ATI Mental Health Proctored
Exam
1. The client is responsive and able to fully respond by opening
their eyes and attending to a normal tone of voice and speech.
What is the level of consciousness?: Alert
2. The client is able to open their eyes and respond but is
drowsy and falls asleep readily. What is the level of
consciousness?: Lethargic
3. The client requires vigorous or painful stimuli (pinching a tendon
or rubbing the sternum) to elicit a brief response. They might not
be able to respond verbally. What is the level of consciousness?:
Stuporous
4. The client is unconscious and does not respond to painful
stimuli. What is the level of consciousness?: Comatose
5. How to test a client's immediate memory: Ask the client to repeat a series of
numbers or a list of objects
6. How to test a client's recent memory: Ask the client to recall recent events, such as
visitors from the current day, or the purpose of the current mental health appointment or admission
7. How to test a client's remote memory: Ask the client to state a fact from his past that
is verifiable, such as his birth date or his mother's maiden name
8. How to assess a client's ability to calculate: Ask the client to count backward
from 100 in sevens
9. How to assess a client's ability to think abstractly: Ask the client to
interpret something complex such as, "A bird in the hand is worth two in the bush."
10. Glasgow coma scale: Used to obtain a baseline assessment of a client's level of
consciousness; highest score is 15 and indicates that the client is awake and responding
appropriately; a score of 7 or less indicates that the client is in a coma
11. Serious mental illness: Includes disorders classified as severe and persistent
mental illnesses; clients
often have diflculty with ADLs; can be chronic or recurrent
12. A charge nurse is discussing mental status exams with a
newly licensed nurse. Which of the following statements by the
newly licensed nurse indi-cates an understanding of the teaching?
(Select all that apply)
, ATI Mental Health Proctored
Exam
A. "To assess cognitive ability, I should ask the client to count
backward by sevens."
B. "To assess affect, I should observe the client's facial expression."
, ATI Mental Health Proctored
Exam
C. "To assess language ability, I should instruct the client to write a
sentence."
D."To assess remote memory, I should have the client repeat a list
of objects."
E. "To assess the client's abstract thinking, I should ask the client to
identify our most recent presidents.": A. Counting backward by sevens is an
appropriate technique to assess a client's cognitive ability.
B. Observing a client's facial expression is appropriate when assessing attect.
C. Writing a sentence is an indication of language ability.
Remote language is tested by asking the client to state a fact from his past that his verifiable (date of
birth). Abstract thinking is tested by asking the client to interpret something.
13. A nurse is planning care for a client who has a mental health
disorder.
Which of the following actions should the nurse include as a
psychobiological intervention?
A. Assist the client with systematic desensitization therapy.
B. Teach the client appropriate coping mechanisms.
C. Assess the client for comorbid health conditions.
D.Monitor the client for adverse effects of the medications.: D.
Monitoring for adverse ettects of medications is an example of a psychobiological intervention.
Systematic desensitization is cognitive and behavioral. Teaching coping mechanisms is a counseling or
health teaching. Assessing for comorbid conditions is health promotion and maintenance.
14. A nurse in an outpatient mental health clinic is preparing to
conduct an
initial client interview. When conducting the interview, which of the
following actions should the nurse identify as the priority?
A. Coordinate holistic care with social services.
B. Identify the client's perception of her mental health status.
, ATI Mental Health Proctored
Exam
C. Include the client's family in the interview.
D. Teach the client about her current mental health disorder.: B.
Assessment is the
Exam
1. The client is responsive and able to fully respond by opening
their eyes and attending to a normal tone of voice and speech.
What is the level of consciousness?: Alert
2. The client is able to open their eyes and respond but is
drowsy and falls asleep readily. What is the level of
consciousness?: Lethargic
3. The client requires vigorous or painful stimuli (pinching a tendon
or rubbing the sternum) to elicit a brief response. They might not
be able to respond verbally. What is the level of consciousness?:
Stuporous
4. The client is unconscious and does not respond to painful
stimuli. What is the level of consciousness?: Comatose
5. How to test a client's immediate memory: Ask the client to repeat a series of
numbers or a list of objects
6. How to test a client's recent memory: Ask the client to recall recent events, such as
visitors from the current day, or the purpose of the current mental health appointment or admission
7. How to test a client's remote memory: Ask the client to state a fact from his past that
is verifiable, such as his birth date or his mother's maiden name
8. How to assess a client's ability to calculate: Ask the client to count backward
from 100 in sevens
9. How to assess a client's ability to think abstractly: Ask the client to
interpret something complex such as, "A bird in the hand is worth two in the bush."
10. Glasgow coma scale: Used to obtain a baseline assessment of a client's level of
consciousness; highest score is 15 and indicates that the client is awake and responding
appropriately; a score of 7 or less indicates that the client is in a coma
11. Serious mental illness: Includes disorders classified as severe and persistent
mental illnesses; clients
often have diflculty with ADLs; can be chronic or recurrent
12. A charge nurse is discussing mental status exams with a
newly licensed nurse. Which of the following statements by the
newly licensed nurse indi-cates an understanding of the teaching?
(Select all that apply)
, ATI Mental Health Proctored
Exam
A. "To assess cognitive ability, I should ask the client to count
backward by sevens."
B. "To assess affect, I should observe the client's facial expression."
, ATI Mental Health Proctored
Exam
C. "To assess language ability, I should instruct the client to write a
sentence."
D."To assess remote memory, I should have the client repeat a list
of objects."
E. "To assess the client's abstract thinking, I should ask the client to
identify our most recent presidents.": A. Counting backward by sevens is an
appropriate technique to assess a client's cognitive ability.
B. Observing a client's facial expression is appropriate when assessing attect.
C. Writing a sentence is an indication of language ability.
Remote language is tested by asking the client to state a fact from his past that his verifiable (date of
birth). Abstract thinking is tested by asking the client to interpret something.
13. A nurse is planning care for a client who has a mental health
disorder.
Which of the following actions should the nurse include as a
psychobiological intervention?
A. Assist the client with systematic desensitization therapy.
B. Teach the client appropriate coping mechanisms.
C. Assess the client for comorbid health conditions.
D.Monitor the client for adverse effects of the medications.: D.
Monitoring for adverse ettects of medications is an example of a psychobiological intervention.
Systematic desensitization is cognitive and behavioral. Teaching coping mechanisms is a counseling or
health teaching. Assessing for comorbid conditions is health promotion and maintenance.
14. A nurse in an outpatient mental health clinic is preparing to
conduct an
initial client interview. When conducting the interview, which of the
following actions should the nurse identify as the priority?
A. Coordinate holistic care with social services.
B. Identify the client's perception of her mental health status.
, ATI Mental Health Proctored
Exam
C. Include the client's family in the interview.
D. Teach the client about her current mental health disorder.: B.
Assessment is the
