ATI CAPSTONE MENTAL
HEALTH ACTUAL EXAM
2024/2025 | COMPLETE
QUESTIONS AND ANSWERS |
GRADED A+ | LATEST
VERSION | UPDATED FOR ATI
CAPSTONE MENTAL HEALTH
EXAM 2025
A nurse in an acute care facility is assisting with the admission of an older adult client who has
l l l l l l l l l l l l l l l l l l
late stage Alzheimer's disease. The nurse notes that the client's partner appears exhausted.
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He states that he is finding it more and more difficult to care for his partner. W hich of the
l l l l l l l l l l l l l l l l l l l
following actions should the nurse take first? - (Correct Answer) `Ask the partner to talk about
l l l l l l l l l l l l l l l l
his difficulties in caring for the client.
l l l l l l l
The first action the nurse should take, using the nursing process priority framework, is to
l l l l l l l l l l l l l l
collect data regarding the partner's ability to take care of the client.
l l l l l l l l l l l l
A nurse is collecting data from a client who is taking bupropion. W hich of the following findings
l l l l l l l l l l l l l l l l
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. l l l l l l l l l l
A nurse is evaluating the outcome for a client who has depression following the death of his
l l l l l l l l l l l l l l l l
wife 3 months ago. W hich of the following client statements indicates a need for further
l l l l l l l l l l l l l l l
intervention? - (Correct Answer) `"I just don't feel like eating because I never like to eat alone."
l l l l l l l l l l l l l l l l l
At risk for malnutrition and injury.
l l l l l
A nurse in a long-term care setting is caring for a client who has Alzheimer's disease. The client
l l l l l l l l l l l l l l l l l
states, "I just came back from a hard day's work in my office." The nurse should identify this
l l l l l l l l l l l l l l l l l l
,statement is an example of which of the following coping mechanisms? - (Correct Answer)
l l l l l l l l l l l l l l
`Confabulation
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Confabulation is the creation of information which is untrue to fill in gaps in memory and to l l l l l l l l l l l l l l l l
protect self-esteem in clients who have dementia.
l l l l l l l
A nurse is planning care for a new client. W hich of the following actions should the nurse plan to
l l l l l l l l l l l l l l l l l l
take in order to use the technique of presence to establish the nurse- client relationship? -
l l l l l l l l l l l l l l l l
(Correct Answer) `Use active listening when with the client.
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The nurse should use active listening to establish presence with the client. presence involves
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eye contact, body language, voice tone, listening, and reflection to convay openness and
l l l l l l l l l l l l l
understanding.
l
A nurse is assessing a client in the emergency department who drank alcohol while taking
l l l l l l l l l l l l l l
disulfiram. The client states, "The nurse told me not to drink when taking the medication. I am
l l l l l l l l l l l l l l l l l
just a social drinker. I didn't realize that having just one drink with my friends would cause such
l l l l l l l l l l l l l l l l l l
a problem." W hich of the following defense mechanisms is the client demonstrating? -
l l l l l l l l l l l l l
(Correct Answer) `Rationalization
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The client is demonstrating rationalization when he creates reasonable and acceptable
l l l l l l l l l l
explanations for unacceptable behavior. The client is using rationalization asa defense
l l l l l l l l l l l
mechanisms to justify why he had just one drink. Even though the nurse told him not to drink
l l l l l l l l l l l l l l l l l l
alcohol.
l
A nurse is caring for a group of older adult clients. W hich of the following client findings
l l l l l l l l l l l l l l l l
indicates delirium? - (Correct Answer) `A client asks when family members will be arriving
l l l l l l l l l l l l l l
after visiting 1 hr earlier.
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Delirium is characterized by a change in cognition that occurs over a short period of time. It
l l l l l l l l l l l l l l l l
always results from secondary physiological condition, ( infection, surgery, prolonged
l l l l l l l l l l
hospitalization, hypoxia, fever, medication) and is a transient disorder. Although delirium can
l l l l l l l l l l l l
occur at any age, it is more common in older adults. It frequently progresses in the evening
l l l l l l l l l l l l l l l l l
hours and is sometimes called "sundown syndrome"
l l l l l l l
A nurse is collecting data from a client newly admitted for anorexia nervousa. W hich of the
l l l l l l l l l l l l l l l
following findings should the nurse expect? - (Correct Answer) `Amenorrhea
l l l l l l l l l l
The nurse should expect the client to report amenorrhea due to low body weight.
l l l l l l l l l l l l l
A nurse is collecting data from a client who has bipolar disorder with main. W hich of the
l l l l l l l l l l l l l l l l
following findings is the nurse's priority? - (Correct Answer) `The client paces in the hallway
l l l l l l l l l l l l l l l
during the day and most of the night.
l l l l l l l l
, When using Maslow's hierarchy of needs, the nurse determines that the priority findings is the
l l l l l l l l l l l l l l
client's physiological need for rest and food. Nonstop activity is an emergency situation for a
l l l l l l l l l l l l l l l
client who has mania, since the client might go for long periods without eating or sleep.
l l l l l l l l l l l l l l l l
A nurse is preparing to assist with the care of a client of a client who is undergo
l l l l l l l l l l l l l l l l l
electroconvulsive therapy (ECT). W hich of the following pieces of equipment should the
l l l l l l l l l l l l
nurse set up in the room prior to the treatment? SATA - (Correct Answer) `-
l l l l l l l l l l l l l l l
Electroencephalogram (EEG) monitor.
l l l
The provider will monitor the client's brainwave patterns during the procedure.
l l l l l l l l l l
- Oxygen saturation monitor
l l l
The client requires continuous oxygen saturation monitoring because she will receive a short-
l l l l l l l l l l l l
acting barbiturate to induce sleep and a muscle-paralyzing agent to prevent muscle distress
l l l l l l l l l l l l
and injury.
l l
-Electrocardiogram (ECG) monitor. l l l
The provider will monitor the client's cardiac response during the procedure.
l l l l l l l l l l
A nurse is assisting with a family therapy session for parents and 2 school-age children. W hich
l l l l l l l l l l l l l l l
of the following statements should the nurse recognize as an example of effective
l l l l l l l l l l l l l
communication among family members? - (Correct Answer) `"Can you tell me the reason you
l l l l l l l l l l l l l l
get upset each time I go to the mall?"
l l l l l l l l l
This is an expel of effective and healthy communication. Healthy communication expresses
l l l l l l l l l l l
clear, understandable messages between family members. Each family member is
l l l l l l l l l l
encourage to express his or her feelings and thoughts.
l l l l l l l l l
A n urse is reinforcing teaching with a client who is 2 days postpartum and has a history of
l l l l l l l l l l l l l l l l l l
postpartum depression. W hich of the following instructions should the nurse include? -
l l l l l l l l l l l l
(Correct Answer) `Sleep as much as possible.
l l l l l l l
The nurse should encourage the client to sleep as much as she can during the next few weeks.
l l l l l l l l l l l l l l l l l
Sleep deprivation can increase the risk for postpartum depression.
l l l l l l l l l
A nurse is reinforcing teaching with a female client who is prescribed chlorpromazine. Which
l l l l l l l l l l l l l
of the following statements by the client indicates an understanding of the teaching? - (Correct
l l l l l l l l l l l l l l l
Answer) `"I will contact my provider if I have difficulty urinating"
l l l l l l l l l l l
Chlorpromazine is a first-generation, or typical, antipsychotic medication prescribed for l l l l l l l l l
schizophrenia. The client should monitor for anticholinergic adverse effects, such as dry
l l l l l l l l l l l l
mouth and urinary retention. Difficulty urinating could be a sign of urinary retention and should
l l l l l l l l l l l l l l l
be reported to the provider for further evaluation.
l l l l l l l l
A nurse is collecting data from a client following a recent suicide attempt. W hich of the
l l l l l l l l l l l l l l l
following findings in the client's history places him at the greatest risk for another suicide
l l l l l l l l l l l l l l l
attempt? - (Correct Answer) `Impulsivity
l l l l l
HEALTH ACTUAL EXAM
2024/2025 | COMPLETE
QUESTIONS AND ANSWERS |
GRADED A+ | LATEST
VERSION | UPDATED FOR ATI
CAPSTONE MENTAL HEALTH
EXAM 2025
A nurse in an acute care facility is assisting with the admission of an older adult client who has
l l l l l l l l l l l l l l l l l l
late stage Alzheimer's disease. The nurse notes that the client's partner appears exhausted.
l l l l l l l l l l l l l
He states that he is finding it more and more difficult to care for his partner. W hich of the
l l l l l l l l l l l l l l l l l l l
following actions should the nurse take first? - (Correct Answer) `Ask the partner to talk about
l l l l l l l l l l l l l l l l
his difficulties in caring for the client.
l l l l l l l
The first action the nurse should take, using the nursing process priority framework, is to
l l l l l l l l l l l l l l
collect data regarding the partner's ability to take care of the client.
l l l l l l l l l l l l
A nurse is collecting data from a client who is taking bupropion. W hich of the following findings
l l l l l l l l l l l l l l l l
indicates the medications is effective? - (Correct Answer) `Decrease in urge to smoke
l l l l l l l l l l l l l
Bupropion is an antidepressant that is also used for smoking cessation. l l l l l l l l l l
A nurse is evaluating the outcome for a client who has depression following the death of his
l l l l l l l l l l l l l l l l
wife 3 months ago. W hich of the following client statements indicates a need for further
l l l l l l l l l l l l l l l
intervention? - (Correct Answer) `"I just don't feel like eating because I never like to eat alone."
l l l l l l l l l l l l l l l l l
At risk for malnutrition and injury.
l l l l l
A nurse in a long-term care setting is caring for a client who has Alzheimer's disease. The client
l l l l l l l l l l l l l l l l l
states, "I just came back from a hard day's work in my office." The nurse should identify this
l l l l l l l l l l l l l l l l l l
,statement is an example of which of the following coping mechanisms? - (Correct Answer)
l l l l l l l l l l l l l l
`Confabulation
l
Confabulation is the creation of information which is untrue to fill in gaps in memory and to l l l l l l l l l l l l l l l l
protect self-esteem in clients who have dementia.
l l l l l l l
A nurse is planning care for a new client. W hich of the following actions should the nurse plan to
l l l l l l l l l l l l l l l l l l
take in order to use the technique of presence to establish the nurse- client relationship? -
l l l l l l l l l l l l l l l l
(Correct Answer) `Use active listening when with the client.
l l l l l l l l l
The nurse should use active listening to establish presence with the client. presence involves
l l l l l l l l l l l l l
eye contact, body language, voice tone, listening, and reflection to convay openness and
l l l l l l l l l l l l l
understanding.
l
A nurse is assessing a client in the emergency department who drank alcohol while taking
l l l l l l l l l l l l l l
disulfiram. The client states, "The nurse told me not to drink when taking the medication. I am
l l l l l l l l l l l l l l l l l
just a social drinker. I didn't realize that having just one drink with my friends would cause such
l l l l l l l l l l l l l l l l l l
a problem." W hich of the following defense mechanisms is the client demonstrating? -
l l l l l l l l l l l l l
(Correct Answer) `Rationalization
l l l
The client is demonstrating rationalization when he creates reasonable and acceptable
l l l l l l l l l l
explanations for unacceptable behavior. The client is using rationalization asa defense
l l l l l l l l l l l
mechanisms to justify why he had just one drink. Even though the nurse told him not to drink
l l l l l l l l l l l l l l l l l l
alcohol.
l
A nurse is caring for a group of older adult clients. W hich of the following client findings
l l l l l l l l l l l l l l l l
indicates delirium? - (Correct Answer) `A client asks when family members will be arriving
l l l l l l l l l l l l l l
after visiting 1 hr earlier.
l l l l l
Delirium is characterized by a change in cognition that occurs over a short period of time. It
l l l l l l l l l l l l l l l l
always results from secondary physiological condition, ( infection, surgery, prolonged
l l l l l l l l l l
hospitalization, hypoxia, fever, medication) and is a transient disorder. Although delirium can
l l l l l l l l l l l l
occur at any age, it is more common in older adults. It frequently progresses in the evening
l l l l l l l l l l l l l l l l l
hours and is sometimes called "sundown syndrome"
l l l l l l l
A nurse is collecting data from a client newly admitted for anorexia nervousa. W hich of the
l l l l l l l l l l l l l l l
following findings should the nurse expect? - (Correct Answer) `Amenorrhea
l l l l l l l l l l
The nurse should expect the client to report amenorrhea due to low body weight.
l l l l l l l l l l l l l
A nurse is collecting data from a client who has bipolar disorder with main. W hich of the
l l l l l l l l l l l l l l l l
following findings is the nurse's priority? - (Correct Answer) `The client paces in the hallway
l l l l l l l l l l l l l l l
during the day and most of the night.
l l l l l l l l
, When using Maslow's hierarchy of needs, the nurse determines that the priority findings is the
l l l l l l l l l l l l l l
client's physiological need for rest and food. Nonstop activity is an emergency situation for a
l l l l l l l l l l l l l l l
client who has mania, since the client might go for long periods without eating or sleep.
l l l l l l l l l l l l l l l l
A nurse is preparing to assist with the care of a client of a client who is undergo
l l l l l l l l l l l l l l l l l
electroconvulsive therapy (ECT). W hich of the following pieces of equipment should the
l l l l l l l l l l l l
nurse set up in the room prior to the treatment? SATA - (Correct Answer) `-
l l l l l l l l l l l l l l l
Electroencephalogram (EEG) monitor.
l l l
The provider will monitor the client's brainwave patterns during the procedure.
l l l l l l l l l l
- Oxygen saturation monitor
l l l
The client requires continuous oxygen saturation monitoring because she will receive a short-
l l l l l l l l l l l l
acting barbiturate to induce sleep and a muscle-paralyzing agent to prevent muscle distress
l l l l l l l l l l l l
and injury.
l l
-Electrocardiogram (ECG) monitor. l l l
The provider will monitor the client's cardiac response during the procedure.
l l l l l l l l l l
A nurse is assisting with a family therapy session for parents and 2 school-age children. W hich
l l l l l l l l l l l l l l l
of the following statements should the nurse recognize as an example of effective
l l l l l l l l l l l l l
communication among family members? - (Correct Answer) `"Can you tell me the reason you
l l l l l l l l l l l l l l
get upset each time I go to the mall?"
l l l l l l l l l
This is an expel of effective and healthy communication. Healthy communication expresses
l l l l l l l l l l l
clear, understandable messages between family members. Each family member is
l l l l l l l l l l
encourage to express his or her feelings and thoughts.
l l l l l l l l l
A n urse is reinforcing teaching with a client who is 2 days postpartum and has a history of
l l l l l l l l l l l l l l l l l l
postpartum depression. W hich of the following instructions should the nurse include? -
l l l l l l l l l l l l
(Correct Answer) `Sleep as much as possible.
l l l l l l l
The nurse should encourage the client to sleep as much as she can during the next few weeks.
l l l l l l l l l l l l l l l l l
Sleep deprivation can increase the risk for postpartum depression.
l l l l l l l l l
A nurse is reinforcing teaching with a female client who is prescribed chlorpromazine. Which
l l l l l l l l l l l l l
of the following statements by the client indicates an understanding of the teaching? - (Correct
l l l l l l l l l l l l l l l
Answer) `"I will contact my provider if I have difficulty urinating"
l l l l l l l l l l l
Chlorpromazine is a first-generation, or typical, antipsychotic medication prescribed for l l l l l l l l l
schizophrenia. The client should monitor for anticholinergic adverse effects, such as dry
l l l l l l l l l l l l
mouth and urinary retention. Difficulty urinating could be a sign of urinary retention and should
l l l l l l l l l l l l l l l
be reported to the provider for further evaluation.
l l l l l l l l
A nurse is collecting data from a client following a recent suicide attempt. W hich of the
l l l l l l l l l l l l l l l
following findings in the client's history places him at the greatest risk for another suicide
l l l l l l l l l l l l l l l
attempt? - (Correct Answer) `Impulsivity
l l l l l
