ATI MENTAL HEALTH A B C 2019
PROCTORED AND RETAKE FINAL STUDY
GUIDE 2026 SOLVED QUESTIONS FULLY
CORRECT
⫸ A nurse is performing an admission assessment on a client and
notices that the client appears withdrawn and fearful. To establish a
trusting nurse=client relationship, which of the following actions should
the nurse take first?
A. Inform the client that this admission is confidential
B. Introduce the client to other clients in the day room
C. Assist the client in facilitating behavioral change
D. Determine coping strategies that the client used in the past Answer: A
- CORRECt
- According to evidence-based practice, the nurse should first inform the
client about confidentiality during the orientation phase of the nurse-
client relationship.
B - Incorrect The nurse should introduce the client to other clients in the
day room to help the client interact with others during the working phase
of the nurse-client relationship. However, evidence-based practice
indicates that the nurse should take a different action first.
C. INCORRECT The nurse should assist the client with behavioral
change during the working phase of the nurse-client relationship.
,However, evidence-based practice indicates that the nurse should take a
different action first.
D. Incorrect The nurse should determine what coping strategies the
client used in the past during the working phase of the nurse-client
relationship. However, evidence-based practice indicates that the nurse
should take a different action first.
⫸ A nurse is performing a cognitive assessment to distinguish delirium
form dementia in a client whose family reports episodes of confusion.
Which of the following assessment findings supports the nurse's
suspicion of delirium?
A. Slow onset
B. Aphasia
C. Confabulation
D. Easily distracted Answer: D - CORRECT
- Extreme distractibility is a hallmark manifestation of delirium.
A - INCORRECT
Delirium has an acute onset. Dementia is a slow, progressive decline.
B. INCORRECT
Aphasia is a manifestation of dementia
C. INCORRECT
Confabulation is a manifestation of dementia.
,⫸ A nurse is caring for an older adult client who is experiencing
delirium. Which of the following interventions should the nurse include
in the client's plan of care?
A. Offer the client various choices for meal selection
B. Assign different nursing personnel for each shift
C. Permit the client to perform daily rituals to decrease anxiety
D. Maintain an environment that has low lighting Answer: C -
CORRECT
The nurse should provide a client who has delirium with a plan of care
that decreases agitation and anxiety by permitting the client to perform
daily rituals.
A- INCORRECT
The nurse should provide a client who has delirium with a plan of care
that decreases agitation and anxiety by limiting the choices the client is
asked to make.
B - The nurse should provide a client who has delirium with a plan of
care that decreases agitation and anxiety by providing consistent nursing
personnel.
D - The nurse should provide a client who has delirium with a plan of
care that decreases agitation and anxiety by providing a well-lit
environment.
⫸ A nurse is planning care for a client who has bipolar disorder and is
experiencing mania. Which of the following interventions should the
nurse include in the plan of care?
, A. Encourage the client to participate in group therapy
B. Instruct the client to avoid napping during the day
C. Offer the client high-calorie finger foods frequently
D. Decrease the client's daily fiber intake Answer: C - CORRECT
The nurse should frequently offer the client high-calorie foods that can
be eaten while the client is on the go. Clients experiencing mania might
be unable to sit down for meals and can experience weight loss and
dehydration.
A - INCORRECT
The nurse should maintain a low-stimuli environment for a client who is
experiencing mania. The nurse should dim the lights, decrease noise, and
limit the number of people the client is around.
B - The nurse should encourage the client to take frequent rest periods
throughout the day. Clients experiencing mania are at risk of exhaustion
that can be life threatening.
D - The nurse should encourage the client to eat foods and snacks that
are high in fiber. Clients experiencing mania can experience dehydration
and nutritional deficiencies from decreased intake, which can lead to
constipation.
⫸ A nurse is teaching the partner of a client who has bipolar disorder
how to identify acute mania. Which of the following findings should the
client's partner report to the provider?
A. Obsessive attention to detail
PROCTORED AND RETAKE FINAL STUDY
GUIDE 2026 SOLVED QUESTIONS FULLY
CORRECT
⫸ A nurse is performing an admission assessment on a client and
notices that the client appears withdrawn and fearful. To establish a
trusting nurse=client relationship, which of the following actions should
the nurse take first?
A. Inform the client that this admission is confidential
B. Introduce the client to other clients in the day room
C. Assist the client in facilitating behavioral change
D. Determine coping strategies that the client used in the past Answer: A
- CORRECt
- According to evidence-based practice, the nurse should first inform the
client about confidentiality during the orientation phase of the nurse-
client relationship.
B - Incorrect The nurse should introduce the client to other clients in the
day room to help the client interact with others during the working phase
of the nurse-client relationship. However, evidence-based practice
indicates that the nurse should take a different action first.
C. INCORRECT The nurse should assist the client with behavioral
change during the working phase of the nurse-client relationship.
,However, evidence-based practice indicates that the nurse should take a
different action first.
D. Incorrect The nurse should determine what coping strategies the
client used in the past during the working phase of the nurse-client
relationship. However, evidence-based practice indicates that the nurse
should take a different action first.
⫸ A nurse is performing a cognitive assessment to distinguish delirium
form dementia in a client whose family reports episodes of confusion.
Which of the following assessment findings supports the nurse's
suspicion of delirium?
A. Slow onset
B. Aphasia
C. Confabulation
D. Easily distracted Answer: D - CORRECT
- Extreme distractibility is a hallmark manifestation of delirium.
A - INCORRECT
Delirium has an acute onset. Dementia is a slow, progressive decline.
B. INCORRECT
Aphasia is a manifestation of dementia
C. INCORRECT
Confabulation is a manifestation of dementia.
,⫸ A nurse is caring for an older adult client who is experiencing
delirium. Which of the following interventions should the nurse include
in the client's plan of care?
A. Offer the client various choices for meal selection
B. Assign different nursing personnel for each shift
C. Permit the client to perform daily rituals to decrease anxiety
D. Maintain an environment that has low lighting Answer: C -
CORRECT
The nurse should provide a client who has delirium with a plan of care
that decreases agitation and anxiety by permitting the client to perform
daily rituals.
A- INCORRECT
The nurse should provide a client who has delirium with a plan of care
that decreases agitation and anxiety by limiting the choices the client is
asked to make.
B - The nurse should provide a client who has delirium with a plan of
care that decreases agitation and anxiety by providing consistent nursing
personnel.
D - The nurse should provide a client who has delirium with a plan of
care that decreases agitation and anxiety by providing a well-lit
environment.
⫸ A nurse is planning care for a client who has bipolar disorder and is
experiencing mania. Which of the following interventions should the
nurse include in the plan of care?
, A. Encourage the client to participate in group therapy
B. Instruct the client to avoid napping during the day
C. Offer the client high-calorie finger foods frequently
D. Decrease the client's daily fiber intake Answer: C - CORRECT
The nurse should frequently offer the client high-calorie foods that can
be eaten while the client is on the go. Clients experiencing mania might
be unable to sit down for meals and can experience weight loss and
dehydration.
A - INCORRECT
The nurse should maintain a low-stimuli environment for a client who is
experiencing mania. The nurse should dim the lights, decrease noise, and
limit the number of people the client is around.
B - The nurse should encourage the client to take frequent rest periods
throughout the day. Clients experiencing mania are at risk of exhaustion
that can be life threatening.
D - The nurse should encourage the client to eat foods and snacks that
are high in fiber. Clients experiencing mania can experience dehydration
and nutritional deficiencies from decreased intake, which can lead to
constipation.
⫸ A nurse is teaching the partner of a client who has bipolar disorder
how to identify acute mania. Which of the following findings should the
client's partner report to the provider?
A. Obsessive attention to detail
