ATI MENTAL HEALTH 2023 EXAM 1 WITH
QUESTIONS AND CORRECT ANSWERS
GRADED A+
A charge nurse is conducting a class on therapeutic communication with a group of
newly licensed nurses. Which of the following aspects of communication should the
nurse identify as a component of verbal communication?
A. Personal space
B. Posture
C. Eye contact
D. Intonation - ANS: D
A charge nurse is discussing the characteristics of a nurse-client relationship with a
newly licensed nurse. Which of the following characteristics should the nurse include in
the discussion? (Select all)
A. The needs of both participants are met
B. An emotional commitment exists between the participants
C. It is goal directed
D. Behavioral change is encouraged
E. A termination date is established - ANS: C, D, E
A charge nurse is discussing the mental status examinations with a newly licensed
nurse. Which of the following statements by the newly licensed nurse indicates an
understanding of the teaching? (Select all that apply)
A. To assess cognitive ability, i should ask the client to count backward by sevens
B. To assess affect, i should observe the clients facial expression
C. To assess language ability, i should instruct client to write a sentence
D. To assess remote memory, i should have the client repeat a list of objects
E. To assess the clients abstract thinking, i should ask the client to identify our most
recent presidents - ANS: A, B, C
A client tells a nurse "don't tell anyone but I hid a sharp knife under my mattress in order
to protect myself from my roommate who is always threatening me." Which of the
following actions should the nurse take?
A. Keep the clients communication confidential but talk to the client daily using
therapeutic communication to convince them to admit to hiding the knife
B. Keep the clients communication confidential but watch the client and their roommate
closely
,C. Tell the client that this must be reported to the health care team because it concerns
the health and safety of the client and others
D. Report the incident to the health care team but do not inform the client of the
intention to do so - ANS: C
A community mental health nurse is planning care to address the issue of depression
among older adult clients in the community. Which of the following interventions should
the nurse implement as a method of tertiary prevention?
A. Educating clients on health promotion techniques to reduce the risk of depression
B. Performing screenings for depression
C. Establishing rehabilitation programs to decrease the effects of depression
D. Providing support groups for clients at risk for depression - ANS: C
A nurse caring for a client who has anorexia nervosa. Which of the following examples
demonstrates the nurses use of interpersonal communication?
A. The nurse discusses the clients weight loss during a health care team meeting
B. The nurse examines their own personal feelings about clients who have anorexia
nervosa
C. The nurse asks the client about personal body image perception
D. The nurse presents an educational session about anorexia nervosa to a large group
of adolescents - ANS: C
A nurse decides to put a client who has a psychotic disorder in seclusion overnight
because the unit is very short staffed and the client frequently fights with other clients.
The nurses actions are an example of which of the following torts?
A. Invasion of privacy
B. False imprisonment
C. Assault
D. Battery - ANS: B
A nurse hears a newly licensed nurse discussing a clients hallucinations in the hallway
with another nurse. Which of the following actions should the nurse take first?
A. Notify the nurse manager
B. Tell the nurse to stop discussing the behavior
C. Provide an in-service program about confidentiality
D. Complete an incident report - ANS: B
A nurse in an acute mental health facility is assisting with discharge planning for a client
who has a sever mental illness and requires supervision. The clients partner works all
day but is home by late afternoon. Which of the following strategies should the nurse
suggest for follow up care?
A. Receiving daily care from a home health aide
B. Having a weekly visit from a nurse case worker
C. Attending a partial hospitalization program
D. Visiting a community mental heath center on a daily basis - ANS: C
, A nurse in an acute mental health facility is communicating with a client. The client
states "I can't sleep. I stay up all night". The nurse responds "you are having difficulty
sleeping?" Which of the following therapeutic communication techniques is the nurse
demonstrating?
A. Offering general leads
B. Summarizing
C. Focusing
D. Restating - ANS: D
A nurse in an acute mental health unit forms a group to focus on self management of
medications. At each of the meetings 2 of the members conspire together to exclude the
rest of the group. This is an example of which of the following concepts?
A. Triangulation
B. Group process
C. Subgroup
D. Hidden agenda - ANS: C
A nurse in an emergency mental health facility is caring for a group of clients. The nurse
should identify that which of the following clients requires a temporary emergency
admission?
A. A client who has schizophrenia with delusions of grandeur
B. A client who has manifestations of depression and attempted suicide a year ago
C. A client who has borderline personality disorder and assaulted a homeless man with
a metal rod
D. A client who has bipolar disorder and paces quickly around the room while talking to
themselves - ANS: C
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 their mental health status
C. Include the client's family in the interview
D. Teach the client about their current mental health disorder - ANS: B
A nurse in the working phase of a therapeutic relationship with a client who has
methamphetamine use disorder. Which of the following actions indicates transference
behavior?
A. The client asks the nurse if they will go out to dinner together
B. The client accuses the nurse of being controlling just like an ex-partner
C. The client reminds the nurse of a friend who died from substance toxicity
D. The client becomes angry and threatens to engage self harm - ANS: B
A nurse is assisting with systemic desensitization for a client who has an extreme fear
of elevators. Which of the following actions should the nurse implement with this form of
therapy?
QUESTIONS AND CORRECT ANSWERS
GRADED A+
A charge nurse is conducting a class on therapeutic communication with a group of
newly licensed nurses. Which of the following aspects of communication should the
nurse identify as a component of verbal communication?
A. Personal space
B. Posture
C. Eye contact
D. Intonation - ANS: D
A charge nurse is discussing the characteristics of a nurse-client relationship with a
newly licensed nurse. Which of the following characteristics should the nurse include in
the discussion? (Select all)
A. The needs of both participants are met
B. An emotional commitment exists between the participants
C. It is goal directed
D. Behavioral change is encouraged
E. A termination date is established - ANS: C, D, E
A charge nurse is discussing the mental status examinations with a newly licensed
nurse. Which of the following statements by the newly licensed nurse indicates an
understanding of the teaching? (Select all that apply)
A. To assess cognitive ability, i should ask the client to count backward by sevens
B. To assess affect, i should observe the clients facial expression
C. To assess language ability, i should instruct client to write a sentence
D. To assess remote memory, i should have the client repeat a list of objects
E. To assess the clients abstract thinking, i should ask the client to identify our most
recent presidents - ANS: A, B, C
A client tells a nurse "don't tell anyone but I hid a sharp knife under my mattress in order
to protect myself from my roommate who is always threatening me." Which of the
following actions should the nurse take?
A. Keep the clients communication confidential but talk to the client daily using
therapeutic communication to convince them to admit to hiding the knife
B. Keep the clients communication confidential but watch the client and their roommate
closely
,C. Tell the client that this must be reported to the health care team because it concerns
the health and safety of the client and others
D. Report the incident to the health care team but do not inform the client of the
intention to do so - ANS: C
A community mental health nurse is planning care to address the issue of depression
among older adult clients in the community. Which of the following interventions should
the nurse implement as a method of tertiary prevention?
A. Educating clients on health promotion techniques to reduce the risk of depression
B. Performing screenings for depression
C. Establishing rehabilitation programs to decrease the effects of depression
D. Providing support groups for clients at risk for depression - ANS: C
A nurse caring for a client who has anorexia nervosa. Which of the following examples
demonstrates the nurses use of interpersonal communication?
A. The nurse discusses the clients weight loss during a health care team meeting
B. The nurse examines their own personal feelings about clients who have anorexia
nervosa
C. The nurse asks the client about personal body image perception
D. The nurse presents an educational session about anorexia nervosa to a large group
of adolescents - ANS: C
A nurse decides to put a client who has a psychotic disorder in seclusion overnight
because the unit is very short staffed and the client frequently fights with other clients.
The nurses actions are an example of which of the following torts?
A. Invasion of privacy
B. False imprisonment
C. Assault
D. Battery - ANS: B
A nurse hears a newly licensed nurse discussing a clients hallucinations in the hallway
with another nurse. Which of the following actions should the nurse take first?
A. Notify the nurse manager
B. Tell the nurse to stop discussing the behavior
C. Provide an in-service program about confidentiality
D. Complete an incident report - ANS: B
A nurse in an acute mental health facility is assisting with discharge planning for a client
who has a sever mental illness and requires supervision. The clients partner works all
day but is home by late afternoon. Which of the following strategies should the nurse
suggest for follow up care?
A. Receiving daily care from a home health aide
B. Having a weekly visit from a nurse case worker
C. Attending a partial hospitalization program
D. Visiting a community mental heath center on a daily basis - ANS: C
, A nurse in an acute mental health facility is communicating with a client. The client
states "I can't sleep. I stay up all night". The nurse responds "you are having difficulty
sleeping?" Which of the following therapeutic communication techniques is the nurse
demonstrating?
A. Offering general leads
B. Summarizing
C. Focusing
D. Restating - ANS: D
A nurse in an acute mental health unit forms a group to focus on self management of
medications. At each of the meetings 2 of the members conspire together to exclude the
rest of the group. This is an example of which of the following concepts?
A. Triangulation
B. Group process
C. Subgroup
D. Hidden agenda - ANS: C
A nurse in an emergency mental health facility is caring for a group of clients. The nurse
should identify that which of the following clients requires a temporary emergency
admission?
A. A client who has schizophrenia with delusions of grandeur
B. A client who has manifestations of depression and attempted suicide a year ago
C. A client who has borderline personality disorder and assaulted a homeless man with
a metal rod
D. A client who has bipolar disorder and paces quickly around the room while talking to
themselves - ANS: C
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 their mental health status
C. Include the client's family in the interview
D. Teach the client about their current mental health disorder - ANS: B
A nurse in the working phase of a therapeutic relationship with a client who has
methamphetamine use disorder. Which of the following actions indicates transference
behavior?
A. The client asks the nurse if they will go out to dinner together
B. The client accuses the nurse of being controlling just like an ex-partner
C. The client reminds the nurse of a friend who died from substance toxicity
D. The client becomes angry and threatens to engage self harm - ANS: B
A nurse is assisting with systemic desensitization for a client who has an extreme fear
of elevators. Which of the following actions should the nurse implement with this form of
therapy?
