ATI RN CAPSTONE MENTAL HEALTH
COMPREHENSIVE ASSESMENT ACTUAL
EXAM WITH QUESTIONS AND WELL
VERIFIED CORRECT ANSWERS [GRADED A+]
LATEST VERSION 2024-2025
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.
The first action the nurse should take when using the nursing process is to assess
the client, therefore inspecting the cuts is the first action the nurse should take.
,A charge nurse is conducting a staff education in-service about depressive
disorders. Which of the following should the nurse identify as a risk factor for
depression?
a. Being married.
b. Pregnancy.
c. Male gender.
d. Chronic illness. - ANSWER-d. Chronic illness
Having a medical illness, especially one that is chronic, is a primary risk factor for
depression.
A nurse is caring for a client who has major depressive disorder. Which of the
following findings should the nurse expect?
a. A dismissal of past failures.
b. Psychomotor agitation.
c. An increase in energy.
d. Sleep disturbances. - ANSWER-d. Sleep disturbances.
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."
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.
This demonstrates therapeutic communication. During the initial interview, it is
important for the nurse to provide an atmosphere of support and safety. If a person
believes that the someone is genuinely concerned, then he may believe that help is
available. Maintaining eye contact demonstrates support, empathy, and advocacy.
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?
COMPREHENSIVE ASSESMENT ACTUAL
EXAM WITH QUESTIONS AND WELL
VERIFIED CORRECT ANSWERS [GRADED A+]
LATEST VERSION 2024-2025
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.
The first action the nurse should take when using the nursing process is to assess
the client, therefore inspecting the cuts is the first action the nurse should take.
,A charge nurse is conducting a staff education in-service about depressive
disorders. Which of the following should the nurse identify as a risk factor for
depression?
a. Being married.
b. Pregnancy.
c. Male gender.
d. Chronic illness. - ANSWER-d. Chronic illness
Having a medical illness, especially one that is chronic, is a primary risk factor for
depression.
A nurse is caring for a client who has major depressive disorder. Which of the
following findings should the nurse expect?
a. A dismissal of past failures.
b. Psychomotor agitation.
c. An increase in energy.
d. Sleep disturbances. - ANSWER-d. Sleep disturbances.
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."
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.
This demonstrates therapeutic communication. During the initial interview, it is
important for the nurse to provide an atmosphere of support and safety. If a person
believes that the someone is genuinely concerned, then he may believe that help is
available. Maintaining eye contact demonstrates support, empathy, and advocacy.
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?
