ATI MENTAL HEALTH 2023/2024 LATEST
UPDATE
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)
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
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. - ANS✔✔--A, B, C
A nurse is caring for a client who has a new prescription for disulfiram for treatment of
alcohol use disorder. The nurse informs the client that this medication can cause
nausea and vomiting if he drinks alcohol. Which of the following types of treatment is
this method an example?
A) Aversion therapy
B) Flooding
C) Biofeedback
D) Dialectical behavior therapy - ANS✔✔--A
A nurse is assisting with systematic 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?
A) Demonstrate riding in an elevator, and then ask the client to imitate the behavior
B) Advise the client to say "stop" out loud every time he begins to feel an anxiety
response related to an elevator
C) Gradually expose the client to an elevator while practicing relaxation techniques
D) Stay with the client in an elevator until his anxiety response diminishes - ANS✔✔--
C
A nurse wants to use democratic leadership with a group whose purpose is to learn
appropriate conflict resolution techniques. The nurse is correct in implementing this form
of group leadership when she demonstrates which of the following actions?
A) Observes group techniques without interfering with the group process
B) Discusses a technique and then directs members to practice the technique
C) Asks for group suggestions of techniques and then support discussion
D) Suggests techniques and asks group members to reflect on their use
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. - ANS✔✔--D
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.
C) Include the client's family in the interview.
D) Teach the client about her current mental health disorder - ANS✔✔--B
A nurse is told during change of shift report that a client is stuporous. When assessing
the client, which of the following findings should the nurse expect?
A) The client arouses briefly in response to a sternal rub.
B) The client has a glasgow coma scale score less than 7.
C) The client exhibits decorticate rigidity.
D) The client is alert but disoriented to time and place. - ANS✔✔--A
A nurse is planning a peer group about the DSM-5. Which of the following information is
appropriate to include in the discussion? (Select all that apply).
A) The DSM-5 includes client education handouts for mental health disorders.
B) The DSM-5 establishes diagnostic criteria for individual mental health disorders.
C) The DSM-5 indicates recommended pharmacological treatment for mental health
disorders.
D) The DSM-5 assists nurses in planning care for client's who have mental health
disorders.
E) The DSM-5 indicates expected assessment findings of mental health disorders. -
ANS✔✔--B, D, E
A nurse in an emergency mental health facility is caring for a group of clients. The nurse
A nurse is caring for a client who is in mechanical restraints. Which of the following
statements should the nurse include in the documentation? (Select all that apply)
A) Client ate most of his breakfast
B) Client was offered 8 oz of water every hr
C) Client shouted obscenities at assistive personnel
D) Client received chlorpromazine 15 mg by mouth at 1000
E) Client acted out after lunch - ANS✔✔--B, C, D
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?
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 is caring for the parents of a child who has demonstrated changes in behavior
and mood. When the mother of the child asks the nurse for reassurance about her son's
condition, which of the following responses should the nurse make?
A) I think your son is getting better. What have you noticed
B) I'm sure everything will be okay. It just takes time to heal
C) I'm not sure what's wrong. Have you asked the doctor about your concerns?
D) I understand you're concerned. Let's discuss what concerns you specifically -
ANS✔✔--D
A nurse is caring for a client who smokes and has lung cancer. The client reports, "I'm
coughing because I have that cold that everyone has been getting." The nurse should
identify that the client is using which of the following defense mechanisms?
A) Reaction formation
B) Denial
C) Displacement
D) Sublimation - ANS✔✔--B
A nurse is orienting a new client to a mental health unit. When explaining the unit's
community meetings, which of the following statements should the nurse make?
A) You and a group of other clients will meet to discuss your treatment plans
B) Community meetings have a specific agenda that is established by staff
C) You and the other clients will meet with staff to discuss common problems
D) Community meetings are an excellent opportunity to explore your personal mental
health issues - ANS✔✔--C
A nurse is caring several clients who are attending community-based mental health
programs. Which of the following clients should the nurse plan to visit first?
A) A client who recently burned her arm while using a hot iron at home
B) A client who requests that her antipsychotic medication be changed due to some
new adverse effects
C) A client who says he is hearing a voice that tells him he is not worth living anymore
D) A client who tells the nurse he experienced manifestations of severe anxiety for that
and during a job interview - ANS✔✔--C
A nurse is providing preoperative teaching for a client who was just informed that she
requires emergency surgery. The client has a respiratory rate 30/min and says, "This is
difficult to comprehend. I feel shaky and nervous." The nurse should identify that the
client is experiencing which of the following levels of anxiety?
A) Mild
B) Moderate
C) Severe
D) Panic - ANS✔✔--B
A nurse is caring for a client who is experiencing moderate anxiety. Which of the
following actions should the nurse trying to give necessary information to the client?
(Select all that apply)
UPDATE
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)
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
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. - ANS✔✔--A, B, C
A nurse is caring for a client who has a new prescription for disulfiram for treatment of
alcohol use disorder. The nurse informs the client that this medication can cause
nausea and vomiting if he drinks alcohol. Which of the following types of treatment is
this method an example?
A) Aversion therapy
B) Flooding
C) Biofeedback
D) Dialectical behavior therapy - ANS✔✔--A
A nurse is assisting with systematic 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?
A) Demonstrate riding in an elevator, and then ask the client to imitate the behavior
B) Advise the client to say "stop" out loud every time he begins to feel an anxiety
response related to an elevator
C) Gradually expose the client to an elevator while practicing relaxation techniques
D) Stay with the client in an elevator until his anxiety response diminishes - ANS✔✔--
C
A nurse wants to use democratic leadership with a group whose purpose is to learn
appropriate conflict resolution techniques. The nurse is correct in implementing this form
of group leadership when she demonstrates which of the following actions?
A) Observes group techniques without interfering with the group process
B) Discusses a technique and then directs members to practice the technique
C) Asks for group suggestions of techniques and then support discussion
D) Suggests techniques and asks group members to reflect on their use
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. - ANS✔✔--D
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.
C) Include the client's family in the interview.
D) Teach the client about her current mental health disorder - ANS✔✔--B
A nurse is told during change of shift report that a client is stuporous. When assessing
the client, which of the following findings should the nurse expect?
A) The client arouses briefly in response to a sternal rub.
B) The client has a glasgow coma scale score less than 7.
C) The client exhibits decorticate rigidity.
D) The client is alert but disoriented to time and place. - ANS✔✔--A
A nurse is planning a peer group about the DSM-5. Which of the following information is
appropriate to include in the discussion? (Select all that apply).
A) The DSM-5 includes client education handouts for mental health disorders.
B) The DSM-5 establishes diagnostic criteria for individual mental health disorders.
C) The DSM-5 indicates recommended pharmacological treatment for mental health
disorders.
D) The DSM-5 assists nurses in planning care for client's who have mental health
disorders.
E) The DSM-5 indicates expected assessment findings of mental health disorders. -
ANS✔✔--B, D, E
A nurse in an emergency mental health facility is caring for a group of clients. The nurse
A nurse is caring for a client who is in mechanical restraints. Which of the following
statements should the nurse include in the documentation? (Select all that apply)
A) Client ate most of his breakfast
B) Client was offered 8 oz of water every hr
C) Client shouted obscenities at assistive personnel
D) Client received chlorpromazine 15 mg by mouth at 1000
E) Client acted out after lunch - ANS✔✔--B, C, D
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?
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 is caring for the parents of a child who has demonstrated changes in behavior
and mood. When the mother of the child asks the nurse for reassurance about her son's
condition, which of the following responses should the nurse make?
A) I think your son is getting better. What have you noticed
B) I'm sure everything will be okay. It just takes time to heal
C) I'm not sure what's wrong. Have you asked the doctor about your concerns?
D) I understand you're concerned. Let's discuss what concerns you specifically -
ANS✔✔--D
A nurse is caring for a client who smokes and has lung cancer. The client reports, "I'm
coughing because I have that cold that everyone has been getting." The nurse should
identify that the client is using which of the following defense mechanisms?
A) Reaction formation
B) Denial
C) Displacement
D) Sublimation - ANS✔✔--B
A nurse is orienting a new client to a mental health unit. When explaining the unit's
community meetings, which of the following statements should the nurse make?
A) You and a group of other clients will meet to discuss your treatment plans
B) Community meetings have a specific agenda that is established by staff
C) You and the other clients will meet with staff to discuss common problems
D) Community meetings are an excellent opportunity to explore your personal mental
health issues - ANS✔✔--C
A nurse is caring several clients who are attending community-based mental health
programs. Which of the following clients should the nurse plan to visit first?
A) A client who recently burned her arm while using a hot iron at home
B) A client who requests that her antipsychotic medication be changed due to some
new adverse effects
C) A client who says he is hearing a voice that tells him he is not worth living anymore
D) A client who tells the nurse he experienced manifestations of severe anxiety for that
and during a job interview - ANS✔✔--C
A nurse is providing preoperative teaching for a client who was just informed that she
requires emergency surgery. The client has a respiratory rate 30/min and says, "This is
difficult to comprehend. I feel shaky and nervous." The nurse should identify that the
client is experiencing which of the following levels of anxiety?
A) Mild
B) Moderate
C) Severe
D) Panic - ANS✔✔--B
A nurse is caring for a client who is experiencing moderate anxiety. Which of the
following actions should the nurse trying to give necessary information to the client?
(Select all that apply)
