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CAPSTONE MENTAL HEALTH EXAM NEWEST
2025 ACTUAL EXAM COMPLETE 100
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
A nurse is reinforcing teaching with a client about a new prescription for lithium. Which of the following statements should the nurse include in the teaching? - ANSWER-"We will need to check your lithium levels in the next 3 to 5 days."
Rationale; Lithium is prescribed to treat bipolar disorder.The medications has a narrow therapeutic range and establishing a therapeutic lithium level is an essential component of care. It is recommended to check lithium levels within the first 5 days of beginning of treatment and possibly twice weekly until a maintenance dosage has been reached. Lithium levels are checked about every 3 months during maintenance therapy when lithium levels have stabilized.
A nurse is discussing comorbidities associated with eating disorders with a newly licensed nurse. Which of the following 1 / 4
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comorbidities should the nurse include in the discussion? SATA
- ANSWER-- Anxiety
Rationale; Anxiety is a comordid condition common in clients who have an eating disorder.
-Obsessive-compulsive Disorder OCD is a comorbid condition common in clients who have an eating disorder, especially anorexia nervosa.
-Depression Depression is a comorbid condition common in clients who have an eating disorder.
A nurse is caring for a client who has been diagnosed with end- stage liver cancer. Which of the following statements by the client indicates that the client is in the denial phase of the grief process? - ANSWER-"The doctor says I only have a few months to live, but I know he is exaggerating to get me to take my medication."
Rationale; The Five stages of Grief may not be experienced in order, and the length of each stage will vary from person to person. 2 / 4
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A nurse is discussing restraint with a newly licensed nurse.Which of the following situations should the nurse identify as an acceptable indication for using restraints for a client? - ANSWER-Continued self-destructive behavior
Rationale; A nurse my use mechanical restraints for a client who presents a specific danger to themselves or others. The nurse must follow all facility policies, such as documentation of the behavior that led up to the use of restraints and other interventions the staff used prior to the restraints.
A nurse is caring for a client whose wife died 6 months ago. For which of the following findings should the nurse monitor to identify a maladaptive grieving response? - ANSWER-Disturbed self-esteem
Rationale; A client who has disturbed self-esteem, such as feeling of worthlessness, is likely having a maladaptive grieving response, which can precipitate depression.
A client who has a femur fracture states, "I cant stay in this bed any longer. I need to get home so I can take care of my family." The nurse response by saying, "You have talked about your 3 / 4
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family. Can you tell me more about your specific concerns?" Which of the following therapeutic communications techniques is the nurse using? - ANSWER-Focusing
Rationale; The nurse's open-ended statement is a means of focusing on the problem and obtaining more information about the client's concerns, which helps the nurse to identify issues and concerns clearly.
A nurse is caring for a client who witnessed her brother's homicide and has post traumatic stress disorder (PTSD). Which of the following findings should the nurse expect? - ANSWER- The client is easily startled by loud voices.
Rationale; A hyperactive startle reflex (hyper vigilance) due to constant anxiety, is a common finding in client who have PTSD.
A nurse is caring for a client who reports acute anxiety. Which of the following actions should the nurse take first? - ANSWER- Remain with the client.
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