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ATI RN CAPSTONE MENTAL HEALTH PRE-ASSESSMENT EXAM
LATEST 2024-2025 COMPLETE 200 QUESTIONS AND CORRECT
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A nurse in an acute care mental health facility is admitting a client who reports feeling
depressed, sad, moody, and overly anxious. Which of the following is the nurse's assessment
priority?
a. Coping abilities.
b. Support systems.
c. Suicide risk.
d. Psychiatric history. - ANSWER-c. Suicide risk
The greatest risk to the safety of a client who is depressed is self-harm. Therefore, the priority
for the nurse to determine is the client's thoughts or plans for suicide.
A nurse is assessing a client who has schizophrenia which has been treated with fluphenazine
for several years. Which of the following findings should the nurse document as manifestations
of tardive dyskinesia (TD)?
a. Shuffling gait.
ATI RN CAPSTONE MENTAL HEALTH PRE-ASSESSMENT EXAM
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b. Constant tapping of feet when sitting.
c. Sudden onset of high fever.
d. Twisting tongue movements. - ANSWER-d. Twisting tongue movements.
Twisting tongue movement, tics, sudden involuntary jerking movements of the extremities, and
other findings occur in TD. The nurse should notify the provider of these findings since
treatment includes reducing dosage of antipsychotic medications or perhaps changing to a
second-generation antipsychotic medication.
A nurse in an acute care facility is admitting an older adult client who has dementia due to
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 wife. Which of the following interventions
is the nurse's priority?
a. Recommend that the partner place the client in a long-term care facility.
b. Suggest that the partner see a counselor to help him cope with his exhaustion.
c. Ask the partner to talk about his difficulties in caring for the client.
d.. Tell the partner to call a family meeting to get help. - ANSWER-c. Ask the partner to talk
about his difficulties in caring for the client.
ATI RN CAPSTONE MENTAL HEALTH PRE-ASSESSMENT EXAM
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LATEST 2024-2025 COMPLETE 200 QUESTIONS AND CORRECT
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The first action the nurse should take using the nursing process priority framework is to assess
the partner's difficulties in caring for his wife.
NGN question - highlight the findings in the client's medical record that indicate the client has
bulimia nervosa. - ANSWER-BMI 20.1
Erosion of teeth; numerous dental caries;
overeating with subsequent episodes of induced vomiting every weekday evening following
work; taking over-the-counter laxative and diuretic medications every morning; frequent
premature ventricular contractions (PVC's); potassium 3.2mEq/L
A nurse is caring for a client who is cognitively impaired. Which of the following rooms will
provide a therapeutic environment for this client?
a. A room adjacent to the nursing station.
b. A room without a window.
c. A room with dim lighting.
d. A room containing personal belongings. - ANSWER-d. A room containing personal belongings.
ATI RN CAPSTONE MENTAL HEALTH PRE-ASSESSMENT EXAM
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, ATI RN CAPSTONE MENTAL HEALTH PRE-ASSESSMENT EXAM
LATEST 2024-2025 COMPLETE 200 QUESTIONS AND CORRECT
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A room that contains several of the client's personal belongings assists in maintaining personal
identity and a therapeutic environment.
A nurse is teaching a client who has a new prescription for paroxetine. Which of the following
statements by the client indicates an understanding of the teaching?
a. "I may experience an increased desire to have sex."
b. "My blood pressure may increase."
c. "I may notice excess saliva."
d. "I may not feel like eating as much." - ANSWER-d. "I may not feel like eating as much."
Anorexia and a decreased appetite are adverse effects of paroxetine.
A client who has bipolar disorder approaches the nurse and reveals fresh, self-inflicted,
superficial cuts going up and down his right arm. Which of the following actions should the
nurse take first?
a. Implement the client's behavioral modification plan.
b. Document the size and location of the cuts.
c. Inspect the cuts for debris.
d. Administer a tetanus antitoxin. - ANSWER-c. Inspect the cuts for debris.
ATI RN CAPSTONE MENTAL HEALTH PRE-ASSESSMENT EXAM
LATEST 2024-2025 COMPLETE 200 QUESTIONS AND CORRECT
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