ANALYZED ATI RN CAPSTONE MENTAL HEALTH COMPREHENSIVE ASSESSMENT FORM A EXAM WITH CORRECT ANSWERS

ANALYZED ATI RN CAPSTONE MENTAL
HEALTH COMPREHENSIVE ASSESSMENT
FORM A EXAM WITH CORRECT ANSWERS
Avnursevinvavmentalvhealthvclinicvisvassessingvavclientvwhovwasvbroughtvinvbyvhervadultvdaughtervstatingvtha
tvhervmothervhasvnotvbeenvablevtovleavevhervhomevforvweeksvbecausevshevisvafraidvtovbevoutdoorsvalone.vt
hevnursevshouldvanticipatevplanningvcarevforvmanagingvwhichvofvthevfollowingvphobias?



a.vXenophobia

b.vAcrophobia

c.vMysophobia

d.vAgoraphobiav-vCORRECTvANSWERv-d.vAgoraphobia

Agoraphobiavisvanvirrationalvfearvaboutvbeingvinvplacesvorvcircumstancesvwherevthevclientvwouldvnotvhavev
helpvinvtheveventvofvpanicvorvothervformsvofvanxiety.vFearvofvbeingvalonevoutdoorvisvavcommonvexample.



Avnursevisvprovidingvdischargevteachingvforvavclientvwhovhasvmultiplevmedicationvprescriptionsvandvmustvt
akevthevmedicationsvatvspecificvintervalsvwhenvatvhome.vWhichvofvthevfollowingvinstructionsvshouldvthevnu
rsevincludevinvthevteaching?



a.v"Youvreallyvshouldn'tvchangevthevschedulevwevestablishedvherevinvthevfacility."

b.v"Let'svworkvtogethervtovdevisevavtimevschedulevthatvisvconvenientvforvyouvonvavdailyvbasis."

c.v"We'llvhavevtovtalkvtovyourvprovidervaboutvswitchingvtovanvalternativevschedule."

d.v"Itvdoesn'tvreallyvmattervwhatvtimevyouvtakevyourvmedicationsvasvlongvasvyouvdon'tvskipvanyvdoses."v-
vCORRECTvANSWERv-


b.v"Let'svworkvtogethervtovdevisevavtimevschedulevthatvisvconvenientvforvyouvonvavdailyvbasis."

Thisvresponsevillustratesvthevtherapeuticvcommunicationvtechniquevofvformulatingvavplanvofvaction.vItvde
monstratesvthevnurse'svwillingnessvtovworkvwithvthevclientvtovmodifyvthevschedulevsovthatvitvmeetsvthevclie
nt'svneedsvatvthisvtime.

,Avnursevisvprovidingvdischargevteachingvto.vclientvwhovhasvbipolarvdisordervandvwillvbevdischargedvwithvavp
rescriptionvforvlithium.vThevnursevshouldvteachvthevclientvthatvwhichvofvthevfollowingvfactorsvputsvhervatvri
skvforvlithiumvtoxicity?

a.vThevclientvrunsv4vmilesvoutdoorsveveryvafternoon.

b.vThevclientvdrinksv2vlitersvofvliquidsvdaily.

c.vThevclientveatsv2vtov3vgramsvofvsodium-containingvfoodsvdaily.

d.vThevclientveatsvfoodsvhighvinvtyramine.v-vCORRECTvANSWERv-
a.vThevclientvrunsv4vmilesvoutdoorsveveryvafternoon.v

Strenuousvexercisevinvoutdoorvheat,vwhichvcanvleadvtovdehydration,vputsvthevclientvatvriskvforvlithiumvtoxic
ity.vMildvtovmoderatevexercisevwillvnotvleadvtovlithiumvtoxicity,vbutvifvthevclientvengagesvinvstrenuousvexerc
isevduringvhotvweather,vshevshouldvtakevcarevtovreplacevanyvwatervthatvmayvhavevbeenvlostvthroughvprofu
sevsweating.vthisvalsovappliesvtovothervfactorsvthatvcanvcausevthevclientvtovbecomevdehydrated,vsuchvasvha
vingvdiarrheavorvtakingvdiuretics.



Avnursevinvavemergencyvdepartmentvisvassessingvavclientvforvsuspectedvcocainevintoxication.vWhichvofvthev
followingvfindingsvshouldvthevnursevexpect?

a.vNystagmus

b.vDilatedvpupils

c.vHypersomnia

d.vDepressionv-vCORRECTvANSWERv-b.vDilatedvpupils



Dilatedvpupilsvarevavfindingvofvcocainevintoxicationvduevtovthevstimulationvofvthevsympatheticvnervousvsyst
em.



Avnurseventersvthevroomvofvavclientvwhovbecomesvverballyvabusive.vWhichvofvthevfollowingvactionsvshouldv
thevnursevtake?

a.vInformvthevclientvofvconsequences.

b.vSpeakvslowlyvinvavlow,vcalmvvoice.

, c.vForbidvthevclientvfromvspeakingvinvanvabusivevmanner.

d.vRemainvavdistancevofv1vftvawayvfromvthevclient.v-vCORRECTvANSWERv-
b.vSpeakvslowlyvinvavlow,vcalmvvoice.



Speakingvinvthisvmannervconveysvtovthevclientvthatvthevnursevisvcontrolled,vnonthreatening,vandvcaring.



Avnursevisvcaringvforvavclientvwhovlostvallvhisvpossessionsvinvavhousevfirevandvstates,v"IvhavevnovideavwhatvIva
mvgoingvtovdo.vIvcannotvthinkvrightvnow."vWhichvofvthevfollowingvactionsvshouldvthevnursevtake?



a.vIdentifyvothervhousingvoptionsvandvsourcesvofvtransportation.

b.vNotifyvthevfacilityvchaplainvtovrequestvschedulingvanvappointment.

c.vConfirmvthatveverythingvwillvbevalrightvbecausevbelongingsvcanvbevreplaced.

d.vMaintainveyevcontactvwithvclientvandvsummarizevthevclient'svfeeings.v-vCORRECTvANSWERv-
d.vMaintainveyevcontactvwithvthevclientvandvsummarizevthevclient'svfeelings.



Thisvdemonstratesvtherapeuticvcommunication.vDuringvthevinitialvinterview,vitvisvimportantvforvthevnursevt
ovprovidevanvatmospherevofvsupportvandvsafety.vIfvavpersonvbelievesvthatvthevsomeonevisvgenuinelyvconce
rned,vthenvhevmayvbelievevthatvhelpvisvavailable.vMaintainingveyevcontactvdemonstratesvsupport,vempath
y,vandvadvocacy.



Avnursevinvavpsychiatricvunitvisvcaringvforvseveralvclients.vWhichvofvthevfollowingvclientsvshouldvthevnursevre
commendvforvgroupvtherapy?



a.vAvclientvwhovhasvbeenvtakingvamitriptylinevforv3vmonthsvforvdepression.

b.vAvclientvexhibitingvpsychoticvbehavior.

c.vAvclientvadmittedv12vhrvagovforvacutevmania.

d.vAvclientvwhovisvexperiencingvalcoholvintoxication.v-vCORRECTvANSWERv-
a.vAvclientvwhovhasvbeenvtakingvamitriptylinevforv3vmonthsvforvdepression.