ATI Mental Health Capstone Post-Study Quiz
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A nurse is initiating a plan of care for a client who has been admitted to a medical unit for acute care of
manifestations of anorexia nervosa. Which of the following interventions should the nurse include in the
plan? - (correct Answer) - Assess for weekly gain of at least 0.9 kg (2 lb) per week
The nurse should plan to assess the client's weight for a gain of 0.9 to 1.4 kg (2 to 3 lb) per week. Weight
gain of 2.3 kg (5 lb) or more in a week can cause pulmonary edema. If the client does not gain adequate
weight, they might need additional calories from supplements or tube feedings.
The nurse is preparing a client who is scheduled for electroconvulsive therapy. The client states, "I think
it is going to hurt, so I have changed my mind." Which of the following responses should the nurse
make? - (correct Answer) - "Tell me your concerns about the procedure."
The nurse should encourage the client to express their concerns and fears about the procedure by using
open-ended statements. If the client still wants to cancel treatment, the nurse should inform the client
that they have the right to refuse treatment at any time. Even if the client changes their mind after the
procedure has begun, the client can request to stop the procedure.
A nurse is caring for a client who has schizophrenia and was admitted involuntarily. The client states, "I
don't want to be here." Which of the following statements should the nurse make? - (correct Answer) -
"You have the right to legal counsel if you wish."
The nurse should inform the client that they have a right to request legal counsel to review their case
regarding their involuntary admission and their desire to be discharged.
A nurse overhears a visitor ask an assistive personnel (AP), "can you tell me why my neighbor was
admitted?" The AP begins to look up the information. Which of the following actions should the nurse
take? - (correct Answer) - Ask to speak with the AP privately
The nurse should stop the AP from disclosing the client's private information and should speak with
them privately. The nurse should inform the AP that the client must authorize who and what personal
health information is to be shared. Providing this information to the visitor without the client's consent is
a breach of the client's confidentiality.
, A nurse is assisting in obtaining informed consent from a client who is scheduled for electroconvulsive
therapy. Which of the following actions should the nurse take? - (correct Answer) - Ask the client if they
understand the procedure
The nurse should ask the client if they understand the procedure prior to obtaining their signature on
the informed consent form. If the client appears to be incompetent or does not understand the
procedure being performed, it is the responsibility of the nurse to notify the provider and document
these findings.
A nurse manager is teaching a group of newly licensed nurses about reportable conditions. Which of the
following situations should the nurse manager include as being required by law to be reported? -
(correct Answer) - A client who has dementia with multiple wounds and bruises
A client who has dementia is a vulnerable adult. If abuse is suspected, the nurse has the duty to report
the situation
A nurse is teaching a client who has a new prescription for disulfiram about over the counter products
that could have potential interactions with this medication. Which of the following products should the
nurse include in the teaching? - (correct Answer) - Cough syrup
The nurse should teach the client to avoid products that contain alcohol such as cough syrup, vanilla
extract, cough and cold medications, aftershave lotion, mouthwash, cologne, isopropyl alcohol, and nail
polish removers.
A nurse is assessing a toddler during a well-child visit. Which of the following findings should the nurse
identify and report to the provider as an indication of physical maltreatment? - (correct Answer) - Several
round burns on the soles of the feet
Although minor injuries are common in toddlers due to their general lack of coordination, the nurse
should identify that physical findings such as round burns on the soles of a child's feet can indicate
potential physical maltreatment. Burns such as these can be made with a cigarette or a cigar and should
alert the nurse to a potential instance of maltreatment that should be reported to the provider
A nurse is caring for a client who becomes agitated while playing a game of cards with other clients. The
client stands up, throws the cards on the floor, and says, "I don't want to play anymore." Which of the
following actions should the nurse take? - (correct Answer) - Ask the client to accompany the nurse to
another area
The nurse should ask the client in a calm and nonthreatening manner to walk with them to another area,
away from the location of the outburst. Removing the client from the situation will ensure the safety of
Save
A nurse is initiating a plan of care for a client who has been admitted to a medical unit for acute care of
manifestations of anorexia nervosa. Which of the following interventions should the nurse include in the
plan? - (correct Answer) - Assess for weekly gain of at least 0.9 kg (2 lb) per week
The nurse should plan to assess the client's weight for a gain of 0.9 to 1.4 kg (2 to 3 lb) per week. Weight
gain of 2.3 kg (5 lb) or more in a week can cause pulmonary edema. If the client does not gain adequate
weight, they might need additional calories from supplements or tube feedings.
The nurse is preparing a client who is scheduled for electroconvulsive therapy. The client states, "I think
it is going to hurt, so I have changed my mind." Which of the following responses should the nurse
make? - (correct Answer) - "Tell me your concerns about the procedure."
The nurse should encourage the client to express their concerns and fears about the procedure by using
open-ended statements. If the client still wants to cancel treatment, the nurse should inform the client
that they have the right to refuse treatment at any time. Even if the client changes their mind after the
procedure has begun, the client can request to stop the procedure.
A nurse is caring for a client who has schizophrenia and was admitted involuntarily. The client states, "I
don't want to be here." Which of the following statements should the nurse make? - (correct Answer) -
"You have the right to legal counsel if you wish."
The nurse should inform the client that they have a right to request legal counsel to review their case
regarding their involuntary admission and their desire to be discharged.
A nurse overhears a visitor ask an assistive personnel (AP), "can you tell me why my neighbor was
admitted?" The AP begins to look up the information. Which of the following actions should the nurse
take? - (correct Answer) - Ask to speak with the AP privately
The nurse should stop the AP from disclosing the client's private information and should speak with
them privately. The nurse should inform the AP that the client must authorize who and what personal
health information is to be shared. Providing this information to the visitor without the client's consent is
a breach of the client's confidentiality.
, A nurse is assisting in obtaining informed consent from a client who is scheduled for electroconvulsive
therapy. Which of the following actions should the nurse take? - (correct Answer) - Ask the client if they
understand the procedure
The nurse should ask the client if they understand the procedure prior to obtaining their signature on
the informed consent form. If the client appears to be incompetent or does not understand the
procedure being performed, it is the responsibility of the nurse to notify the provider and document
these findings.
A nurse manager is teaching a group of newly licensed nurses about reportable conditions. Which of the
following situations should the nurse manager include as being required by law to be reported? -
(correct Answer) - A client who has dementia with multiple wounds and bruises
A client who has dementia is a vulnerable adult. If abuse is suspected, the nurse has the duty to report
the situation
A nurse is teaching a client who has a new prescription for disulfiram about over the counter products
that could have potential interactions with this medication. Which of the following products should the
nurse include in the teaching? - (correct Answer) - Cough syrup
The nurse should teach the client to avoid products that contain alcohol such as cough syrup, vanilla
extract, cough and cold medications, aftershave lotion, mouthwash, cologne, isopropyl alcohol, and nail
polish removers.
A nurse is assessing a toddler during a well-child visit. Which of the following findings should the nurse
identify and report to the provider as an indication of physical maltreatment? - (correct Answer) - Several
round burns on the soles of the feet
Although minor injuries are common in toddlers due to their general lack of coordination, the nurse
should identify that physical findings such as round burns on the soles of a child's feet can indicate
potential physical maltreatment. Burns such as these can be made with a cigarette or a cigar and should
alert the nurse to a potential instance of maltreatment that should be reported to the provider
A nurse is caring for a client who becomes agitated while playing a game of cards with other clients. The
client stands up, throws the cards on the floor, and says, "I don't want to play anymore." Which of the
following actions should the nurse take? - (correct Answer) - Ask the client to accompany the nurse to
another area
The nurse should ask the client in a calm and nonthreatening manner to walk with them to another area,
away from the location of the outburst. Removing the client from the situation will ensure the safety of
