ATI RN Capstone Mental Health Pre-
Assessment Questions & Answers13
A nurse is providing discharge teaching to. client who has bipolar disorder and will be
discharged with a prescription for lithium. The nurse should teach the client that which of the
following factors puts her at risk for lithium toxicity?
a. The client runs 4 miles outdoors every afternoon.
b. The client drinks 2 liters of liquids daily.
c. The client eats 2 to 3 grams of sodium-containing foods daily.
d. The client eats foods high in tyramine. - ANSWERSa. The client runs 4 miles outdoors every
afternoon.
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 - ANSWERSd. 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?
, a. "You really shouldn't change the schedule we established here in the facility."
b. "Let's work together to devise a time schedule that is convenient for you on a daily basis."
c. "We'll have to talk to your provider about switching to an alternative schedule."
d. "It doesn't really matter what time you take your medications as long as you don't skip any
doses." - ANSWERSb. "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.
Strenuous exercise in outdoor heat, which can lead to dehydration, puts the client at risk for
lithium toxicity. Mild to moderate exercise will not lead to lithium toxicity, but if the client
engages in strenuous exercise during hot weather, she should take care to replace any water
that may have been lost through profuse sweating. this also applies to other factors that can
cause the client to become dehydrated, such as having diarrhea or taking diuretics.
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 - ANSWERSb. 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.
Assessment Questions & Answers13
A nurse is providing discharge teaching to. client who has bipolar disorder and will be
discharged with a prescription for lithium. The nurse should teach the client that which of the
following factors puts her at risk for lithium toxicity?
a. The client runs 4 miles outdoors every afternoon.
b. The client drinks 2 liters of liquids daily.
c. The client eats 2 to 3 grams of sodium-containing foods daily.
d. The client eats foods high in tyramine. - ANSWERSa. The client runs 4 miles outdoors every
afternoon.
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 - ANSWERSd. 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?
, a. "You really shouldn't change the schedule we established here in the facility."
b. "Let's work together to devise a time schedule that is convenient for you on a daily basis."
c. "We'll have to talk to your provider about switching to an alternative schedule."
d. "It doesn't really matter what time you take your medications as long as you don't skip any
doses." - ANSWERSb. "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.
Strenuous exercise in outdoor heat, which can lead to dehydration, puts the client at risk for
lithium toxicity. Mild to moderate exercise will not lead to lithium toxicity, but if the client
engages in strenuous exercise during hot weather, she should take care to replace any water
that may have been lost through profuse sweating. this also applies to other factors that can
cause the client to become dehydrated, such as having diarrhea or taking diuretics.
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 - ANSWERSb. 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.
