ATI CAPSTONE MENTAL
HEALTH ACTUAL EXAM
2024/2025 GRADED A+
[Document subtitle]
,1. 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?
o 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.
2. A nurse is collecting data from a client who is taking bupropion. Which of the
following findings indicates the medication is effective?
o Answer: Decrease in urge to smoke. Bupropion is an antidepressant that
is also used for smoking cessation.
3. 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?
o Answer: "I just don't feel like eating because I never like to eat alone." (At
risk for malnutrition and injury.)
4. 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 as an example of which of the following
coping mechanisms?
o 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.
5. 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?
o Answer: Use active listening when with the client. The nurse should use
active listening to establish presence with the client.
6. 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?
, o Answer: Rationalization. The client is demonstrating rationalization when
he creates reasonable and acceptable explanations for unacceptable
behavior.
7. A nurse is caring for a group of older adult clients. Which of the following client
findings indicates delirium?
o 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.
8. A nurse is collecting data from a client newly admitted for anorexia nervosa.
Which of the following findings should the nurse expect?
o Answer: Amenorrhea. The nurse should expect the client to report
amenorrhea due to low body weight.
9. A nurse is collecting data from a client who has bipolar disorder with mania.
Which of the following findings is the nurse's priority?
o Answer: The client paces in the hallway during the day and most of the
night. Nonstop activity is an emergency situation for a client who has
mania.
10. A nurse is preparing to assist with the care of a client who is undergoing
electroconvulsive therapy (ECT). Which of the following pieces of equipment
should the nurse set up in the room prior to the treatment? (SATA: Select All That
Apply)
o Answer:
▪ Electroencephalogram (EEG) monitor.
▪ Oxygen saturation monitor.
▪ Electrocardiogram (ECG) monitor.
11. A nurse is assisting with a family therapy session for parents and 2 school-age
children. Which of the following statements should the nurse recognize as an
example of effective communication among family members?
o Answer: "Can you tell me the reason you get upset each time I go to the
mall?" This is an example of effective communication.
12. A nurse is reinforcing teaching with a client who is 2 days postpartum and has a
history of postpartum depression. Which of the following instructions should the
nurse include?
HEALTH ACTUAL EXAM
2024/2025 GRADED A+
[Document subtitle]
,1. 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?
o 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.
2. A nurse is collecting data from a client who is taking bupropion. Which of the
following findings indicates the medication is effective?
o Answer: Decrease in urge to smoke. Bupropion is an antidepressant that
is also used for smoking cessation.
3. 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?
o Answer: "I just don't feel like eating because I never like to eat alone." (At
risk for malnutrition and injury.)
4. 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 as an example of which of the following
coping mechanisms?
o 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.
5. 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?
o Answer: Use active listening when with the client. The nurse should use
active listening to establish presence with the client.
6. 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?
, o Answer: Rationalization. The client is demonstrating rationalization when
he creates reasonable and acceptable explanations for unacceptable
behavior.
7. A nurse is caring for a group of older adult clients. Which of the following client
findings indicates delirium?
o 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.
8. A nurse is collecting data from a client newly admitted for anorexia nervosa.
Which of the following findings should the nurse expect?
o Answer: Amenorrhea. The nurse should expect the client to report
amenorrhea due to low body weight.
9. A nurse is collecting data from a client who has bipolar disorder with mania.
Which of the following findings is the nurse's priority?
o Answer: The client paces in the hallway during the day and most of the
night. Nonstop activity is an emergency situation for a client who has
mania.
10. A nurse is preparing to assist with the care of a client who is undergoing
electroconvulsive therapy (ECT). Which of the following pieces of equipment
should the nurse set up in the room prior to the treatment? (SATA: Select All That
Apply)
o Answer:
▪ Electroencephalogram (EEG) monitor.
▪ Oxygen saturation monitor.
▪ Electrocardiogram (ECG) monitor.
11. A nurse is assisting with a family therapy session for parents and 2 school-age
children. Which of the following statements should the nurse recognize as an
example of effective communication among family members?
o Answer: "Can you tell me the reason you get upset each time I go to the
mall?" This is an example of effective communication.
12. A nurse is reinforcing teaching with a client who is 2 days postpartum and has a
history of postpartum depression. Which of the following instructions should the
nurse include?
