ATI RN Capstone Mental Health Pre-Assessment,
ATI Capstone Proctored Comprehensive
Assessment Form A
Terms in this set (73)
A nurse in a mental health d. Agoraphobia
clinic is assessing a client Agoraphobia is an irrational fear about being in places
who was brought in by her or circumstances where the client would not have help
adult daughter stating that in the event of panic or other forms of anxiety. Fear of
her mother has not been being alone outdoor is a common example.
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?
a. Xenophobia
b. Acrophobia
c. Mysophobia
d. Agoraphobia
,A nurse is providing b. "Let's work together to devise a time schedule that is
discharge teaching for a convenient for you on a daily basis."
client who has multiple This response illustrates the therapeutic communication
medication prescriptions technique of formulating a plan of action. It
and must take the demonstrates the nurse's willingness to work with the
medications at specific client to modify the schedule so that it meets the client's
intervals when at home. needs at this time.
Which of the following
instructions should the
nurse include in the
teaching?
a. "You really shouldn't
change the schedule we
established here in the
facility."
b. "Let's work together to
devise a time schedule that
is convenient for you on a
daily basis."
c. "We'll have to talk to your
provider about switching to
an alternative schedule."
d. "It doesn't really matter
what time you take your
medications as long as you
don't skip any doses."
,A nurse is providing a. The client runs 4 miles outdoors every afternoon.
discharge teaching to. client Strenuous exercise in outdoor heat, which can lead to
who has bipolar disorder dehydration, puts the client at risk for lithium toxicity.
and will be discharged with Mild to moderate exercise will not lead to lithium
a prescription for lithium. toxicity, but if the client engages in strenuous exercise
The nurse should teach the during hot weather, she should take care to replace any
client that which of the water that may have been lost through profuse sweating.
following factors puts her at this also applies to other factors that can cause the client
risk for lithium toxicity? to become dehydrated, such as having diarrhea or
a. The client runs 4 miles taking diuretics.
outdoors every afternoon.
b. The client drinks 2 liters
of liquids daily.
c. The client eats 2 to 3
grams of sodium-containing
foods daily.
d. The client eats foods high
in tyramine.
A nurse in a emergency b. Dilated pupils
department is assessing a
client for suspected Dilated pupils are a finding of cocaine intoxication due
cocaine intoxication. Which to the stimulation of the sympathetic nervous system.
of the following findings
should the nurse expect?
a. Nystagmus
b. Dilated pupils
c. Hypersomnia
d. Depression
, A nurse enters the room of b. Speak slowly in a low, calm voice.
a client who becomes
verbally abusive. Which of Speaking in this manner conveys to the client that the
the following actions should nurse is controlled, nonthreatening, and caring.
the nurse take?
a. Inform the client of
consequences.
b. Speak slowly in a low,
calm voice.
c. Forbid the client from
speaking in an abusive
manner.
d. Remain a distance of 1 ft
away from the client.
A nurse is caring for a client d. Maintain eye contact with the client and summarize
who lost all his possessions the client's feelings.
in a house fire and states, "I
have no idea what I am This demonstrates therapeutic communication. During
going to do. I cannot think the initial interview, it is important for the nurse to
right now." Which of the provide an atmosphere of support and safety. If a
following actions should the person believes that the someone is genuinely
nurse take? concerned, then he may believe that help is available.
Maintaining eye contact demonstrates support, empathy,
a. Identify other housing and advocacy.
options and sources of
transportation.
b. Notify the facility
chaplain to request
scheduling an appointment.
c. Confirm that everything
will be alright because
belongings can be
replaced.
d. Maintain eye contact with
client and summarize the
client's feeings.
ATI Capstone Proctored Comprehensive
Assessment Form A
Terms in this set (73)
A nurse in a mental health d. Agoraphobia
clinic is assessing a client Agoraphobia is an irrational fear about being in places
who was brought in by her or circumstances where the client would not have help
adult daughter stating that in the event of panic or other forms of anxiety. Fear of
her mother has not been being alone outdoor is a common example.
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?
a. Xenophobia
b. Acrophobia
c. Mysophobia
d. Agoraphobia
,A nurse is providing b. "Let's work together to devise a time schedule that is
discharge teaching for a convenient for you on a daily basis."
client who has multiple This response illustrates the therapeutic communication
medication prescriptions technique of formulating a plan of action. It
and must take the demonstrates the nurse's willingness to work with the
medications at specific client to modify the schedule so that it meets the client's
intervals when at home. needs at this time.
Which of the following
instructions should the
nurse include in the
teaching?
a. "You really shouldn't
change the schedule we
established here in the
facility."
b. "Let's work together to
devise a time schedule that
is convenient for you on a
daily basis."
c. "We'll have to talk to your
provider about switching to
an alternative schedule."
d. "It doesn't really matter
what time you take your
medications as long as you
don't skip any doses."
,A nurse is providing a. The client runs 4 miles outdoors every afternoon.
discharge teaching to. client Strenuous exercise in outdoor heat, which can lead to
who has bipolar disorder dehydration, puts the client at risk for lithium toxicity.
and will be discharged with Mild to moderate exercise will not lead to lithium
a prescription for lithium. toxicity, but if the client engages in strenuous exercise
The nurse should teach the during hot weather, she should take care to replace any
client that which of the water that may have been lost through profuse sweating.
following factors puts her at this also applies to other factors that can cause the client
risk for lithium toxicity? to become dehydrated, such as having diarrhea or
a. The client runs 4 miles taking diuretics.
outdoors every afternoon.
b. The client drinks 2 liters
of liquids daily.
c. The client eats 2 to 3
grams of sodium-containing
foods daily.
d. The client eats foods high
in tyramine.
A nurse in a emergency b. Dilated pupils
department is assessing a
client for suspected Dilated pupils are a finding of cocaine intoxication due
cocaine intoxication. Which to the stimulation of the sympathetic nervous system.
of the following findings
should the nurse expect?
a. Nystagmus
b. Dilated pupils
c. Hypersomnia
d. Depression
, A nurse enters the room of b. Speak slowly in a low, calm voice.
a client who becomes
verbally abusive. Which of Speaking in this manner conveys to the client that the
the following actions should nurse is controlled, nonthreatening, and caring.
the nurse take?
a. Inform the client of
consequences.
b. Speak slowly in a low,
calm voice.
c. Forbid the client from
speaking in an abusive
manner.
d. Remain a distance of 1 ft
away from the client.
A nurse is caring for a client d. Maintain eye contact with the client and summarize
who lost all his possessions the client's feelings.
in a house fire and states, "I
have no idea what I am This demonstrates therapeutic communication. During
going to do. I cannot think the initial interview, it is important for the nurse to
right now." Which of the provide an atmosphere of support and safety. If a
following actions should the person believes that the someone is genuinely
nurse take? concerned, then he may believe that help is available.
Maintaining eye contact demonstrates support, empathy,
a. Identify other housing and advocacy.
options and sources of
transportation.
b. Notify the facility
chaplain to request
scheduling an appointment.
c. Confirm that everything
will be alright because
belongings can be
replaced.
d. Maintain eye contact with
client and summarize the
client's feeings.
