2023 ATI CAPSTONE MENTAL HEALTH FINAL EXAM TEST
BANK/CAPSTONE MENTAL HEALTH 2023 PROCTORED
TEST BANK 300 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW!!
A nurse is caring for a group of older adult clients. Which of the following client
findings indicates delirium? – ANSWER- A client asks when family members will
be arriving after visiting 1 hr earlier.
Rationale: 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? – ANSWERAmenorrhea
Rationale: 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? – ANSWER- The client paces in
the hallway during the day and most of the night.
Rationale: 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 – ANSWER- –
Electroencephalogram (EEG) monitor.
Rationale: The provider will monitor the client’s brainwave patterns during the
procedure.
- Oxygen saturation monitor
Rationale: 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.
Rationale: 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? – ANSWER- “Can
you tell me the reason you get upset each time I go to the mall?”
Rationale: 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? – ANSWER- Sleep as much as possible.
Rationale: 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? – ANSWER- “I will contact my provider if I have
difficulty urinating”
Rationale: 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? – ANSWER- Impulsivity
Rationale: 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? – ANSWER- Undoing
Rationale: The nurse correctly identifies this as an example of denial which is
escaping unpleasant or anxiety – causing thoughts or feelings by ignoring their
existence.
A nurse is caring for an older adult client who is scheduled for surgery. The client
becomes upset when the nurse asks her to remove her dentures prior to the surgery.
Which of the following is a therapeutic response by the nurse? – ANSWER- ” You
seem worried. Are you concerned someone may see you without your teeth?”
Rationale: The nurse uses two therapeutic communication tools in this response.
One is empathy, which is shown by focusing on the client’s feelings. The other is
validation/clarification, in which the nurse seeks to validate the reason for the
client’s feelings.
A nurse is talking with a client who has schizophrenia. Suddenly the client states,
“Im tightened. Do you hear that? The voices are telling me to do terrible things.”
Which of the following responses by the nurse is appropriate ? – ANSWER- “What
are the voices telling you to do?”
Rationale: This statement recognizes the risk involved with a command
hallucination an asks there client directly about the hallucination. This is a
therapeutic approach to communicating with a client who is experiencing a
hallucination.
A nurse is collecting data from a client who has a major depressive disorder
(MDD). Which of the following findings should the nurse expect? – ANSWERSignificant change in weight
Rationale: A signifiant change in weight, either loss or gain, is an expected
finding of MDD.