ATI RN CAPSTONE MENTAL HEALTH PRE-ASSESSMENT
COMPLETE QUESTIONS AND ANSWERS ACTUAL
2024\2025
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 - ANS✔✔--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. - ANS✔✔--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?
a. Identify other housing options and sources of transportation.
b. Notify the facility chaplain to request scheduling an appointment.
c. Confirm that everything will be alright because belongings can be replaced.
d. Maintain eye contact with client and summarize the client's feeings. - ANS✔✔--d.
Maintain eye contact with the client and summarize the client's feelings.
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 - ANS✔✔--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?
COMPLETE QUESTIONS AND ANSWERS ACTUAL
2024\2025
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 - ANS✔✔--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. - ANS✔✔--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?
a. Identify other housing options and sources of transportation.
b. Notify the facility chaplain to request scheduling an appointment.
c. Confirm that everything will be alright because belongings can be replaced.
d. Maintain eye contact with client and summarize the client's feeings. - ANS✔✔--d.
Maintain eye contact with the client and summarize the client's feelings.
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 - ANS✔✔--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?
