RN ATI CAPSTONE PROCTORED COMPREHENSIVE
ASSESSMENT A, UPDATED QUESTIONS AND VERIFIED
ANSWERS GUARANTEED SUCCESS COMPLETE
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A nurse is caring for a client who has a major depressive
disorder. What findings should the nurse expect?
a. A dismissal of past failures.
b. Psychomotor agitation.
c. An increase in energy.
d. Sleep disturbances.
Answers d. Sleep disturbances.
Sleep disturbances are common in clients with depression.
The nurse was assessing a parent who lost 12 y\o child
in a car crash 2 years ago. What findings indicate the client is
exhibiting manifestations of prolonged grieving?
a. Leaves the child's room exactly as it was before the loss.
b. Volunteers at a local children's hospital.
c. Talk about the child in the past tense.
d. Visits the child's grave every week after worship services.
Answers: a. Leaves the child's room as it was before the loss.
Grieving becomes dysfunctional when the client is unable to
resume regular activities of daily living or experience emotions
other than sadness or depression. An example of dysfunctional
,grieving is making the loved one's room a shrine for more than
a year.
The nurse is caring for an adolescent client who has a conduct
disorder. The client reports that she has received five speeding
tickets in the past 6 months. Which of the following
interventions should the nurse take?
a. Make a contract with the client not to drive over the speed
limit.
b. Call the local police and alert them to the client's care
license plate number and the make and model of the car.
c. Ask the client to "hand over the keys" to you, and tell her
that now she must use a cab or other public transportation
until your next session.
d. Inform the client that she cannot drink and drive.
Answers: a. Make a contract with the client not to drive over
the speed limit.
A behavior contract is appropriate to identify the expected
behavior and consequences. The client, by signing the contract,
assumes responsibility for her behavior.
The nurse provides a discharge teaching to a client who has
multiple prescriptions and he must take medications
A nurse is providing discharge teaching for a client who has
multiple medication prescriptions and must take them at
,Specific intervals while at home. Which instructions should
the nurse include in her teaching?
a. "You really shouldn't change the schedule we established
here in the facility."
b. "Let's work together to devise a schedule that is convenient
for you daily."
c. "We'll have to talk to your provider about switching to an
alternative schedule."
d. "It doesn't matter what time you take your medications as
long as you don't skip any doses."
Answers: b. "Let's work together to devise a schedule that is
convenient for you daily."
This response illustrates the therapeutic communication
technique of formulating a plan of action. This demonstrates
the nurse's willingness to work with the client in modifying the
schedule to meet the clint needs at this time
A nurse is providing discharge teaching for a client who has
bipolar disorder and will be discharged with a prescription for
lithium. The nurse should teach the client which of the
following factors puts her at risk for lithium toxicity.
a. The client drinks 2 liters of liquids daily.
b. The client eats 2 to 3 grams of sodium-containing foods
, c. The client runs 4 miles outdoors every afternoon.
d. The client eats foods high in tyramine.
Answers: C 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 an emergency department is assessing a client for
suspected cocaine intoxication. Which of the following
findings should the nurse expect?
a. Nystagmus
b. Hypersomnia
c. Depression
d. Dilated pupils
answers d. Dilated pupils
Dilated pupils are a finding of cocaine intoxication due to the
stimulation of the sympathetic nervous system.
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