ATI CAPSTONE MENTAL HEALTH
EXAM. 2025 UPDATED EXAM WITH
CORRECT ELLABORATED
ANSWERS. A+ GRADED
A nurse in an acute care facility is assisting with the admission of an
older adult client who has late stage Alzheimer's disease. The nurse
notes that the client's partner appears exhausted. He states that he
is finding it more and more difficult to care for his partner. Which of
the following actions should the nurse take first? - ✔ ANSWER ✔
Ask the partner to talk about his difficulties in caring for the client.
The first action the nurse should take, using the nursing process
priority framework, is to collect data regarding the partner's ability
to take care of the client.
A nurse is collecting data from a client who is taking bupropion.
Which of the following findings indicates the medications is
effective? - ✔ ANSWER ✔ Decrease in urge to smoke
Bupropion is an antidepressant that is also used for smoking
cessation.
,A nurse is evaluating the outcome for a client who has depression
following the death of his wife 3 months ago. Which of the following
client statements indicates a need for further intervention? - ✔
ANSWER ✔ "I just don't feel like eating because I never like to eat
alone."
At risk for malnutrition and injury.
A nurse in a long-term care setting is caring for a client who has
Alzheimer's disease. The client states, "I just came back from a hard
day's work in my office." The nurse should identify this statement is
an example of which of the following coping mechanisms? - ✔
ANSWER ✔ Confabulation
Confabulation is the creation of information which is untrue to fill in
gaps in memory and to protect self-esteem in clients who have
dementia.
A nurse is planning care for a new client. Which of the following
actions should the nurse plan to take in order to use the technique of
presence to establish the nurse- client relationship? - ✔ ANSWER
✔ Use active listening when with the client.
,The nurse should use active listening to establish presence with the
client. presence involves eye contact, body language, voice tone,
listening, and reflection to convay openness and understanding.
A nurse is assessing a client in the emergency department who
drank alcohol while taking disulfiram. The client states, "The nurse
told me not to drink when taking the medication. I am just a social
drinker. I didn't realize that having just one drink with my friends
would cause such a problem." Which of the following defense
mechanisms is the client demonstrating? - ✔ ANSWER ✔
Rationalization
The client is demonstrating rationalization when he creates
reasonable and acceptable explanations for unacceptable behavior.
The client is using rationalization asa defense mechanisms to justify
why he had just one drink. Even though the nurse told him not to
drink alcohol.
A nurse is caring for a group of older adult clients. Which of the
following client findings indicates delirium? - ✔ ANSWER ✔ A client
asks when family members will be arriving after visiting 1 hr earlier.
Delirium is characterized by a change in cognition that occurs over a
short period of time. It always results from secondary physiological
, condition, ( infection, surgery, prolonged hospitalization, hypoxia,
fever, medication) and is a transient disorder. Although delirium can
occur at any age, it is more common in older adults. It frequently
progresses in the evening hours and is sometimes called "sundown
syndrome"
A nurse is collecting data from a client newly admitted for anorexia
nervousa. Which of the following findings should the nurse expect? -
✔ ANSWER ✔ Amenorrhea
The nurse should expect the client to report amenorrhea due to low
body weight.
A nurse is collecting data from a client who has bipolar disorder with
main. Which of the following findings is the nurse's priority? - ✔
ANSWER ✔ The client paces in the hallway during the day and most
of the night.
When using Maslow's hierarchy of needs, the nurse determines that
the priority findings is the client's physiological need for rest and
food. Nonstop activity is an emergency situation for a client who has
mania, since the client might go for long periods without eating or
sleep.
EXAM. 2025 UPDATED EXAM WITH
CORRECT ELLABORATED
ANSWERS. A+ GRADED
A nurse in an acute care facility is assisting with the admission of an
older adult client who has late stage Alzheimer's disease. The nurse
notes that the client's partner appears exhausted. He states that he
is finding it more and more difficult to care for his partner. Which of
the following actions should the nurse take first? - ✔ ANSWER ✔
Ask the partner to talk about his difficulties in caring for the client.
The first action the nurse should take, using the nursing process
priority framework, is to collect data regarding the partner's ability
to take care of the client.
A nurse is collecting data from a client who is taking bupropion.
Which of the following findings indicates the medications is
effective? - ✔ ANSWER ✔ Decrease in urge to smoke
Bupropion is an antidepressant that is also used for smoking
cessation.
,A nurse is evaluating the outcome for a client who has depression
following the death of his wife 3 months ago. Which of the following
client statements indicates a need for further intervention? - ✔
ANSWER ✔ "I just don't feel like eating because I never like to eat
alone."
At risk for malnutrition and injury.
A nurse in a long-term care setting is caring for a client who has
Alzheimer's disease. The client states, "I just came back from a hard
day's work in my office." The nurse should identify this statement is
an example of which of the following coping mechanisms? - ✔
ANSWER ✔ Confabulation
Confabulation is the creation of information which is untrue to fill in
gaps in memory and to protect self-esteem in clients who have
dementia.
A nurse is planning care for a new client. Which of the following
actions should the nurse plan to take in order to use the technique of
presence to establish the nurse- client relationship? - ✔ ANSWER
✔ Use active listening when with the client.
,The nurse should use active listening to establish presence with the
client. presence involves eye contact, body language, voice tone,
listening, and reflection to convay openness and understanding.
A nurse is assessing a client in the emergency department who
drank alcohol while taking disulfiram. The client states, "The nurse
told me not to drink when taking the medication. I am just a social
drinker. I didn't realize that having just one drink with my friends
would cause such a problem." Which of the following defense
mechanisms is the client demonstrating? - ✔ ANSWER ✔
Rationalization
The client is demonstrating rationalization when he creates
reasonable and acceptable explanations for unacceptable behavior.
The client is using rationalization asa defense mechanisms to justify
why he had just one drink. Even though the nurse told him not to
drink alcohol.
A nurse is caring for a group of older adult clients. Which of the
following client findings indicates delirium? - ✔ ANSWER ✔ A client
asks when family members will be arriving after visiting 1 hr earlier.
Delirium is characterized by a change in cognition that occurs over a
short period of time. It always results from secondary physiological
, condition, ( infection, surgery, prolonged hospitalization, hypoxia,
fever, medication) and is a transient disorder. Although delirium can
occur at any age, it is more common in older adults. It frequently
progresses in the evening hours and is sometimes called "sundown
syndrome"
A nurse is collecting data from a client newly admitted for anorexia
nervousa. Which of the following findings should the nurse expect? -
✔ ANSWER ✔ Amenorrhea
The nurse should expect the client to report amenorrhea due to low
body weight.
A nurse is collecting data from a client who has bipolar disorder with
main. Which of the following findings is the nurse's priority? - ✔
ANSWER ✔ The client paces in the hallway during the day and most
of the night.
When using Maslow's hierarchy of needs, the nurse determines that
the priority findings is the client's physiological need for rest and
food. Nonstop activity is an emergency situation for a client who has
mania, since the client might go for long periods without eating or
sleep.
