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ATI CAPSTONE MENTAL HEALTH, ASSESSMENT
2026 100% PASS ASSURED EXAMINATION
SOLUTIONS
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? - correct answer- 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? - correct answer- Decrease in urge
to smoke
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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? - correct answer- "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? - 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.
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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? - correct answer- 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? - 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
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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? - correct answer-
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? -
correct answer- Amenorrhea
The nurse should expect the client to report
amenorrhea due to low body weight.
ATI CAPSTONE MENTAL HEALTH, ASSESSMENT
2026 100% PASS ASSURED EXAMINATION
SOLUTIONS
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? - correct answer- 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? - correct answer- Decrease in urge
to smoke
,2 | Page
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? - correct answer- "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? - 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.
,3 | Page
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? - correct answer- 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? - 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
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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? - correct answer-
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? -
correct answer- Amenorrhea
The nurse should expect the client to report
amenorrhea due to low body weight.
