ATI MENTAL HEALTH PROCTORED EXAM -RETAKE GUIDE
1. a. Place the child in seclusion: 1. A nurse is caring for a school-aged child who has
conduct disorder and is being physically aggressive toward other children in the unit. Which
of the following actions should the nurse take first?
a. Place the child in seclusion
b. Use therapeutic hold technique
c. Apply wrist restraints
d. Administer risperidone
2. b. ECG: 2• A nurse is caring for a client who has a new diagnosis of bulimia nervosa.
Which of the following diagnosis procedures should the nurse anticipatethe provider
should describe during the medical evaluation?
a. Chest x-ray
b. ECG
c. Coagulation studies
d. Liver function test
3. a. Dependent: 3. A nurse is caring for a client who exhibits excessive compliance,
passivity, and self-denial. The nurse should recognize that these findings are asso- ciated
with which of the following personality disorders?
a. Dependent
b. Paranoid
c. Borderline
d. Histrionic
4. c. Offer the client the medication at the next scheduled dose time: 4. A nurseis caring
for a client who is involuntarily admitted for major depressive disorder andrefuses to take
prescribed antianxiety medication. Which of the following actions should the nurse take?
a. Inform the client that he does not have the right to refuse medication
b. Administer the medication to the client via IM injection
c. Offer the client the medication at the next scheduled dose time
d. Implement consequences until the client take the medication
5. d. Offer prophylactic medication to prevent STI's: 5. A nurse is caring for a
client in the emergency department who states she was beaten and sexually assaultby
her partner. After a rapid assessment, which of the following actions should the nurse
plan to take next?
a. Conduct a pregnancy test
b. Requests mental health consultation for the client
c. Provide a trained advocate to stay with the clientd.
d. Offer prophylactic medication to prevent STI's
6. b. Cancel the scheduled ECT procedure: 6. A nurse is caring for a client whohas
major depressive disorder. After discussing the treatment with his partner, the
, ATI MENTAL HEALTH PROCTORED EXAM -RETAKE GUIDE
client verbally agrees to electroconvulsive therapy (ECT) but will not sign the consentform.
Which of the following actions should the nurse take?
a. Request that the client's partner sign the consent formb.
b. Cancel the scheduled ECT procedure
c. Proceed with the preparation for ECT based on implied consent
d. Inform the client about the risks of refusing the ECT
7. d. Displacement: 7. A nurse is caring for a client who reports that he is angry withhis
partner because she thinks he is just trying to gain attention. When the nurse attempts to
talk to the client, he becomes angry and tells her to leave. Which of thefollowing defense
mechanisms is the client demonstrating?
a. Rationalization
b. Denial
c. Compensationd.
d. Displacement
8. b. It's important that the client feel safe verbalizing how she is feeling: 8. Anursing
is advising an assistive personnel (AP) on the care of a client who has majordepressive
disorder. The AP states that he is irritated by the client's depression. Which of the
following statements by the nurse is appropriate?
a. Please don't take what the client said seriously when she is depressedb.
b. It's important that the client feel safe verbalizing how she is feeling
c. Everybody feels that way about this client so don't worry about it
d. I'll change your assignment to someone who doesn't have depressive disorder
9. d. The child has cystic fibrosis: 9. A nurse is assessing a child in the emergency
department. Which of the following findings places the childat the greatest risk for
physical abuse?
a. The child is 10years old
b. The child is homeschooled
c. The has no siblings
d. The child has cystic fibrosis
10. b. Snap a rubber band on your wrist when you think about checking thelocks:
10. A nurse is providing behavioral therapy for a client who has obses-
sive-compulsive disorder. The client repeatedly checks that the doors are locked at night.
Which of the following instructions should the nurse give the client when using thought
stopping technique?
a. Keep a journal of how often you check the locks each night
b. Snap a rubber band on your wrist when you think about checking the locks
c. Ask a family member to check the lock for you at night
d. Focus on abdominal breathing whenever you go to check the locks
1. a. Place the child in seclusion: 1. A nurse is caring for a school-aged child who has
conduct disorder and is being physically aggressive toward other children in the unit. Which
of the following actions should the nurse take first?
a. Place the child in seclusion
b. Use therapeutic hold technique
c. Apply wrist restraints
d. Administer risperidone
2. b. ECG: 2• A nurse is caring for a client who has a new diagnosis of bulimia nervosa.
Which of the following diagnosis procedures should the nurse anticipatethe provider
should describe during the medical evaluation?
a. Chest x-ray
b. ECG
c. Coagulation studies
d. Liver function test
3. a. Dependent: 3. A nurse is caring for a client who exhibits excessive compliance,
passivity, and self-denial. The nurse should recognize that these findings are asso- ciated
with which of the following personality disorders?
a. Dependent
b. Paranoid
c. Borderline
d. Histrionic
4. c. Offer the client the medication at the next scheduled dose time: 4. A nurseis caring
for a client who is involuntarily admitted for major depressive disorder andrefuses to take
prescribed antianxiety medication. Which of the following actions should the nurse take?
a. Inform the client that he does not have the right to refuse medication
b. Administer the medication to the client via IM injection
c. Offer the client the medication at the next scheduled dose time
d. Implement consequences until the client take the medication
5. d. Offer prophylactic medication to prevent STI's: 5. A nurse is caring for a
client in the emergency department who states she was beaten and sexually assaultby
her partner. After a rapid assessment, which of the following actions should the nurse
plan to take next?
a. Conduct a pregnancy test
b. Requests mental health consultation for the client
c. Provide a trained advocate to stay with the clientd.
d. Offer prophylactic medication to prevent STI's
6. b. Cancel the scheduled ECT procedure: 6. A nurse is caring for a client whohas
major depressive disorder. After discussing the treatment with his partner, the
, ATI MENTAL HEALTH PROCTORED EXAM -RETAKE GUIDE
client verbally agrees to electroconvulsive therapy (ECT) but will not sign the consentform.
Which of the following actions should the nurse take?
a. Request that the client's partner sign the consent formb.
b. Cancel the scheduled ECT procedure
c. Proceed with the preparation for ECT based on implied consent
d. Inform the client about the risks of refusing the ECT
7. d. Displacement: 7. A nurse is caring for a client who reports that he is angry withhis
partner because she thinks he is just trying to gain attention. When the nurse attempts to
talk to the client, he becomes angry and tells her to leave. Which of thefollowing defense
mechanisms is the client demonstrating?
a. Rationalization
b. Denial
c. Compensationd.
d. Displacement
8. b. It's important that the client feel safe verbalizing how she is feeling: 8. Anursing
is advising an assistive personnel (AP) on the care of a client who has majordepressive
disorder. The AP states that he is irritated by the client's depression. Which of the
following statements by the nurse is appropriate?
a. Please don't take what the client said seriously when she is depressedb.
b. It's important that the client feel safe verbalizing how she is feeling
c. Everybody feels that way about this client so don't worry about it
d. I'll change your assignment to someone who doesn't have depressive disorder
9. d. The child has cystic fibrosis: 9. A nurse is assessing a child in the emergency
department. Which of the following findings places the childat the greatest risk for
physical abuse?
a. The child is 10years old
b. The child is homeschooled
c. The has no siblings
d. The child has cystic fibrosis
10. b. Snap a rubber band on your wrist when you think about checking thelocks:
10. A nurse is providing behavioral therapy for a client who has obses-
sive-compulsive disorder. The client repeatedly checks that the doors are locked at night.
Which of the following instructions should the nurse give the client when using thought
stopping technique?
a. Keep a journal of how often you check the locks each night
b. Snap a rubber band on your wrist when you think about checking the locks
c. Ask a family member to check the lock for you at night
d. Focus on abdominal breathing whenever you go to check the locks
