1
CAPSTONE MENTAL HEALTH EXAM NEWEST 2025
ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+
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 even think right now". Which of
the following actions should the nurse take?
Identify other housing options and sources of transportation.
Notify the facility chaplain to request scheduling an appointment.
Confirm that everything will be all right because belongings can be replaced.
Maintain eye contact with client and summarize the client's feelings. -
(ANSWER)Maintain eye contact with client and summarize the client's feelings;
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 someone is genuinely concerned, then he may believe that
help is available. Maintaining eye contact demonstrates support, empathy, and
advocacy.
A nurse is discussing obsessive-compulsive disorder (OCD) with a newly licensed
nurse. Which of the following statements by the newly licensed nurse indicates an
understanding of the underlying reason clients with OCD perform ritualistic
behaviors?
, 2
"The ritualistic behavior provides sexual satisfaction."
"The client performs ritualistic behavior to boost self-esteem."
"The ritualistic behavior temporarily relieves anxiety."
"The client performs ritualistic behavior to decrease feelings of shame." -
(ANSWER)"The ritualistic behavior temporarily relieves anxiety.";
Clients with OCD perform ritualistic behaviors to provide a temporary relief from
anxiety related to obsessions.
A nurse is teaching a female client who has anxiety disorder about alprazolam.
Which of the following information should the nurse include in the teaching?
"Use a reliable form of contraception while taking this medication."
"If a dose is missed, double the next dose of medication."
"This medication may increase your blood pressure."
"Do not eat aged cheeses while taking this medication." - (ANSWER)"Use a
reliable form of contraception while taking this medication.";
Alprazolam is a pregnancy category D medication, indicating it causes definitive
adverse effects on a fetus.
, 3
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?
"You really shouldn't change the schedule we established here in the facility."
"Let's work together to devise a time schedule that is convenient for you on a
daily basis."
"We'll have to talk to your provider about switching to an alternative schedule."
"It doesn't really matter what time you take your medications as long as you don't
skip any doses." - (ANSWER)"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 conducting a group therapy meeting and is sharing a humorous story.
When the group laughs at the story, a client who has schizophrenia jumps up and
runs out while yelling, "you are all making fun of me." Which of the ff behaviors is
this client displaying?
Grandeur
Flight of ideas
Erotomania
Ideas of reference - (ANSWER)Ideas of reference;
, 4
Ideas of reference occur when a client believes that conversations of others
always concern him and that others are ridiculing him.
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?
"I may experience an increased desire to have sex."
"My blood pressure may increase."
"I may notice excess saliva."
"I may not feel like eating as much." - (ANSWER)"I may not feel like eating as
much.";
Anorexia and a decreased appetite are adverse effects of paroxetine.
A nurse is caring for a client on an acute care mental health unit. Client has a
history of bipolar disorder and self-injurious behavior. 1330:
Client pacing rapidly across their room and shouting loudly at nursing staff. Client
appears agitated. Verbal de-escalation measures implemented. Client returned to
their bed and is refusing to talk or make eye contact.
1345: Client displays self-injurious behavior by attempting to cut themselves with
plastic utensils from their lunch tray.
CAPSTONE MENTAL HEALTH EXAM NEWEST 2025
ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+
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 even think right now". Which of
the following actions should the nurse take?
Identify other housing options and sources of transportation.
Notify the facility chaplain to request scheduling an appointment.
Confirm that everything will be all right because belongings can be replaced.
Maintain eye contact with client and summarize the client's feelings. -
(ANSWER)Maintain eye contact with client and summarize the client's feelings;
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 someone is genuinely concerned, then he may believe that
help is available. Maintaining eye contact demonstrates support, empathy, and
advocacy.
A nurse is discussing obsessive-compulsive disorder (OCD) with a newly licensed
nurse. Which of the following statements by the newly licensed nurse indicates an
understanding of the underlying reason clients with OCD perform ritualistic
behaviors?
, 2
"The ritualistic behavior provides sexual satisfaction."
"The client performs ritualistic behavior to boost self-esteem."
"The ritualistic behavior temporarily relieves anxiety."
"The client performs ritualistic behavior to decrease feelings of shame." -
(ANSWER)"The ritualistic behavior temporarily relieves anxiety.";
Clients with OCD perform ritualistic behaviors to provide a temporary relief from
anxiety related to obsessions.
A nurse is teaching a female client who has anxiety disorder about alprazolam.
Which of the following information should the nurse include in the teaching?
"Use a reliable form of contraception while taking this medication."
"If a dose is missed, double the next dose of medication."
"This medication may increase your blood pressure."
"Do not eat aged cheeses while taking this medication." - (ANSWER)"Use a
reliable form of contraception while taking this medication.";
Alprazolam is a pregnancy category D medication, indicating it causes definitive
adverse effects on a fetus.
, 3
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?
"You really shouldn't change the schedule we established here in the facility."
"Let's work together to devise a time schedule that is convenient for you on a
daily basis."
"We'll have to talk to your provider about switching to an alternative schedule."
"It doesn't really matter what time you take your medications as long as you don't
skip any doses." - (ANSWER)"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 conducting a group therapy meeting and is sharing a humorous story.
When the group laughs at the story, a client who has schizophrenia jumps up and
runs out while yelling, "you are all making fun of me." Which of the ff behaviors is
this client displaying?
Grandeur
Flight of ideas
Erotomania
Ideas of reference - (ANSWER)Ideas of reference;
, 4
Ideas of reference occur when a client believes that conversations of others
always concern him and that others are ridiculing him.
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?
"I may experience an increased desire to have sex."
"My blood pressure may increase."
"I may notice excess saliva."
"I may not feel like eating as much." - (ANSWER)"I may not feel like eating as
much.";
Anorexia and a decreased appetite are adverse effects of paroxetine.
A nurse is caring for a client on an acute care mental health unit. Client has a
history of bipolar disorder and self-injurious behavior. 1330:
Client pacing rapidly across their room and shouting loudly at nursing staff. Client
appears agitated. Verbal de-escalation measures implemented. Client returned to
their bed and is refusing to talk or make eye contact.
1345: Client displays self-injurious behavior by attempting to cut themselves with
plastic utensils from their lunch tray.
