ATI Capstone: Mental Health, ATI
Mental health Assessment (2025-
2026) Test Exam with Correct Verified
and Well Analyzed Answers Graded
A+
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.
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.
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.
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 encouraging 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.
A nurse is reinforcing teaching with a female client who is prescribed
chlorpromazine. Which of the following statements by the client
indicates an understanding of the teaching?
"I will contact my provider if I have difficulty urinating"
Chlorpromazine is a first-generation, or typical, antipsychotic
medication prescribed for schizophrenia. The client should monitor
for anticholinergic adverse effects, such as dry mouth and urinary
retention. Difficulty urinating could be a sign of urinary retention and
should be reported to the provider for further evaluation.
A nurse is collecting data from a client following a recent suicide
attempt. Which of the following findings in the client's history places
him at the greatest risk for another suicide attempt?
Impulsivity
A client who has impulsivity is at risk for suicide because he is more
likely to take an action quickly without thinking about the
consequences.
A nurse is caring for client who escapes anxiety - causing thoughts
by ignoring their existence. The nurse should recognize this behavior
as which of the following defense mechanisms?
Mental health Assessment (2025-
2026) Test Exam with Correct Verified
and Well Analyzed Answers Graded
A+
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.
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.
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.
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 encouraging 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.
A nurse is reinforcing teaching with a female client who is prescribed
chlorpromazine. Which of the following statements by the client
indicates an understanding of the teaching?
"I will contact my provider if I have difficulty urinating"
Chlorpromazine is a first-generation, or typical, antipsychotic
medication prescribed for schizophrenia. The client should monitor
for anticholinergic adverse effects, such as dry mouth and urinary
retention. Difficulty urinating could be a sign of urinary retention and
should be reported to the provider for further evaluation.
A nurse is collecting data from a client following a recent suicide
attempt. Which of the following findings in the client's history places
him at the greatest risk for another suicide attempt?
Impulsivity
A client who has impulsivity is at risk for suicide because he is more
likely to take an action quickly without thinking about the
consequences.
A nurse is caring for client who escapes anxiety - causing thoughts
by ignoring their existence. The nurse should recognize this behavior
as which of the following defense mechanisms?
