1
ATI RN Capstone Mental Health Pre-
Assessment| update|COMPLETE MOST
TESTED QUESTIONS AND VERIFIED
ANSWERS (100% Correct solutions)| GET
IT RIGHT!! | ALREADY GRADED A+
A nurse in a mental health clinic is assessing a client who was brought in by her
adult daughter stating that her mother has not been 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 - (ANSWER)d. Agoraphobia
Agoraphobia is an irrational fear about being in places or circumstances where
the client would not have help in the event of panic or other forms of anxiety.
Fear of being alone outdoor is a common example.
A nurse is providing discharge teaching for a client who has multiple medication
prescriptions and must take the medications at specific intervals when at home.
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."
,2
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." - (ANSWER)b. "Let's work together to devise a time
schedule that is convenient for you on a daily basis."
This response illustrates the therapeutic communication technique of formulating
a plan of action. It demonstrates the nurse's willingness to work with the client to
modify the schedule so that it meets the client's needs at this time.
A nurse is providing discharge teaching to. client who has bipolar disorder and will
be discharged with a prescription for lithium. The nurse should teach the client
that which of the following factors puts her at risk for lithium toxicity?
a. The client runs 4 miles 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. - (ANSWER)a. The client runs 4 miles
outdoors every afternoon.
Strenuous exercise in outdoor heat, which can lead to dehydration, puts the client
at risk for lithium toxicity. Mild to moderate exercise will not lead to lithium
toxicity, but if the client engages in strenuous exercise during hot weather, she
should take care to replace any water that may have been lost through profuse
sweating. this also applies to other factors that can cause the client to become
dehydrated, such as having diarrhea or taking diuretics.
, 3
A nurse in a emergency department is assessing a client for suspected cocaine
intoxication. Which of the following findings should the nurse expect?
a. Nystagmus
b. Dilated pupils
c. Hypersomnia
d. Depression - (ANSWER)b. Dilated pupils
Dilated pupils are a finding of cocaine intoxication due to the stimulation of the
sympathetic nervous system.
A nurse enters the room of a client who becomes verbally abusive. Which of the
following actions should 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. - (ANSWER)b. Speak slowly in a
low, calm voice.
Speaking in this manner conveys to the client that the nurse is controlled,
nonthreatening, and caring.
A nurse is caring for a client who lost all his possessions in a house fire and states,
"I have no idea what I am going to do. I cannot think right now." Which of the
following actions should the nurse take?
ATI RN Capstone Mental Health Pre-
Assessment| update|COMPLETE MOST
TESTED QUESTIONS AND VERIFIED
ANSWERS (100% Correct solutions)| GET
IT RIGHT!! | ALREADY GRADED A+
A nurse in a mental health clinic is assessing a client who was brought in by her
adult daughter stating that her mother has not been 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 - (ANSWER)d. Agoraphobia
Agoraphobia is an irrational fear about being in places or circumstances where
the client would not have help in the event of panic or other forms of anxiety.
Fear of being alone outdoor is a common example.
A nurse is providing discharge teaching for a client who has multiple medication
prescriptions and must take the medications at specific intervals when at home.
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."
,2
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." - (ANSWER)b. "Let's work together to devise a time
schedule that is convenient for you on a daily basis."
This response illustrates the therapeutic communication technique of formulating
a plan of action. It demonstrates the nurse's willingness to work with the client to
modify the schedule so that it meets the client's needs at this time.
A nurse is providing discharge teaching to. client who has bipolar disorder and will
be discharged with a prescription for lithium. The nurse should teach the client
that which of the following factors puts her at risk for lithium toxicity?
a. The client runs 4 miles 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. - (ANSWER)a. The client runs 4 miles
outdoors every afternoon.
Strenuous exercise in outdoor heat, which can lead to dehydration, puts the client
at risk for lithium toxicity. Mild to moderate exercise will not lead to lithium
toxicity, but if the client engages in strenuous exercise during hot weather, she
should take care to replace any water that may have been lost through profuse
sweating. this also applies to other factors that can cause the client to become
dehydrated, such as having diarrhea or taking diuretics.
, 3
A nurse in a emergency department is assessing a client for suspected cocaine
intoxication. Which of the following findings should the nurse expect?
a. Nystagmus
b. Dilated pupils
c. Hypersomnia
d. Depression - (ANSWER)b. Dilated pupils
Dilated pupils are a finding of cocaine intoxication due to the stimulation of the
sympathetic nervous system.
A nurse enters the room of a client who becomes verbally abusive. Which of the
following actions should 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. - (ANSWER)b. Speak slowly in a
low, calm voice.
Speaking in this manner conveys to the client that the nurse is controlled,
nonthreatening, and caring.
A nurse is caring for a client who lost all his possessions in a house fire and states,
"I have no idea what I am going to do. I cannot think right now." Which of the
following actions should the nurse take?
