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ATI RN Mental Health Level 3 Proctored Exam 2023
with NGN All 70 Questions With Answers
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Q1. A client with schizophrenia tells the nurse, “The voices are telling me to hurt
myself.” Which response by the nurse is most therapeutic?
• A) “I don’t hear any voices. You are safe here.”
• B) “Tell me more about what the voices are saying.”
• C) “You need to ignore the voices and focus on me.”
• D) “Let me increase your medication so the voices will stop.”
✅ Correct Answer: B
Rationale: An open-ended statement that invites the client to share their
experience is therapeutic. It shows empathy and gathers essential information
about the command hallucination without agreeing or arguing.
Q2. A client with borderline personality disorder frequently manipulates staff.
Which action by the nurse is most effective in maintaining consistent
boundaries?
• A) Ignore the manipulative behavior to avoid confrontation.
• B) Allow the client to break unit rules if they are not harming anyone.
• C) Hold a team meeting to establish consistent expectations and
consequences.
• D) Transfer the client to another unit.
✅ Correct Answer: C
Rationale: Consistency among all staff members is essential when managing
manipulative behavior. A team meeting ensures everyone follows the same rules
and consequences, reducing the client’s ability to split staff.
Q3. A nurse is caring for a client who is suspicious and refusing to eat. Which
statement by the nurse is most appropriate?
• A) “You need to eat, or we will have to put you on a feeding tube.”
• B) “I understand you are concerned. Would you like to talk about it?”
• C) “The food is fine; everyone else is eating it.”
pg. 4
ATI RN Mental Health Level 3 Proctored Exam 2023
with NGN All 70 Questions With Answers
pg. 1
,2
pg. 2
,3
pg. 3
, 4
Q1. A client with schizophrenia tells the nurse, “The voices are telling me to hurt
myself.” Which response by the nurse is most therapeutic?
• A) “I don’t hear any voices. You are safe here.”
• B) “Tell me more about what the voices are saying.”
• C) “You need to ignore the voices and focus on me.”
• D) “Let me increase your medication so the voices will stop.”
✅ Correct Answer: B
Rationale: An open-ended statement that invites the client to share their
experience is therapeutic. It shows empathy and gathers essential information
about the command hallucination without agreeing or arguing.
Q2. A client with borderline personality disorder frequently manipulates staff.
Which action by the nurse is most effective in maintaining consistent
boundaries?
• A) Ignore the manipulative behavior to avoid confrontation.
• B) Allow the client to break unit rules if they are not harming anyone.
• C) Hold a team meeting to establish consistent expectations and
consequences.
• D) Transfer the client to another unit.
✅ Correct Answer: C
Rationale: Consistency among all staff members is essential when managing
manipulative behavior. A team meeting ensures everyone follows the same rules
and consequences, reducing the client’s ability to split staff.
Q3. A nurse is caring for a client who is suspicious and refusing to eat. Which
statement by the nurse is most appropriate?
• A) “You need to eat, or we will have to put you on a feeding tube.”
• B) “I understand you are concerned. Would you like to talk about it?”
• C) “The food is fine; everyone else is eating it.”
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