting with the admission of an older adult client who has l
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ate stage Alzheimer's disease. The nurse notes that the client's partner appears exhausted. He st
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ates that he is finding it more and more difficult to care for his partner. Which of the following a
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ctions should the nurse take first? -
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(correct answers)Ask the partner to talk about his difficulties in caring for the client.
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The first action the nurse should take, using the nursing process priority framework, is to collect
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data regarding the partner's ability to take care of the client.
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A nurse is collecting data from a client who is taking bupropion. Which of the following findings
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indicates the medications is effective? - (correct answers)Decrease in urge to smoke
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Bupropion is an antidepressant that is also used for smoking cessation.
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A nurse is evaluating the outcome for a client who has depression following the death of his wif
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e 3 months ago. Which of the following client statements indicates a need for further interventi
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on? - (correct answers)"I just don't feel like eating because I never like to eat alone."
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At risk for malnutrition and injury.
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A nurse in a long-
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term care setting is caring for a client who has Alzheimer's disease. The client states, "I just came
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, back from a hard day's work in my office." The nurse should identify this statement is an examp
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le of which of the following coping mechanisms? - (correct answers)Confabulation
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Confabulation is the creation of information which is untrue to fill in gaps in memory and to pro
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tect self-esteem in clients who have dementia.
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A nurse is planning care for a new client. Which of the following actions should the nurse plan t
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o take in order to use the technique of presence to establish the nurse- client relationship? -
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(correct answers)Use active listening when with the client.
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The nurse should use active listening to establish presence with the client. presence involves eye
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contact, body language, voice tone, listening, and reflection to convay openness and understan
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ding.
A nurse is assessing a client in the emergency department who drank alcohol while taking disulf
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iram. The client states, "The nurse told me not to drink when taking the medication. I am just a s
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ocial drinker. I didn't realize that having just one drink with my friends would cause such a probl
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em." Which of the following defense mechanisms is the client demonstrating? -
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(correct answers)Rationalization
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The client is demonstrating rationalization when he creates reasonable and acceptable explanati
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ons for unacceptable behavior. The client is using rationalization asa defense mechanisms to jus
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tify why he had just one drink. Even though the nurse told him not to drink alcohol.
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A nurse is caring for a group of older adult clients. Which of the following client findings indicat
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es delirium? -
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(correct answers)A client asks when family members will be arriving after visiting 1 hr earlier.
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Delirium is characterized by a change in cognition that occurs over a short period of time. It alw
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ays results from secondary physiological condition, ( infection, surgery, prolonged hospitalizatio
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n, hypoxia, fever, medication) and is a transient disorder. Although delirium can occur at any ag
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e, it is more common in older adults. It frequently progresses in the evening hours and is someti
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mes called "sundown syndrome"
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A nurse is collecting data from a client newly admitted for anorexia nervousa. Which of the follo
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wing findings should the nurse expect? - (correct answers)Amenorrhea
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The nurse should expect the client to report amenorrhea due to low body weight.
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,A nurse is collecting data from a client who has bipolar disorder with main. Which of the followi
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ng findings is the nurse's priority? -
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(correct answers)The client paces in the hallway during the day and most of the night.
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When using Maslow's hierarchy of needs, the nurse determines that the priority findings is the c
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lient's physiological need for rest and food. Nonstop activity is an emergency situation for a clie
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nt who has mania, since the client might go for long periods without eating or sleep.
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A nurse is preparing to assist with the care of a client of a client who is undergo electroconvulsi
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ve therapy (ECT). Which of the following pieces of equipment should the nurse set up in the roo
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m prior to the treatment? SATA - (correct answers)- Electroencephalogram (EEG) monitor.
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The provider will monitor the client's brainwave patterns during the procedure.
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- Oxygen saturation monitor
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The client requires continuous oxygen saturation monitoring because she will receive a short-
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acting barbiturate to induce sleep and a muscle-
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paralyzing agent to prevent muscle distress and injury.yu yu yu yu yu yu yu
-Electrocardiogram (ECG) monitor. yu yu yu
The provider will monitor the client's cardiac response during the procedure.
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A nurse is assisting with a family therapy session for parents and 2 school-
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age children. Which of the following statements should the nurse recognize as an example of ef
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fective communication among family members? -
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(correct answers)"Can you tell me the reason you get upset each time I go to the mall?"
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This is an expel of effective and healthy communication. Healthy communication expresses clear
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, understandable messages between family members. Each family member is encourage to expr
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ess his or her feelings and thoughts.
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A n urse is reinforcing teaching with a client who is 2 days postpartum and has a history of post
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partum depression. Which of the following instructions should the nurse include? -
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(correct answers)Sleep as much as possible.
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The nurse should encourage the client to sleep as much as she can during the next few weeks. S
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leep deprivation can increase the risk for postpartum depression.
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, A nurse is reinforcing teaching with a female client who is prescribed chlorpromazine. Which of
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the following statements by the client indicates an understanding of the teaching? -
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(correct answers)"I will contact my provider if I have difficulty urinating"
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Chlorpromazine is a first- yu yu yu
generation, or typical, antipsychotic medication prescribed for schizophrenia. The client should
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monitor for anticholinergic adverse effects, such as dry mouth and urinary retention. Difficulty u
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rinating could be a sign of urinary retention and should be reported to the provider for further
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evaluation.
A nurse is collecting data from a client following a recent suicide attempt. Which of the followin
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g findings in the client's history places him at the greatest risk for another suicide attempt? -
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(correct answers)Impulsivity
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A client who has impulsivity is at risk for suicide because he is more likely to take an action quic
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kly without thinking about the consequences.
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A nurse is caring for client who escapes anxiety -
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causing thoughts by ignoring their existence. The nurse should recognize this behavior as whic
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h of the following defense mechanisms? - (correct answers)Undoing
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The nurse correctly identifies this as an example of denial which is escaping unpleasant or anxiet
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y - causing thoughts or feelings by ignoring their existence.
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A nurse is caring for an older adult client who is scheduled for surgery. The client becomes upse
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t when the nurse asks her to remove her dentures prior to the surgery. Which of the following is
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a therapeutic response by the nurse? -
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(correct answers)" You seem worried. Are you concerned someone may see you without your te
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eth?"
The nurse uses two therapeutic communication tools in this response. One is empathy, which is
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shown by focusing on the client's feelings. The other is validation/clarification, in which the nurs
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e seeks to validate the reason for the client's feelings.
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A nurse is talking with a client who has schizophrenia. Suddenly the client states, "Im tightened.
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Do you hear that? The voices are telling me to do terrible things." Which of the following respo
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nses by the nurse is appropriate ? - (correct answers)"What are the voices telling you to do?"
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