ACTUAL EXAM / ATI CAPSTONE MENTAL HEALTH PROCTORED EXAM 2025 COMPREHENSIVE QUESTIONS AND D, Exams of Nursing

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ACTUAL EXAM / ATI CAPSTONE MENTAL

HEALTH PROCTORED EXAM 2025

COMPREHENSIVE QUESTIONS AND

DETAILED VERIFIED 100% CORRECT

ANSWERS

A charge nurse is conducting a staff education in service about depressive disorders. Which should the nurse identify as a risk factor for depression? Being married Pregnancy Male gender Chronic illness - CORRECT ANSWER Chronic illness; Having a medical illness, especially one that is chronic, is a primary risk factor for depression. A client who has a femur fracture states, "I cant stay in this bed any longer. I need to get home so I can take care of my family." The nurse response by saying, "You have talked about your family. Can you tell me more about your specific concerns?" Which of the following therapeutic communications techniques is the nurse using? - CORRECT ANSWER Focusing The nurse's open-ended statement is a means of focusing on the problem and obtaining more information about the client's concerns, which helps the nurse to identify issues and concerns clearly. a home health nurse is reinforcing teaching with the family members of a client who has alzheimers disease and is experiencing sleep disturbance. which of the following instructions should the nurse include - CORRECT ANSWER wake the client at the same time each morning

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? - CORRECT ANSWER 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 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? Xenophobia Acrophobia Mysophobia Agoraphobia - CORRECT ANSWER Agoraphobia; Agoraphobia is an irrational fear about being in places or circumstances where the client would not have help in the event of panic or other forms of anxiety. Fear of being alone outdoors is a common example. A nurse in a mental health facility observes a client who is experiencing panic level of anxiety. Which of the following actions should the nurse take first?

Encourage the client to discuss the events occurring before the attack. Teach the client relaxation techniques. Tell the client to listen to music. Remain with the client. - CORRECT ANSWER Remain with the client; The nurse should remain with the client during a panic attack. This promotes a feeling of safety and reassurance for the client. A nurse in a psychiatric unit is caring for several clients. Which of the following clients should the nurse recommend for group therapy? A client who has been taking amitriptyline for 3 months for depression A client exhibiting psychotic behavior A client admitted 12 hr ago for acute mania A client who is experiencing alcohol intoxication - CORRECT ANSWER A client who has been taking amitriptyline for 3 months for depression; Psychotherapy groups provide clients with the opportunity to enhance their personal relationships, increase self-awareness, and try new behaviors in a safe social setting. Amitriptyline can take 4 to 8 weeks to become effective; therefore, this client should be

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 in an emergency department is assessing a client for suspected cocaine intoxication. The nurse should know that which of the following manifestations is consistent with cocaine intoxication? Nystagmus Dilated pupils Hypersomnia Depression - CORRECT ANSWER Dilated pupils; Dilated pupils are a finding of cocaine intoxication due to the stimulation of the sympathetic nervous system. A nurse in an outpatient mental health clinic is caring for a client who has an eating disorder.Which of the following findings in the client's medical record indicates the client has bulimia nervosa? 1400: BMI 20. Erosion of teeth, numerous dental caries

Client reports overeating with subsequent episodes of induced vomiting every weekday evening following work; takes over-the-counter laxative and diuretic medication every morning. Reports good relationship with family and friends. Denies substance use. Reports doing little exercise except on weekends. 1500: 12 - lead ECG Sinus rhythm with frequent premature ventricular contractions (PVCs), heart rate 72/min 1600: Potassium 3.2 mEq/L - CORRECT ANSWER Erosion of teeth, numerous dental caries Client reports overeating with subsequent episodes of induced vomiting every weekday evening following work Takes over-the-counter laxative and diuretic medication every morning. Sinus rhythm with frequent premature ventricular contractions (PVCs), heart rate 72/min Potassium 3.2 mEq/L BMI 20.1 is correct. Clients who have bulimia nervosa often have a BMI within the expected reference range.

Check the client's pupil reactivity. Obtain a urine specimen. Perform a developmental screening test. - CORRECT ANSWER Contact the laboratory to obtain a blood sample. Prepare the client for a CT scan. Check the client's pupil reactivity. Obtain a urine specimen; Contact the laboratory to obtain a blood sample is correct. A blood sample allows for a blood alcohol level test to be performed.Prepare the client for a CT scan is correct. A CT scan or other neurological tests is performed to rule out brain injury or head trauma.Check the client's pupil reactivity is correct. Checking for pupil reactivity provides information about a client's neurological status.Obtain a urine specimen is correct. A urine specimen is needed to perform a urine toxicology screen.Perform a developmental screening test is incorrect. A developmental screening test is appropriate when needing information about a child or adolescent's maturational or developmental level. a nurse is admitting a client to a mental health unit. the nurse should inform the client that they have which of the following rights - CORRECT ANSWER the right to retract previously provided consent. the right to receive individualized care. the right to refuse psychotropic medications. the right to the least restrictive environment 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? - CORRECT ANSWER 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 assessing a client who has a prescription for fluoxetine. Which of the following findings is a potential adverse effect of the medication? Urinary retention Bradycardia Increased temperature Orthostatic hypotension - CORRECT ANSWER Increased temperature; Hyperpyrexia or fever is a potential adverse effect of fluoxetine. Serotonin syndrome is a rare life-threatening occurrence associated with SSRIs. The effects include fever, tachycardia, elevated blood pressure, sweating, diarrhea, delirium, mood swings, hostility, seizures, apnea, and possible death. A nurse is assessing a client who has antisocial personality disorder. Which of the following characteristics should the nurse expect?

A nurse is assessing a client who is taking lithium. For which of the following findings should the nurse notify the provider? Blood pressure 118/70 mm Hg Weight loss of 2 kg (4.4 lb) in 1 month Client report of sleeping 8 hr per night Coarse tremors of the hands - CORRECT ANSWER Coarse tremors of the hands; Coarse tremors of the hands are a manifestation of lithium toxicity. Other manifestations include polyuria, muscle weakness, slurred speech, and sedation. The nurse should notify the provider of this finding so laboratory tests can be prescribed. A nurse is assessing a parent who lost a 12-year-old child in a car crash 2 years ago. Which of the following findings indicates the client is exhibiting manifestations of prolonged grieving? Leaves the child's room exactly as it was before the loss Volunteers at a local children's hospital Talks about the child in the past tense Visits the child's grave every week after worship services - CORRECT ANSWER Leaves the child's room exactly as it was before the loss;

Grieving becomes dysfunctional when the client is unable to resume regular activities of daily living or experience emotions other than sadness or depression. An example of dysfunctional grieving is making the loved one's room a shrine for more than a year. A nurse is assessing a toddler during a well child visit. Which of the following findings should the nurse identify and report to the provider as an indication of physical maltreatment? Several round burns on the soles of the feet An abrasion on the elbow Two bruises on the right shin in various stages of healing A contusion on the forehead - CORRECT ANSWER Several round burns on the soles of the feet; Although minor injuries are common in toddlers due to their general lack of coordination, the nurse should identify that physical findings such as round burns on the soles of a child's feet can indicate potential physical maltreatment. Burns such as these can be made with a cigarette or a cigar and should alert the nurse to a potential instance of maltreatment that should be reported to the provider. A nurse is assisting a client who has schizophrenia prepare a relapse plan. Which of the following statements should the nurse make? "You should be aware that excessive sleeping is an early sign of relapse." "Relapse is an indication that you are not taking your medications properly."

Complies with rules Inflated self-esteem Refuses to accept responsibility for actions Is physically cruel to other children - CORRECT ANSWER Refuses to accept responsibility for actions; A child who has oppositional defiant disorder can exhibit passive-aggressive behaviors, argue with authority figures, refuse to comply with requests from authority figures, deliberately annoy others, and blame others for their mistakes or misbehavior. 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? - CORRECT ANSWER "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 nurse is assisting with planning care for a client who is in the manic phase of bipolar disorder. which of the following actions is the priority for the nurse to include in the plan - CORRECT ANSWER offer frequent high calorie fluids throughout the day

a nurse is assisting with the care of a client immediately following electroconvulsive therapy (ECT), which of the following findings should the nurse document as an unexpected response to the procedure - CORRECT ANSWER Irregular heart rhythm A nurse is assisting with the plan of care for a client who is newly diagnosed with borderline personality disorder. Which of the following interventions is the nurse's priority? - CORRECT ANSWER Protecting the client from self-harm behavior The greatest risk to the client is harm to self or others, therefore this is the nurse's priority. C. Encouraging the client to talk about her feelings. a nurse is caring for a client following a modified radical mastectomy. which of the following client statements is an indication of effective coping - CORRECT ANSWER I am planning to attend a support group after I leave the hospital a nurse is caring for a client on a mental health unit and receives a call from the client's sibling requesting information regarding the client's condition. the client has not listed anyone on the release of information form. which of the following actions should the nurse take? - CORRECT ANSWER tell the caller that information cannot be released regarding their request A nurse is caring for a client on an acute care mental health unit. Client has a history of bipolar disorder and self-injurious behavior. 1330: Client pacing rapidly across their room and shouting loudly at nursing staff. Client appears agitated. Verbal de-escalation measures implemented. Client returned to their bed and is refusing to talk or make eye contact.

Ask the client to accompany the nurse to another area. - CORRECT ANSWER Ask the client to accompany the nurse to another area; The nurse should ask the client in a calm and nonthreatening manner to walk with them to another area, away from the location of the outburst. Removing the client from the situation will ensure the safety of the other clients as well as deescalate the situation. a nurse is caring for a client who frequently displays manipulative behavior. which of the following actions should the nurse take - CORRECT ANSWER establish consequences for the client's actions A nurse is caring for a client who has a new diagnosis of anorexia nervosa. Which of the following findings should the nurse expect? Hyperactive bowel sounds Bradycardia Hypertension Dental erosion - CORRECT ANSWER Bradycardia; Complications of anorexia include bradycardia and muscle wasting. A nurse is caring for a client who has an anxiety disorder. Which of the following statements by the client indicates successful use of guided imagery?

"I imagine my negative emotions consuming my thoughts." "I imagine solving my problems over and over again." "I imagine myself being overwhelmed during difficult times." "I imagine myself lying on a beach when I start to feel stressed." - CORRECT ANSWER "I imagine myself lying on a beach when I start to feel stressed."; Envisioning oneself in a peaceful, calm environment enhances relaxation and is an example of using guided imagery. 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 caring for a client who has early dementia and is prone to wandering at night. which of the following strategies should the nurse use to help keep the client safe - CORRECT ANSWER place the clients mattress on the floor a nurse is caring for a client who has insomnia disorder. which of the following actions should the nurse take - CORRECT ANSWER establish a routine that signals the end of the day