ATI: MENTAL HEALTH PROCTORED EXAM -
WITH 100% ACCURATE SOLUTIONS-2024-
2025
A nurse is assisting with the planning of a therapeutic support group for individuals who have
bulimia nervosa. Which of the following tasks should the nurse include during the orientation phase
of group development?
A. determine the rules that the group will follow
B. address disagreements among group members
C. help clients work through the grief response
D. transition from the role of leader to facilitator
determine the rules that the group will follow
*during the orientation phase of group development, the nurse should determine the rules that
apply to the group and ensure that all members understand these rules. Examples of rules to be
discussed include confidentiality and meeting times.
A nurse is providing support for a client who is grieving the loss of her mother who died from
Alzeimer's disease. Which of the following statements should the nurse offer?
A. "I know how you must be feeling. I recently lost my father."
B. "Dealing with your mother's death must be difficult for you."
C. "Knowing your mother is in a better place provides you with some comfort."
D. "I want you to let me know what I can do to help you cope with your mother's death."
"Dealing with your mother's death must be difficult for you."
*The nurse should use therapeutic communication when supporting a client who is grieving. This
statement keeps the focus of the conversation on the client by acknowledging her grief and
encourages further communication."
A nurse in the emergency room is collecting data from a client who has heroin intoxication. Which of
the following findings should the nurse expect?
A. Seizure activity
B. Respiratory depression
C. Hypersensitivity to pain
D. Increased mental alertness
Respiratory depression
*Heroin is an opioid; therefore, the nurse should expect this client who has heroin intoxication to
exhibit respiratory depression.
,A nurse on a mental health unit is caring for a client who is displaying signs of anger. Which of the
following pieces of information about the client is the strongest indicator that the client might
become aggressive?
A. The client has marginal coping skills
B. The client has a history of violence
C. The client feels powerless after being hospitalized
D. The client blames others for her problems
The client has a history of violence
*The client's history of violence is the most important indicator that this client might become
violent; therefore, this is the strongest indicator of potential aggressiveness.
A nurse is reinforcing teaching with the caregiver of a client who has dementia. Which of the
following instructions should the nurse include in the teaching?
A. Offer the client a list of activities to choose from
B. Offer finger foods to the client
C. Discourage naps throughout the day
D. Turn on the television when the client is in the room
Offer finger foods to the client
*The caregiver should offer finger foods that the client can eat without sitting down. Clients who
have dementia often like to wander and walk off nervous energy, which can decrease anxiety and
calm the client.
A nurse is contributing to the plan of care for a client with bipolar disorder who has acute mania.
Which of the following interventions should the nurse recommend including in the plan?
A. Provide the client with a low-calorie, low-fat diet
B. Encourage the client to have frequent rest periods
C. Escort the client to daily group therapy
D. Limit the client's intake of caffeinated beverages to 12 oz per day
Encourage the client to have frequent rest periods
*The nurse should recommend encouraging frequent rest periods throughout the day to decrease
the client's risk of exhaustion from the constant activity associated with acute mania.
A nurse is reviewing the plan of care for a client who has bipolar disorder. Which of the following is
an effect of using cognitive behavioral therapy (CBT) for a client who has bipolar disorder?
A. Prevents the need for mood-stabilizing medications
B. Helps the client deal with distorted thought processes
,C. Aids in communication among family members
D. Replaces the need for lifestyle interventions
Helps the client deal with distorted thought processes
*CBT assists the client with recognizing distorted thought processes that are maladaptive with
regards to recovery. When experiencing mania, the client tends to view the future unrealistically as
highly favorable. CBT assists the client in recognizing and challenging such unrealistic or "automatic"
thoughts and can help the client and the health care team recognize early trends toward mania
A nurse is caring for a client in a mental health facility and overhears the client discussing plans to
harm her father-in-law physically when she is discharged. Which of the following interventions
should the nurse take?
A. Ask the client to sign a contract agreeing not to harm others
B. Notify the provider of the client's threat
C. Keep the client's discussion confidential
D. Place the client in individual observation
Notify the provider of the client's threat
*It is the nurse's duty to notify the provider of the client's threat. It will then be the provider's
responsibility to warn the the intended victim or the police of the client's threat
A nurse is preparing to meet with a client who has borderline personality disorder. Which of the
following actions should the nurse plan to take during the working phase of the therapeutic
relationship?
A. Introduce the concept of client confidentiality
B. Establish goals with the client
C. Define the roles of the nurse and the client
D. Facilitate change in the client's behavior
Facilitate change in the client's behavior
*The nurse should facilitate change in the client's behavior during the working phase of the
therapeutic relationship.
A nurse is contributing to the plan of care for a client who has suicidal ideation and is being
transferred to the mental health unit. Which of the following interventions should the nurse
recommend?
A. Search the client and his belongings upon arrival
B. Assign the client to a private room near the nurse's station
C. Instruct assistive personnel to check on the client every 15 m in
D. Keep the door to the client's room closed
Search the client and his belongings upon arrival
*The nurse should plan to search the client and all of his belongings upon arrival to the unit. This
search is conducted for the client's safety so that the nurse can identify and remove any objects that
, increase the client's risk of injury or suicide. Potentially harmfully objects include razors, shoelaces,
hygiene products, and tweezers
A nurse is talking with a client about his admission to a mental health unit. The client states, "I just
don't know if I should be here. What will my family think?" Which of the following responses by the
nurse uses the therapeutic communication technique of reflection?
A. "It sounds like you are concerned about your family's reaction."
B. "What your family thinks isn't important; you need to be concerned about getting well."
C. "I suspect your family doesn't seem to understand you.
D. "Many clients are concerned about the reaction of their families."
"It sounds like you are concerned about your family's reaction."
*In a reflective response, the nurse directs feelings and statements back to the client, allowing the
client to think about personal feelings
A nurse is caring for a client who just received a terminal diagnosis of cancer. Which of the following
initial reactions should the nurse expect from the client?
A. Bargaining
B. Depression
C. Denial
D. Anger
Denial
*The nurse should expect the client to deny the reality of the diagnosis initially. This is a protective
reaction seeking to avoid psychological pain
A nurse is reinforcing teaching with the parent of a child who has a new prescription for
methylphenidate to treat ADHD. Which of the following instructions should the nurse include in the
teaching?
A. "Weigh your child 3 times per week."
B. "Expect your child to experience dark-colored stools."
C. "Administer this medication at bedtime."
D. "You should limit your child's intake of caffeine."
"Weigh your child 3 times per week."
*The nurse should instruct the parent to weigh the child 2 to 3 times per week. Weight loss is an
adverse effect of this medication. If significant weight loss occurs, the parent should notify the
provider.
A nurse is reinforcing teaching with a client who has generalized anxiety disorder and a new
prescription for venlafaxine. Which of the following statements should the nurse make?
A. "This medication is only for short-term use"
B. "This medication can be taken on an as-needed basis."
WITH 100% ACCURATE SOLUTIONS-2024-
2025
A nurse is assisting with the planning of a therapeutic support group for individuals who have
bulimia nervosa. Which of the following tasks should the nurse include during the orientation phase
of group development?
A. determine the rules that the group will follow
B. address disagreements among group members
C. help clients work through the grief response
D. transition from the role of leader to facilitator
determine the rules that the group will follow
*during the orientation phase of group development, the nurse should determine the rules that
apply to the group and ensure that all members understand these rules. Examples of rules to be
discussed include confidentiality and meeting times.
A nurse is providing support for a client who is grieving the loss of her mother who died from
Alzeimer's disease. Which of the following statements should the nurse offer?
A. "I know how you must be feeling. I recently lost my father."
B. "Dealing with your mother's death must be difficult for you."
C. "Knowing your mother is in a better place provides you with some comfort."
D. "I want you to let me know what I can do to help you cope with your mother's death."
"Dealing with your mother's death must be difficult for you."
*The nurse should use therapeutic communication when supporting a client who is grieving. This
statement keeps the focus of the conversation on the client by acknowledging her grief and
encourages further communication."
A nurse in the emergency room is collecting data from a client who has heroin intoxication. Which of
the following findings should the nurse expect?
A. Seizure activity
B. Respiratory depression
C. Hypersensitivity to pain
D. Increased mental alertness
Respiratory depression
*Heroin is an opioid; therefore, the nurse should expect this client who has heroin intoxication to
exhibit respiratory depression.
,A nurse on a mental health unit is caring for a client who is displaying signs of anger. Which of the
following pieces of information about the client is the strongest indicator that the client might
become aggressive?
A. The client has marginal coping skills
B. The client has a history of violence
C. The client feels powerless after being hospitalized
D. The client blames others for her problems
The client has a history of violence
*The client's history of violence is the most important indicator that this client might become
violent; therefore, this is the strongest indicator of potential aggressiveness.
A nurse is reinforcing teaching with the caregiver of a client who has dementia. Which of the
following instructions should the nurse include in the teaching?
A. Offer the client a list of activities to choose from
B. Offer finger foods to the client
C. Discourage naps throughout the day
D. Turn on the television when the client is in the room
Offer finger foods to the client
*The caregiver should offer finger foods that the client can eat without sitting down. Clients who
have dementia often like to wander and walk off nervous energy, which can decrease anxiety and
calm the client.
A nurse is contributing to the plan of care for a client with bipolar disorder who has acute mania.
Which of the following interventions should the nurse recommend including in the plan?
A. Provide the client with a low-calorie, low-fat diet
B. Encourage the client to have frequent rest periods
C. Escort the client to daily group therapy
D. Limit the client's intake of caffeinated beverages to 12 oz per day
Encourage the client to have frequent rest periods
*The nurse should recommend encouraging frequent rest periods throughout the day to decrease
the client's risk of exhaustion from the constant activity associated with acute mania.
A nurse is reviewing the plan of care for a client who has bipolar disorder. Which of the following is
an effect of using cognitive behavioral therapy (CBT) for a client who has bipolar disorder?
A. Prevents the need for mood-stabilizing medications
B. Helps the client deal with distorted thought processes
,C. Aids in communication among family members
D. Replaces the need for lifestyle interventions
Helps the client deal with distorted thought processes
*CBT assists the client with recognizing distorted thought processes that are maladaptive with
regards to recovery. When experiencing mania, the client tends to view the future unrealistically as
highly favorable. CBT assists the client in recognizing and challenging such unrealistic or "automatic"
thoughts and can help the client and the health care team recognize early trends toward mania
A nurse is caring for a client in a mental health facility and overhears the client discussing plans to
harm her father-in-law physically when she is discharged. Which of the following interventions
should the nurse take?
A. Ask the client to sign a contract agreeing not to harm others
B. Notify the provider of the client's threat
C. Keep the client's discussion confidential
D. Place the client in individual observation
Notify the provider of the client's threat
*It is the nurse's duty to notify the provider of the client's threat. It will then be the provider's
responsibility to warn the the intended victim or the police of the client's threat
A nurse is preparing to meet with a client who has borderline personality disorder. Which of the
following actions should the nurse plan to take during the working phase of the therapeutic
relationship?
A. Introduce the concept of client confidentiality
B. Establish goals with the client
C. Define the roles of the nurse and the client
D. Facilitate change in the client's behavior
Facilitate change in the client's behavior
*The nurse should facilitate change in the client's behavior during the working phase of the
therapeutic relationship.
A nurse is contributing to the plan of care for a client who has suicidal ideation and is being
transferred to the mental health unit. Which of the following interventions should the nurse
recommend?
A. Search the client and his belongings upon arrival
B. Assign the client to a private room near the nurse's station
C. Instruct assistive personnel to check on the client every 15 m in
D. Keep the door to the client's room closed
Search the client and his belongings upon arrival
*The nurse should plan to search the client and all of his belongings upon arrival to the unit. This
search is conducted for the client's safety so that the nurse can identify and remove any objects that
, increase the client's risk of injury or suicide. Potentially harmfully objects include razors, shoelaces,
hygiene products, and tweezers
A nurse is talking with a client about his admission to a mental health unit. The client states, "I just
don't know if I should be here. What will my family think?" Which of the following responses by the
nurse uses the therapeutic communication technique of reflection?
A. "It sounds like you are concerned about your family's reaction."
B. "What your family thinks isn't important; you need to be concerned about getting well."
C. "I suspect your family doesn't seem to understand you.
D. "Many clients are concerned about the reaction of their families."
"It sounds like you are concerned about your family's reaction."
*In a reflective response, the nurse directs feelings and statements back to the client, allowing the
client to think about personal feelings
A nurse is caring for a client who just received a terminal diagnosis of cancer. Which of the following
initial reactions should the nurse expect from the client?
A. Bargaining
B. Depression
C. Denial
D. Anger
Denial
*The nurse should expect the client to deny the reality of the diagnosis initially. This is a protective
reaction seeking to avoid psychological pain
A nurse is reinforcing teaching with the parent of a child who has a new prescription for
methylphenidate to treat ADHD. Which of the following instructions should the nurse include in the
teaching?
A. "Weigh your child 3 times per week."
B. "Expect your child to experience dark-colored stools."
C. "Administer this medication at bedtime."
D. "You should limit your child's intake of caffeine."
"Weigh your child 3 times per week."
*The nurse should instruct the parent to weigh the child 2 to 3 times per week. Weight loss is an
adverse effect of this medication. If significant weight loss occurs, the parent should notify the
provider.
A nurse is reinforcing teaching with a client who has generalized anxiety disorder and a new
prescription for venlafaxine. Which of the following statements should the nurse make?
A. "This medication is only for short-term use"
B. "This medication can be taken on an as-needed basis."
