ATI Mental Health Proctored Exam
Review Questions and Answers
1. 27. A nurse is preparing to implement cognitive reframing techniques for a client who
has an anxiety disorder. Which of the following techniques should the nurse include in
the plan of care? (Select all that apply) - ANS--Priority restructuring
-Monitoring thoughts
-Journal keeping
2. A charge nurse is discussing manifestations of schizophrenia with a newly licensed
nurse. Which of the following manifestations should the charge nurse identify as being
effectively treated by first generation antipsychotics? (Select all that apply) - ANS-A.
Auditory hallucinations
C. Delusions of grandeur
D. Severe agitation
3. A charge nurse is discussing mental status exams 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). - ANS--To assess cognitive ability, I should ask the
client to count backward by sevens."
-To assess affect, I should observe the client's facial expression.
-To assess language ability, I should instruct the client to write a sentence."
4. A charge nurse is discussing mirtazapine with a newly licensed nurse. Which of the
following statements by the newly licensed nurse indicates understanding? - ANS-This
medication increase the release of serotonin and norepinephrine"
5. A charge nurse is discussing the care of a client who has MDD with a newly licensed
nurse. Which of the following statements by the newly licensed nurse indicates an
understanding of the teaching? - ANS-The client is at greatest risk for suicide during
the first weeks of an MDD episode.
6. 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 that apply) - ANS--It is goal-directed.
-Behavioral change is encouraged.
-A termination date is established.
7. A charge nurse is discussing TMS with a newly licensed nurse. Which of the following
statements by the newly licensed nurse indicates an understanding of the teaching? -
ANS-"I will schedule the client for daily TMS treatments for the first several
weeks."
8. A charge nurse is leading a peer group discussion about family and community violence.
Which of the following statements by a member of the group indicates an understanding
, of the teaching? - ANS-Pregnancy increases the risk for violence toward the
intimate partner."
9. A charge nurse is preparing a staff education session on personality disorders. Which of
the following personality characteristics associated with all of the personality disorders
should the charge nurse include in the teaching? (Select all that apply) - ANS-A.
Difficulty in getting along with other members of a group
C. Display of defense mechanisms when routines are changed
E. Difficulty understanding why it is inappropriate to have a personal relationship
with staff
10.A charge nurse is reviewing Kugler-Ross: Five Stages of Grief with a group of newly
licensed nurses. Which of the following stages should the charge nurse include in the
teaching? (Select all that apply) - ANS-B. Denial
C. Bargaining
D. Anger
E. Depression
11.A client says she is experiencing increased stress because her significant other is
"pressuring me and my kids to go live with him. I love him, but I'm not ready to do that."
Which of the following recommendations should the nurse make to promote a change in
the client's situation? - ANS-Use assertiveness techniques
12.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 yelling at me and threatening
me." Which of the following actions should the nurse take? - ANS-Report the incident
to the health care team, but do not inform the client of the intention to do so.
13.A community health nurse is leading a discussion about rape with a neighborhood task
force. Which of the following statements by a neighborhood citizen indicates an
understanding of the teaching? - ANS-Acquaintance rape often involves alcohol."
14.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 plan as a method of tertiary prevention? - ANS-Establishing rehabilitation
programs to decrease the effects of depression
15.A home health nurse is making a visit to a client who has Alzheimer's disease to assess
the home for safety. Which of the following suggestions should the nurse make to
decrease the client's risk for injury? (Select all that apply) - ANS-A. Install childproof
door locks.
D. Place the client's mattress on the floor.
E. Install light fixtures above stairs.
16.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 nurse's actions are an example of which of the following torts? - ANS-False
imprisonment
17.A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway
with another nurse. Which of the following actions should the nurse take first? - ANS-Tell
the nurse to stop discussing the behavior
, 18.A nurse in a long-term care facility is caring for a client who has major neurocognitive
disorder and attempts to wander out of the building. The client states, "I have to get
home." Which of the following statements should the nurse make? - ANS-I am your
nurse. Let's walk together to your room."
19.A nurse in a pediatric clinic is caring for a preschool-age child who has a new diagnosis
of ADHD. When teaching the parent about this disorder, which of the following
statements should the nurse include in the teaching? - ANS-Because of this disorder,
your child is at increased risk for injury."
20.A nurse in an acute mental health facility is assisting with discharge planning for a client
who has a severe mental illness and requires supervision much of the time. The client's
wife works all day but is home by late afternoon. Which of the following strategies should
the nurse suggest as appropriate follow-up care? - ANS-Attending a partial
hospitalization program
21.A nurse in an acute mental health facility is caring for a client who has bipolar disorder.
Which of the following is the priority nursing action? - ANS-Monitor the client for
escalating behavior
22.A nurse in an acute mental health facility is planning care for a client who has
dissociative fugue. Which of the following interventions should the nurse add to the plan
of care? - ANS-Work with the client on grounding techniques
23.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? - ANS-A client who has borderline personality disorder and assaulted a
homeless man with a metal rod
24.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? - ANS-Identify the client's perception of her mental health
status.
25.A nurse is admitting a client who has a new diagnosis of bipolar disorder and is
scheduled to begin lithium therapy. When collecting a medical history from the client's
adult daughter, which of the following statements is the priority to report to the provider?
- ANS-My mother is currently on furosemide for her congestive heart failure."
26.A nurse is assessing a 4-year-old child for indications of autism spectrum disorder. For
which of the following manifestations should the nurse assess? - ANS-Repetitive
counting
27.A nurse is assessing a client 4 hr after receiving an initial dose of fluoxetine. Which of
the following findings should the nurse report to the provider as indications of serotonin
syndrome? (Select all that apply) - ANS-B. Hallucinations
D. Diaphoresis
E. Agitation
28.A nurse is assessing a client immediately following an ECT procedure. Which of the
following findings should the nurse expect? (Select all that apply) - ANS-C. Memory
loss
D. Nausea
E. Confusion
Review Questions and Answers
1. 27. A nurse is preparing to implement cognitive reframing techniques for a client who
has an anxiety disorder. Which of the following techniques should the nurse include in
the plan of care? (Select all that apply) - ANS--Priority restructuring
-Monitoring thoughts
-Journal keeping
2. A charge nurse is discussing manifestations of schizophrenia with a newly licensed
nurse. Which of the following manifestations should the charge nurse identify as being
effectively treated by first generation antipsychotics? (Select all that apply) - ANS-A.
Auditory hallucinations
C. Delusions of grandeur
D. Severe agitation
3. A charge nurse is discussing mental status exams 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). - ANS--To assess cognitive ability, I should ask the
client to count backward by sevens."
-To assess affect, I should observe the client's facial expression.
-To assess language ability, I should instruct the client to write a sentence."
4. A charge nurse is discussing mirtazapine with a newly licensed nurse. Which of the
following statements by the newly licensed nurse indicates understanding? - ANS-This
medication increase the release of serotonin and norepinephrine"
5. A charge nurse is discussing the care of a client who has MDD with a newly licensed
nurse. Which of the following statements by the newly licensed nurse indicates an
understanding of the teaching? - ANS-The client is at greatest risk for suicide during
the first weeks of an MDD episode.
6. 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 that apply) - ANS--It is goal-directed.
-Behavioral change is encouraged.
-A termination date is established.
7. A charge nurse is discussing TMS with a newly licensed nurse. Which of the following
statements by the newly licensed nurse indicates an understanding of the teaching? -
ANS-"I will schedule the client for daily TMS treatments for the first several
weeks."
8. A charge nurse is leading a peer group discussion about family and community violence.
Which of the following statements by a member of the group indicates an understanding
, of the teaching? - ANS-Pregnancy increases the risk for violence toward the
intimate partner."
9. A charge nurse is preparing a staff education session on personality disorders. Which of
the following personality characteristics associated with all of the personality disorders
should the charge nurse include in the teaching? (Select all that apply) - ANS-A.
Difficulty in getting along with other members of a group
C. Display of defense mechanisms when routines are changed
E. Difficulty understanding why it is inappropriate to have a personal relationship
with staff
10.A charge nurse is reviewing Kugler-Ross: Five Stages of Grief with a group of newly
licensed nurses. Which of the following stages should the charge nurse include in the
teaching? (Select all that apply) - ANS-B. Denial
C. Bargaining
D. Anger
E. Depression
11.A client says she is experiencing increased stress because her significant other is
"pressuring me and my kids to go live with him. I love him, but I'm not ready to do that."
Which of the following recommendations should the nurse make to promote a change in
the client's situation? - ANS-Use assertiveness techniques
12.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 yelling at me and threatening
me." Which of the following actions should the nurse take? - ANS-Report the incident
to the health care team, but do not inform the client of the intention to do so.
13.A community health nurse is leading a discussion about rape with a neighborhood task
force. Which of the following statements by a neighborhood citizen indicates an
understanding of the teaching? - ANS-Acquaintance rape often involves alcohol."
14.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 plan as a method of tertiary prevention? - ANS-Establishing rehabilitation
programs to decrease the effects of depression
15.A home health nurse is making a visit to a client who has Alzheimer's disease to assess
the home for safety. Which of the following suggestions should the nurse make to
decrease the client's risk for injury? (Select all that apply) - ANS-A. Install childproof
door locks.
D. Place the client's mattress on the floor.
E. Install light fixtures above stairs.
16.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 nurse's actions are an example of which of the following torts? - ANS-False
imprisonment
17.A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway
with another nurse. Which of the following actions should the nurse take first? - ANS-Tell
the nurse to stop discussing the behavior
, 18.A nurse in a long-term care facility is caring for a client who has major neurocognitive
disorder and attempts to wander out of the building. The client states, "I have to get
home." Which of the following statements should the nurse make? - ANS-I am your
nurse. Let's walk together to your room."
19.A nurse in a pediatric clinic is caring for a preschool-age child who has a new diagnosis
of ADHD. When teaching the parent about this disorder, which of the following
statements should the nurse include in the teaching? - ANS-Because of this disorder,
your child is at increased risk for injury."
20.A nurse in an acute mental health facility is assisting with discharge planning for a client
who has a severe mental illness and requires supervision much of the time. The client's
wife works all day but is home by late afternoon. Which of the following strategies should
the nurse suggest as appropriate follow-up care? - ANS-Attending a partial
hospitalization program
21.A nurse in an acute mental health facility is caring for a client who has bipolar disorder.
Which of the following is the priority nursing action? - ANS-Monitor the client for
escalating behavior
22.A nurse in an acute mental health facility is planning care for a client who has
dissociative fugue. Which of the following interventions should the nurse add to the plan
of care? - ANS-Work with the client on grounding techniques
23.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? - ANS-A client who has borderline personality disorder and assaulted a
homeless man with a metal rod
24.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? - ANS-Identify the client's perception of her mental health
status.
25.A nurse is admitting a client who has a new diagnosis of bipolar disorder and is
scheduled to begin lithium therapy. When collecting a medical history from the client's
adult daughter, which of the following statements is the priority to report to the provider?
- ANS-My mother is currently on furosemide for her congestive heart failure."
26.A nurse is assessing a 4-year-old child for indications of autism spectrum disorder. For
which of the following manifestations should the nurse assess? - ANS-Repetitive
counting
27.A nurse is assessing a client 4 hr after receiving an initial dose of fluoxetine. Which of
the following findings should the nurse report to the provider as indications of serotonin
syndrome? (Select all that apply) - ANS-B. Hallucinations
D. Diaphoresis
E. Agitation
28.A nurse is assessing a client immediately following an ECT procedure. Which of the
following findings should the nurse expect? (Select all that apply) - ANS-C. Memory
loss
D. Nausea
E. Confusion
