ATI Capstone Mental Health Final Exam 2024 Questions and Correct Answers

ATI Capstone Mental Health Final Exam 2024 Questions and Correct Answers A nurse is reviewing abnormal laboratory values for four clients who have schizophrenia and take clozapine. For which of the following clients should the nurse withhold the medication and notify the provider immediately to have clozapine therapy discontinued? A client who has a WBC of 2,900 cells/mm3. A nurse is developing a plan of care for a newly admitted client who has schizophrenia and experiences frequent hallucinations and paranoid delusions. Which of the following actions should the nurse plan to take? Limit the number of questions asked during assessments. 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 fi ndings indicates the medications is effective? Decrease in urge to smoke Bupropion is an antidepressant that is also used for smoking cessation. A nurse is caring for a 9 -year-old boy who has a new diagnosis of diabetes mellitus and is eager to return to school and participate in social events. The mother tells the nurse she is afraid to let him take part in physical activities at school. Which of the following responses shou ld the nurse make? "Tell me more about how you are feeling about your son's activities." A nurse is assessing a client who has posttraumatic stress disorder (PTSD) following a sexual assault. Which of the following is an expected finding? Increasing feelin gs of anger. A nurse is caring for a client who has a serum lithium level of 2.0 mEq/L. Which of the following is the priority action for the nurse to take? Notify the primary provider the result indicates toxicity. A nurse is performing a mental status examination (MSE) on a client who has a new diagnosis of dementia. Which of the following components should the nurse include? (Select all that apply.) Grooming. Long term memory. Affect. A home health nurse is speakin g to a group of acute care nurses about domestic violence. Which of the following statements by one of the acute care nurses indicates a need for clarification? I have heard that abusers think of themselves as important and have high self esteem. A nurse i s discussing the use of mechanical restraints with a newly licensed nurse. Which of the following situations should the nurse include as an indication for placing a client in mechanical restraints? Self destructive behavior despite alternative intervention s. 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 ha s 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 informatio n 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 wh ile taking disulfiram. The client states, "The nurse told me not to drink when taking the medication. I am