ATI RN Mental Health Online Practice
2023 A & B 100 % Pass Guarantee No
Retake Updated 2026
A client who has a recent diagnosis of bipolar disorder is placed in a room with a
client who has severe depression. The client who has depression reports to the
nurse, "My roommate never sleeps and keeps me up, too." Which of the following
actions should the nurse take?
1. Move the client who has bipolar disorder to a private room.
2. Administer sleep medication to the client who has bipolar disorder.
3. Move the client who has severe depression to a private room.
4. Administer sleep medication to the client who has severe depression. - CORRECT
ANSWER-Correct = 1. Move the client who has bipolar disorder to a private room.
Clients who have bipolar disorder can disrupt the therapeutic milieu for other clients.
Therefore, the nurse should move this client to a private room.
*Clients who have severe depression are often at risk for self-harm and feel isolated.
Therefore, the nurse should not move this client to a private room.
A nurse in a clinic is assessing a client whose partner died 4 months ago. Which of
the follow statements indicates that the client is at risk for complicated grief?
1. "I wish I had been nicer and more generous with my wife before she died."
2. "I told my wife to go to the doctor, but she wouldn't listen to me."
3. "I think about my wife all the time when I go on outings with my family."
4. "I feel so empty without my wife that it's hard to get up every morning." -
CORRECT ANSWER-Correct = 4. "I feel so empty without my wife that it's hard to
get up every morning."
The nurse should identify that when a client has difficulty carrying on normal
activities following a loss, this is an indication that there is a risk for complicated
grief.
*Guilt, Anger, and Preoccupation with the Deceased are all expected findings of
Grief
A nurse in a community health center is counseling a family of two parents and two
children. Which of the following statements by a family member indicates
manipulative behavior?
1. "If you do my homework for me, I won't bother you for the rest of the day."
2. "Mom is always upset."
3. "It's not the children's fault. It's mine."
,4. "It's your fault that we're having problems as a family." - CORRECT ANSWER-
Correct = 1. "If you do my homework for me, I won't bother you for the rest of the
day."
This is an example of manipulative behavior. It is an example of manipulation when
the family member uses a behavior to get what they desire rather than directly
asking for what they want.
A nurse in a community health center is teaching families of clients who have post
traumatic stress disorder (PTSD) about expected clinical manifestations. Which of
the following manifestations should the nurse include?
1. Repeatedly talks about the traumatic incident
2. Sleeps excessively
3. Experiences feelings of isolation
4. Uses repetitive speech - CORRECT ANSWER-Correct = 3. Experiences feelings
of isolation
The nurse should expect clients who have PTSD to feel estranged/detached from
others, avoid discussing the traumatic event, have difficulty sleeping, hypervigilance,
and verbal aggression
A nurse in a community health center is working with a group of clients who have
post traumatic stress disorder. Which of the following interventions should the nurse
include to reduce anxiety among the group members?
1. Response prevention
2. Guided imagery
3. Aversion therapy
4. Light therapy - CORRECT ANSWER-Correct = 2. Guided imagery
Guided imagery involves assisting the client to imagine a restful and safe place. This
method is effective in reducing anxiety in clients who have post-traumatic stress
disorder.
*Response Prevention = Used in the treatment of Compulsive Behavior
*Aversion Therapy = A negative feedback method used to treat Alcohol Use
Disorder, Violent Behavior, and Self Mutilation
*Light Therapy = Used in the treatment of Seasonal Affective Disorder
A nurse in a mental health facility is caring for a client who requires the use of
restraints. Which of the following actions should the nurse take when caring for the
client?
1. Complete written documentation every 60 min.
2. Request a PRN prescription for restraints after the client has been reintegrated to
the unit.
3. Renew prescription for restraints every 48 hr.
4. Ensure a staff member checks on the client every 15 min. - CORRECT ANSWER-
Correct = 4. Ensure a staff member checks on the client every 15 min.
,When caring for a client who is in restraints, the nurse should complete written
documentation per facility policy, usually every 15 min. The nurse should assess the
client's needs for hydration and elimination and monitor the circulation in the
extremities every 15 min and document these interventions.
*Orders for restrains cannot be written on an "as needed" (PRN) basis.
*A renewal prescription for restraints is completed every 24 hr.
A nurse in a provider's office is collecting a health history from the guardian of a
school age child who has been taking atomoxetine. Which of the following adverse
effects reported by the guardian is the priority for the nurse to report to the provider?
1. Reduced appetite
2. Fatigue
3. Dark urine
4. Sweating - CORRECT ANSWER-Correct = 3. Dark urine
The greatest risk for the child is liver damage from atomoxetine, which can progress
to liver failure and death. Therefore, this is the nurse's priority finding.
A nurse in an inpatient mental health facility is caring for a client. The client begins
pacing with their fists clenched and is verbally abusing the staff. Which of the
following actions should the nurse take?
1. Place the client in mechanical restraints.
2. Ensure security personnel are available in the background to assist if the client's
behavior escalates.
3. Ask the client, "Why are you so upset?"
4. Remain within arms length of the client in case they need to be quickly removed
from the room. - CORRECT ANSWER-Correct = 2. Ensure security personnel are
available in the background to assist if the client's behavior escalates.
The nurse should attempt to de-escalate the situation using less restrictive
techniques, such as therapeutic communication, decreasing stimulation, or
pharmacological measures. The client is exhibiting manifestations of anger and
agitation that often precede a violent event. While the nurse should attempt to de-
escalate the situation, safety measures should be in place. The nurse should verify
that assistance is available if the client becomes violent. Security should be kept out
of the client's line of sight until they are needed to avoid escalating the situation.
A nurse in the emergency department is caring for a client who has alcohol toxicity
and is unresponsive. Which of the following interventions should the nurse take?
1. Gather supplies for endotracheal intubation.
2. Administer a beta blocker intravenously.
3. Position the client in a low-Fowler's position.
4. Place a cooling blanket over the client. - CORRECT ANSWER-Correct = 1. Gather
supplies for endotracheal intubation.
, Expected findings of alcohol toxicity include; Respiratory Depression, Hypotension,
Cool Skin
*Aspiration of emesis is a potential risk for a client. The nurse should implement
measures to reduce the risk of aspiration of emesis for a client who has alcohol
poisoning. Low-Fowler's position can increase the client's risk for aspiration.
A nurse is admitting a client who has anorexia nervosa and is at 60% of their ideal
body weight. Which of the following interventions should the nurse include in the plan
of care?
1. Encourage the client to drink 125 mL of fluid each hour while awake.
2. Allow the client to eat independently in their room.
3. Weigh the client twice weekly.
4. Measure the client's vital signs once each day. - CORRECT ANSWER-Correct =
1. Encourage the client to drink 125 mL of fluid each hour while awake.
The nurse should encourage the client to drink 125 mL of fluid each waking hour to
maintain hydration. The nurse should remain with the client during meals to prevent
the client from purging or hiding food in clothing. For the first week of treatment, the
nurse should weigh the client daily upon waking, after voiding, and before having
anything to drink or eat. Initially, the nurse should measure the client's vital signs
three times each day until the client's weight increases and cardiovascular status
improves.
A nurse is assessing a client for risk factors for the development of depression. The
nurse should identify that which of the following factors places the client at an
increased risk for depression?
1. The client is married.
2. The client has recently been promoted at work.
3. The client has COPD.
4. The client was assigned male at birth. - CORRECT ANSWER-Correct = 3. The
client has COPD.
The nurse should identify that clients who have a chronic medical illness, who are
assigned female at birth, who are single, and the presence of a negative life event
are at an increased risk for the development of depression.
A nurse is assessing a client who has borderline personality disorder. Which of the
following findings should the nurse expect?
1. Emotional lability
2. Self-sacrificing
3. Suspicious of others
4. Grandiosity - CORRECT ANSWER-Correct = 1. Emotional Lability
Emotional lability is the rapid transition from one emotion to another and is a primary
feature of borderline personality disorder. Clients who have borderline personality
2023 A & B 100 % Pass Guarantee No
Retake Updated 2026
A client who has a recent diagnosis of bipolar disorder is placed in a room with a
client who has severe depression. The client who has depression reports to the
nurse, "My roommate never sleeps and keeps me up, too." Which of the following
actions should the nurse take?
1. Move the client who has bipolar disorder to a private room.
2. Administer sleep medication to the client who has bipolar disorder.
3. Move the client who has severe depression to a private room.
4. Administer sleep medication to the client who has severe depression. - CORRECT
ANSWER-Correct = 1. Move the client who has bipolar disorder to a private room.
Clients who have bipolar disorder can disrupt the therapeutic milieu for other clients.
Therefore, the nurse should move this client to a private room.
*Clients who have severe depression are often at risk for self-harm and feel isolated.
Therefore, the nurse should not move this client to a private room.
A nurse in a clinic is assessing a client whose partner died 4 months ago. Which of
the follow statements indicates that the client is at risk for complicated grief?
1. "I wish I had been nicer and more generous with my wife before she died."
2. "I told my wife to go to the doctor, but she wouldn't listen to me."
3. "I think about my wife all the time when I go on outings with my family."
4. "I feel so empty without my wife that it's hard to get up every morning." -
CORRECT ANSWER-Correct = 4. "I feel so empty without my wife that it's hard to
get up every morning."
The nurse should identify that when a client has difficulty carrying on normal
activities following a loss, this is an indication that there is a risk for complicated
grief.
*Guilt, Anger, and Preoccupation with the Deceased are all expected findings of
Grief
A nurse in a community health center is counseling a family of two parents and two
children. Which of the following statements by a family member indicates
manipulative behavior?
1. "If you do my homework for me, I won't bother you for the rest of the day."
2. "Mom is always upset."
3. "It's not the children's fault. It's mine."
,4. "It's your fault that we're having problems as a family." - CORRECT ANSWER-
Correct = 1. "If you do my homework for me, I won't bother you for the rest of the
day."
This is an example of manipulative behavior. It is an example of manipulation when
the family member uses a behavior to get what they desire rather than directly
asking for what they want.
A nurse in a community health center is teaching families of clients who have post
traumatic stress disorder (PTSD) about expected clinical manifestations. Which of
the following manifestations should the nurse include?
1. Repeatedly talks about the traumatic incident
2. Sleeps excessively
3. Experiences feelings of isolation
4. Uses repetitive speech - CORRECT ANSWER-Correct = 3. Experiences feelings
of isolation
The nurse should expect clients who have PTSD to feel estranged/detached from
others, avoid discussing the traumatic event, have difficulty sleeping, hypervigilance,
and verbal aggression
A nurse in a community health center is working with a group of clients who have
post traumatic stress disorder. Which of the following interventions should the nurse
include to reduce anxiety among the group members?
1. Response prevention
2. Guided imagery
3. Aversion therapy
4. Light therapy - CORRECT ANSWER-Correct = 2. Guided imagery
Guided imagery involves assisting the client to imagine a restful and safe place. This
method is effective in reducing anxiety in clients who have post-traumatic stress
disorder.
*Response Prevention = Used in the treatment of Compulsive Behavior
*Aversion Therapy = A negative feedback method used to treat Alcohol Use
Disorder, Violent Behavior, and Self Mutilation
*Light Therapy = Used in the treatment of Seasonal Affective Disorder
A nurse in a mental health facility is caring for a client who requires the use of
restraints. Which of the following actions should the nurse take when caring for the
client?
1. Complete written documentation every 60 min.
2. Request a PRN prescription for restraints after the client has been reintegrated to
the unit.
3. Renew prescription for restraints every 48 hr.
4. Ensure a staff member checks on the client every 15 min. - CORRECT ANSWER-
Correct = 4. Ensure a staff member checks on the client every 15 min.
,When caring for a client who is in restraints, the nurse should complete written
documentation per facility policy, usually every 15 min. The nurse should assess the
client's needs for hydration and elimination and monitor the circulation in the
extremities every 15 min and document these interventions.
*Orders for restrains cannot be written on an "as needed" (PRN) basis.
*A renewal prescription for restraints is completed every 24 hr.
A nurse in a provider's office is collecting a health history from the guardian of a
school age child who has been taking atomoxetine. Which of the following adverse
effects reported by the guardian is the priority for the nurse to report to the provider?
1. Reduced appetite
2. Fatigue
3. Dark urine
4. Sweating - CORRECT ANSWER-Correct = 3. Dark urine
The greatest risk for the child is liver damage from atomoxetine, which can progress
to liver failure and death. Therefore, this is the nurse's priority finding.
A nurse in an inpatient mental health facility is caring for a client. The client begins
pacing with their fists clenched and is verbally abusing the staff. Which of the
following actions should the nurse take?
1. Place the client in mechanical restraints.
2. Ensure security personnel are available in the background to assist if the client's
behavior escalates.
3. Ask the client, "Why are you so upset?"
4. Remain within arms length of the client in case they need to be quickly removed
from the room. - CORRECT ANSWER-Correct = 2. Ensure security personnel are
available in the background to assist if the client's behavior escalates.
The nurse should attempt to de-escalate the situation using less restrictive
techniques, such as therapeutic communication, decreasing stimulation, or
pharmacological measures. The client is exhibiting manifestations of anger and
agitation that often precede a violent event. While the nurse should attempt to de-
escalate the situation, safety measures should be in place. The nurse should verify
that assistance is available if the client becomes violent. Security should be kept out
of the client's line of sight until they are needed to avoid escalating the situation.
A nurse in the emergency department is caring for a client who has alcohol toxicity
and is unresponsive. Which of the following interventions should the nurse take?
1. Gather supplies for endotracheal intubation.
2. Administer a beta blocker intravenously.
3. Position the client in a low-Fowler's position.
4. Place a cooling blanket over the client. - CORRECT ANSWER-Correct = 1. Gather
supplies for endotracheal intubation.
, Expected findings of alcohol toxicity include; Respiratory Depression, Hypotension,
Cool Skin
*Aspiration of emesis is a potential risk for a client. The nurse should implement
measures to reduce the risk of aspiration of emesis for a client who has alcohol
poisoning. Low-Fowler's position can increase the client's risk for aspiration.
A nurse is admitting a client who has anorexia nervosa and is at 60% of their ideal
body weight. Which of the following interventions should the nurse include in the plan
of care?
1. Encourage the client to drink 125 mL of fluid each hour while awake.
2. Allow the client to eat independently in their room.
3. Weigh the client twice weekly.
4. Measure the client's vital signs once each day. - CORRECT ANSWER-Correct =
1. Encourage the client to drink 125 mL of fluid each hour while awake.
The nurse should encourage the client to drink 125 mL of fluid each waking hour to
maintain hydration. The nurse should remain with the client during meals to prevent
the client from purging or hiding food in clothing. For the first week of treatment, the
nurse should weigh the client daily upon waking, after voiding, and before having
anything to drink or eat. Initially, the nurse should measure the client's vital signs
three times each day until the client's weight increases and cardiovascular status
improves.
A nurse is assessing a client for risk factors for the development of depression. The
nurse should identify that which of the following factors places the client at an
increased risk for depression?
1. The client is married.
2. The client has recently been promoted at work.
3. The client has COPD.
4. The client was assigned male at birth. - CORRECT ANSWER-Correct = 3. The
client has COPD.
The nurse should identify that clients who have a chronic medical illness, who are
assigned female at birth, who are single, and the presence of a negative life event
are at an increased risk for the development of depression.
A nurse is assessing a client who has borderline personality disorder. Which of the
following findings should the nurse expect?
1. Emotional lability
2. Self-sacrificing
3. Suspicious of others
4. Grandiosity - CORRECT ANSWER-Correct = 1. Emotional Lability
Emotional lability is the rapid transition from one emotion to another and is a primary
feature of borderline personality disorder. Clients who have borderline personality
