ATI CAPSTONE MENTAL HEALTH ACTUAL EXAM LATEST
2024/2025 QUESTIONS AND VERIFIED CORRECT ANSWERS/
ALREADY GRADED A++
Avoid being outside and impaired ability to perform duties -ANSWER
AGORAPHOBIA
Palpitations, chest pain, SOB, nausea, feeling of depersonalization, fear of
dying or insanity -ANSWER PANIC DISORDER
Horror, intense fear, flashbacks, irritability, difficulty with concentrating and
sleep disturbance -ANSWER POSTTRAUMATIC STRESS DISORDER
(PTSD)
Engages in ritualistic, compulsive behaviors and recurrent thoughts -
ANSWER OBSESSIVE COMPULSIVE DISORDER (OCD)
The planned, progressive, or graduated exposure to anxiety-provoking
stimuli in real-life situations, or by imagining events that cause anxiety.
During this exposure, the anxiety response is suppressed through the use
of relaxation techniques -ANSWER SYSTEMATIC DESENSITIZATION
Positive rewards are given for positive behavior (positive reinforcement). -
ANSWER OPERANT CONDITIONING
A therapist or treatment team may use unpleasant stimuli, such as bitter
taste or mild electric shock, as punishment for behaviors such as
alcoholism, violence, self-mutilation, and thumb sucking. -ANSWER
AVERSION THERAPY
Can be used in the acute care milieu to help clients improve interpersonal
skills. The therapist demonstrates appropriate behavior in a stressful
situation with the goal of having the client imitate the behavior. -ANSWER
MODELING
Used to help the client focus on what is actually happening and to dispel
delusions, hallucinations, or faulty beliefs. -ANSWER PRESENTING
REALITY
,Used to determine if the message received was accurate and uses
techniques such as restating, reflecting, paraphrasing, exploring -ANSWER
CLARIFYING TECHNIQUES
Allows time for meaningful reflection. -ANSWER SLIENCE
Demonstrates a willingness to spend time with the client. Limited personal
information may be shared, but the focus should return to the client as soon
as possible. Relevant self-disclosure by the nurse allows the client to see
that his experience is shared by others and understood. -ANSWER
OFFERING SELF
Emphasizes important points and reviews what has been discussed. -
ANSWER SUMMARIZING
Bradykinesia, rigidity, shuffling gait, drooling, tremors. -ANSWER
PARKINSONISM
Inability to sit or stand still; Continual pacing and agitation. -ANSWER
AKATHISIA
Sudden high fever; Blood pressure fluctuations; Dysrhythmias; Muscle
rigidity; Changes in level of consciousness; Coma. -ANSWER
NEUROLEPTIC MALIGNANT SYNDROME
Severe spasm of the tongue, neck, face, and back. -ANSWER ACUTE
DYSTONIA
Involuntary movements of the tongue and face, such as lip smacking;
Involuntary movements of the arms, legs, and trunk. -ANSWER TADIVE
DYSKINESIA
The tension becomes too much to bear and serious abuse takes place. -
ANSWER ACUTE BATTERING PHASE
The situation is defused for a while after the violent episode. The abuser
become loving, promises to change, and is sorry for the behavior. -
ANSWER HONEYMOON PHASE
,The abuser has minor episodes of anger and may be verbally abusive and
responsible for some minor physical violence. -ANSWER TENSION-
BUILDING PHASE
This relates to the quality of doing good and can be described as charity.
Example: A nurse helps a newly admitted client with psychosis feel safe in
the environment of the mental health facility. -ANSWER BENEFICENCE
This refers to being honest when dealing with a client. Example: A client
states, "You and that other staff member were talking about me, weren't
you?" The nurse truthfully replies, "We were discussing ways to help you
relate to the other clients in a more positive way." -ANSWER VERACITY
This relates to loyalty and faithfulness to the client and to one's duty.
Example: A client asks a nurse to be present when she talks to her mother
for the first time in a year. The nurse remains with the client during this
interaction. -ANSWER FIDELITY
This refers to the client's right to make his own decisions. But the client
must accept the consequences of those decisions. The client must also
respect the decisions of others. Example: Rather than giving advice to a
client who has difficulty making decisions, a nurse helps the client explore
all alternatives and arrive at a choice. -ANSWER AUTONOMY
This is defined as fair and equal treatment for all. Example: During a
treatment team meeting, a nurse leads a discussion regarding whether or
not two clients who broke the same facility rule were treated equally. -
ANSWER JUSTICE
A client is experiencing acute alcohol withdrawal. Which of the following
observations should the nurse expect to make? Select all that apply.
Select one or more:
a. Disorientation
b. Inability to sleep
c. Grandiosity
d. Tremors
e. Bradycardia -ANSWER A,B,D
A nurse is caring for a client experiencing acute benzodiazepine
withdrawal. Which of the following is the priority intervention?
, Select one:
a. Provide oral rehydration as tolerated.
b. Frequent reorientation to person, place and time.
c. Encourage participation in group therapy sessions.
d. Implementation of seizure precautions. -ANSWER D
A nurse is caring for a client prescribed the atypical antipsychotic agent
clozapine. Which of the following client statements indicates a need for
further education?
Select one:
a. "I will avoid foods containing tyramine."
b. "I will notify my provider if I have signs of an infection."
c. "I will increase my calorie intake to prevent weight loss."
d. "I will notify my provider if I experience a disruption in my sleep." -
ANSWER C
A nurse is caring for a client following electroconvulsive therapy (ECT) who
is experiencing short-term memory loss as a side effect of the therapy.
Which of the following nursing actions should the nurse take? Select all that
apply.
Select one or more:
a. Remove clocks from the client's view.
b. Provide a safe environment to prevent injury.
c. Provide frequent orientation.
d. Explain to the client and family that memory loss is typically short term.
e. Assist the client with personal hygiene as needed. -ANSWER BCDE
A nurse is caring for a client diagnosed with bipolar syndrome who is
prescribed lithium. What dietary education should be reinforced to this
client?
Select one:
a. Clients must drink 5,000 - 6,000 mL of water each day while taking
lithium.
b. Clients must maintain adequate hydration and normal sodium intake
when taking lithium.
c. Clients must increase potassium intake while taking lithium.
d. Clients must restrict sodium when taking lithium. -ANSWER B
A client's blood lithium level is 2.0 mEq per L. This value indicates:
Select one:
2024/2025 QUESTIONS AND VERIFIED CORRECT ANSWERS/
ALREADY GRADED A++
Avoid being outside and impaired ability to perform duties -ANSWER
AGORAPHOBIA
Palpitations, chest pain, SOB, nausea, feeling of depersonalization, fear of
dying or insanity -ANSWER PANIC DISORDER
Horror, intense fear, flashbacks, irritability, difficulty with concentrating and
sleep disturbance -ANSWER POSTTRAUMATIC STRESS DISORDER
(PTSD)
Engages in ritualistic, compulsive behaviors and recurrent thoughts -
ANSWER OBSESSIVE COMPULSIVE DISORDER (OCD)
The planned, progressive, or graduated exposure to anxiety-provoking
stimuli in real-life situations, or by imagining events that cause anxiety.
During this exposure, the anxiety response is suppressed through the use
of relaxation techniques -ANSWER SYSTEMATIC DESENSITIZATION
Positive rewards are given for positive behavior (positive reinforcement). -
ANSWER OPERANT CONDITIONING
A therapist or treatment team may use unpleasant stimuli, such as bitter
taste or mild electric shock, as punishment for behaviors such as
alcoholism, violence, self-mutilation, and thumb sucking. -ANSWER
AVERSION THERAPY
Can be used in the acute care milieu to help clients improve interpersonal
skills. The therapist demonstrates appropriate behavior in a stressful
situation with the goal of having the client imitate the behavior. -ANSWER
MODELING
Used to help the client focus on what is actually happening and to dispel
delusions, hallucinations, or faulty beliefs. -ANSWER PRESENTING
REALITY
,Used to determine if the message received was accurate and uses
techniques such as restating, reflecting, paraphrasing, exploring -ANSWER
CLARIFYING TECHNIQUES
Allows time for meaningful reflection. -ANSWER SLIENCE
Demonstrates a willingness to spend time with the client. Limited personal
information may be shared, but the focus should return to the client as soon
as possible. Relevant self-disclosure by the nurse allows the client to see
that his experience is shared by others and understood. -ANSWER
OFFERING SELF
Emphasizes important points and reviews what has been discussed. -
ANSWER SUMMARIZING
Bradykinesia, rigidity, shuffling gait, drooling, tremors. -ANSWER
PARKINSONISM
Inability to sit or stand still; Continual pacing and agitation. -ANSWER
AKATHISIA
Sudden high fever; Blood pressure fluctuations; Dysrhythmias; Muscle
rigidity; Changes in level of consciousness; Coma. -ANSWER
NEUROLEPTIC MALIGNANT SYNDROME
Severe spasm of the tongue, neck, face, and back. -ANSWER ACUTE
DYSTONIA
Involuntary movements of the tongue and face, such as lip smacking;
Involuntary movements of the arms, legs, and trunk. -ANSWER TADIVE
DYSKINESIA
The tension becomes too much to bear and serious abuse takes place. -
ANSWER ACUTE BATTERING PHASE
The situation is defused for a while after the violent episode. The abuser
become loving, promises to change, and is sorry for the behavior. -
ANSWER HONEYMOON PHASE
,The abuser has minor episodes of anger and may be verbally abusive and
responsible for some minor physical violence. -ANSWER TENSION-
BUILDING PHASE
This relates to the quality of doing good and can be described as charity.
Example: A nurse helps a newly admitted client with psychosis feel safe in
the environment of the mental health facility. -ANSWER BENEFICENCE
This refers to being honest when dealing with a client. Example: A client
states, "You and that other staff member were talking about me, weren't
you?" The nurse truthfully replies, "We were discussing ways to help you
relate to the other clients in a more positive way." -ANSWER VERACITY
This relates to loyalty and faithfulness to the client and to one's duty.
Example: A client asks a nurse to be present when she talks to her mother
for the first time in a year. The nurse remains with the client during this
interaction. -ANSWER FIDELITY
This refers to the client's right to make his own decisions. But the client
must accept the consequences of those decisions. The client must also
respect the decisions of others. Example: Rather than giving advice to a
client who has difficulty making decisions, a nurse helps the client explore
all alternatives and arrive at a choice. -ANSWER AUTONOMY
This is defined as fair and equal treatment for all. Example: During a
treatment team meeting, a nurse leads a discussion regarding whether or
not two clients who broke the same facility rule were treated equally. -
ANSWER JUSTICE
A client is experiencing acute alcohol withdrawal. Which of the following
observations should the nurse expect to make? Select all that apply.
Select one or more:
a. Disorientation
b. Inability to sleep
c. Grandiosity
d. Tremors
e. Bradycardia -ANSWER A,B,D
A nurse is caring for a client experiencing acute benzodiazepine
withdrawal. Which of the following is the priority intervention?
, Select one:
a. Provide oral rehydration as tolerated.
b. Frequent reorientation to person, place and time.
c. Encourage participation in group therapy sessions.
d. Implementation of seizure precautions. -ANSWER D
A nurse is caring for a client prescribed the atypical antipsychotic agent
clozapine. Which of the following client statements indicates a need for
further education?
Select one:
a. "I will avoid foods containing tyramine."
b. "I will notify my provider if I have signs of an infection."
c. "I will increase my calorie intake to prevent weight loss."
d. "I will notify my provider if I experience a disruption in my sleep." -
ANSWER C
A nurse is caring for a client following electroconvulsive therapy (ECT) who
is experiencing short-term memory loss as a side effect of the therapy.
Which of the following nursing actions should the nurse take? Select all that
apply.
Select one or more:
a. Remove clocks from the client's view.
b. Provide a safe environment to prevent injury.
c. Provide frequent orientation.
d. Explain to the client and family that memory loss is typically short term.
e. Assist the client with personal hygiene as needed. -ANSWER BCDE
A nurse is caring for a client diagnosed with bipolar syndrome who is
prescribed lithium. What dietary education should be reinforced to this
client?
Select one:
a. Clients must drink 5,000 - 6,000 mL of water each day while taking
lithium.
b. Clients must maintain adequate hydration and normal sodium intake
when taking lithium.
c. Clients must increase potassium intake while taking lithium.
d. Clients must restrict sodium when taking lithium. -ANSWER B
A client's blood lithium level is 2.0 mEq per L. This value indicates:
Select one:
