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ATI RN Capstone Mental Health Pre-Assessment
Questions with Detailed Verified Answers
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 Ans: ✓ ✓ ✓ d. 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." Ans: ✓ ✓ ✓ b. "Let's work together to devise a time schedule that is convenient for you on
a daily basis."
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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.
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. Ans: ✓ ✓ ✓ a. The client runs 4 miles outdoors every
afternoon.
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 Ans: ✓ ✓ ✓ b. 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.
© Get it right 2025 Getaway - Stuvia US All rights reserved
ATI RN Capstone Mental Health Pre-Assessment
Questions with Detailed Verified Answers
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 Ans: ✓ ✓ ✓ d. 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." Ans: ✓ ✓ ✓ b. "Let's work together to devise a time schedule that is convenient for you on
a daily basis."
© Get it right 2025 Getaway - Stuvia US All rights reserved
, Click here for more: Scholars nexus
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.
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. Ans: ✓ ✓ ✓ a. The client runs 4 miles outdoors every
afternoon.
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 Ans: ✓ ✓ ✓ b. 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.
© Get it right 2025 Getaway - Stuvia US All rights reserved
