CAPSTONE MENTAL HEALTH, ATI
MENTAL HEALTH ASSESSMENT
ACTUAL EXAM / ATI MENTAL
HEALTH PROCTORED EXAM 2025
COMPREHENSIVE QUESTIONS
AND DETAILEDVERIFIED 100%
CORRECT ANSWERS
A nurse in an acute care facility is assisting with the admission of an older
adulthas
who client
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? ( Correct
answers
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,
collect data isregarding
to 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? ( Correct answers ) Decrease
in urge to
smok
e
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? ( Correct answers ) "I just don't feel like eating because
I never like
At risk for malnutrition and
to eat
injury.
alone."
A nurse in a long-term care setting is caring for a client who has
The client states,
Alzheimer's "I just came back from a hard day's work in my office."
disease.
The nurse
should identify this statement is an example of which of the
following coping
mechanisms? ( Correct answers )
Confabulation
Confabulation is the creation of information which is untrue to fill in gaps in
memory
to protectand self-esteem in clients who have
dementia.
GRADED
A+
,A nurse is planning care for a new client. Which of the following actions
shouldplan
nurse the to take in order to use the technique of presence to establish
the nurse-
client relationship? ( Correct answers ) 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
openness andconvay
understanding.
A nurse is assessing a client in the emergency department who drank
alcoholdisulfiram.
taking while The client states, "The nurse told me not to drink when
taking the I am just a social drinker. I didn't realize that having just one
medication.
drink with
friends would my cause such a problem." Which of the following defense
mechanisms
client is the
demonstrating? ( Correct answers )
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
A nurse is caring for a group of older adult clients. Which of the following
drink
client findings
indicates
alcohol. delirium? ( Correct answers ) A client asks when family
members
arriving after
will visiting
be 1 hr
earlier.
Delirium is characterized by a change in cognition that occurs over a
short period
time. It always of results from secondary physiological condition,
( infection,hospitalization,
prolonged surgery, hypoxia, fever, medication) and is a
transient delirium
Although disorder. can occur at any age, it is more common in older adults.
It frequentlyin the evening hours and is sometimes called "sundown
progresses
syndrome"
A nurse is collecting data from a client newly admitted for anorexia
nervousa.
the following Which of should the nurse expect? ( Correct answers )
findings
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? ( Correct answers ) 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
is the client's
priority findings 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
periodsorwithout
eating
sleep.
A nurse is preparing to assist with the care of a client of a client who
is undergo
electroconvulsive therapy (ECT). Which of the following pieces of equipment
should the
GRADED
A+
, nurse set up in the room prior to the treatment? SATA ( Correct
answers ) -
Electroencephalogram (EEG)
monitor.
The provider will monitor the client's brainwave patterns during the
procedure.
- Oxygen saturation
The client requires continuous oxygen saturation monitoring because she
monitor
will receive abarbiturate to induce sleep and a muscle-paralyzing agent
short-acting
to prevent
muscle distress and injury.
-Electrocardiogram (ECG) monitor.
The provider will monitor the client's cardiac response during the procedure.
A nurse is assisting with a family therapy session for parents and 2 school-
Which of the following statements should the nurse recognize as an
age children.
example of
effective communication among family members? ( Correct answers ) "Can
you reason
the tell me you get upset each time I go to the
mall?"
This is an expel of effective and healthy communication. Healthy
communication
expresses clear, understandable messages between family members.
Each family
member is encourage to express his or her feelings and
thoughts.
A n urse is reinforcing teaching with a client who is 2 days postpartum and
haspostpartum
of a history depression. Which of the following instructions should the
(nurse
Correct answers ) Sleep as much as possible.
include?
The nurse should encourage the client to sleep as much as she can during
the next few weeks. Sleep deprivation can increase the risk for postpartum
depression.
A nurse is reinforcing teaching with a female client who is prescribed
Which of the following statements by the client indicates an
chlorpromazine.
understanding
teaching? of the
( Correct answers ) "I will contact my provider if I have
difficulty urinating"
Chlorpromazine is a first-generation, or typical, antipsychotic medication
prescribed for schizophrenia. The client should monitor for anticholinergic
adverse effects, such as dry mouth and urinary retention. Difficulty urinating
could be a sign of urinary retention and should be reported to the provider
for further evaluation.
A nurse is collecting data from a client following a recent suicide attempt.
Which of the
following findings in the client's history places him at the greatest risk for
attempt? ( Correct answers )
another suicide
Impulsivity
A client who has impulsivity is at risk for suicide because he is more likely
to take an action quickly without thinking about the consequences.
GRADED
A+