ATI MENTAL HEALTH
PROCTORED EXAM WITH
CORRECT ANSWERS 2025
1.A client is fearful of driving and enters a behavioral
program to help him overcome his anxiety. Using
therapy
systematic
desensitization, he is able to drive down a familiar
street withouta panic attack. The nurse should recognize
experiencing
that to positive results, the client should participate in
continue
which of
the
following?
a.
b. Therapist
Biofeedback
modeling
c. Frequent
d. Positive reinforcement ( Correct answers ) a.
pacing
Biofeedback
2. A nurse is counseling a client following the death of
the client's
partner 8 months ago. Which of the following client
indicates maladaptive
statements
a. "I am so sorry for the times I was angry with my
grieving?
partner."
b. "I like looking at his personal items in the
c. "I find myself thinking about my partner
closet."
often."
d. "I still don't feel up to returning to work." ( Correct answers ) d. "I still
don't feel to
returning up to
work."
Rationale: 8 months too long Maladaptive Grief: . Distorted or
exaggerated
response grief
- unable
perform activities of daily
to
living.
RISK FACTORS FOR MALADAPTIVE GRIEVING
●● Being dependent upon the
deceased
●● Unexpected death at a young age, through violence, or by a socially
manne
unacceptable
r●● Inadequate coping skills or lack of social
●● Pre-existing mental health issues, such as depression or substance
support
use disorder
3./21 A nurse in an inpatient mental health facility is
assessing
client who ahas schizophrenia and is taking haloperidol
1st
(antipsychotic,
gen).
Which of the following clinical findings is the nurse's
a.
priority?
Headache
b. Insomnia
c. Urinary hesitancy (Complication → ANTIcholinergic
(sedation)
effects)
GRADED
A+
,d. High fever (Complication → agranulocytosis) ( Correct answers ) d.
High fever (Complication → agranulocytosis)
Other complications: Acute dystonia, Pseudoparkinsonism, Akathisia,
dyskinesi
Tardive
Neuroendocrine effects (Gynecomastia, Weight gain, Menstrual
a,
irregularities),
Orthostatic NMS,
Hypotension, Sedation, Sexual dysfunction, Skin effects, Liver
impairment
compulsive
4. A nurse isdisorder.
planningWhich of the
care for following
a client who has obsessive
recommendations
should the nurse include in the client's plan
of Reality
a. care? Orientation therapy (re-orient to
reality)
b. Operant Conditioning (receives positive rewards for positive
c. Thought Stopping (say "stop" when compulsive behaviors arise &
behavior)
substitute
w/ positive
d. Validation Therapy (acknowledging pt's feelings) ( Correct answers )
thought)
c. Thought
Stopping (say "stop" when compulsive behaviors arise &
w/ positive thought)
substitute
5. A nurse is caring for a client who is in the manic
bipolar
phase ofdisorder. Which of the following actions
should the
nurse
take?
a. Provide in depth explanation of nursing
(inability to focus - give concise
expectations
explanations)
b. Encourage the client to participate in group
(decrease
activities
stimulation)
c. Avoid power struggles by remaining neutral (do
not react to pt's
personally
comments)
d. Allow the client to set limits for his behavior (nurse sets limits) ( Correct
answers
Avoid power
) c. struggles by remaining neutral (do
not react to pt's comments)
personally
6. A nurse is providing behavioral therapy for a client
OCD.
who has The client repeatedly checks that the doors are
lockedWhich
night. at of the following instructions should the
nurse
the client
givewhen using thought stopping
technique?
a. "Keep a journal of how often you check the
locks each
night.
"b. "Ask a family member to check the locks for you
c.
at "Focus
night." on abdominal breathing whenever
you gothe
check to
locks."
d. "Snap a rubber band on your wrist when you
think about
checking the locks." ( Correct answers ) d. "Snap a rubber band on your wrist
think
when you
about
checking the
locks."
GRADED
A+
, Thought stopping: teach pt to say "stop" when
thoughts/compulsive behaviors arise & substitute positive thought -
negative
goal forpt use
command silently over
time
7. A nurse is caring for a client who has a cocaine use
Which of the following manifestations should the
disorder.
nurse
the expect
client to have during
a. Hand tremors
withdrawal?
(Intoxication)
b.
c. Seizures
Fatigue
(Intoxication)
d. Rapid
speech
Rationale: Pg: 97 WITHDRAWAL MANIFESTATIONS● Depression, fatigue,
excess sleeping
craving,
or
insomnia, dramatic unpleasant dreams, psychomotor retardation,
agitation ● Not life-
threatening,
but
possible occurrence of suicidal
Cocaine = STIMULANT → OPPOSITE of
ideation
HEROIN
● Withdrawal = opposite effects ( Correct answers ) b.
Fatigue
8. A nurse is reviewing the medical record of a client who
clozapine.
is taking For which of the following findings should
the nursethe medication and notify the
withhold
a. WBC
provider?
count
b. Heart
c. Report of
rate
photosensitivity
d. Blood glucose level ( Correct answers ) a. WBC
count
major
9./59. depressive disorder.a Which
A nurse is creating plan ofofcare
the for
following
a client
interventions
should
who hasthe nurse include in the
a. Keep the ring light on in the client's room
plan?
at Encourage
b. night physical activity for the client during
theIdentity
c. day and schedule alternative group
activities
clien for the
td. Discourage the client from expressing feeling of anger ( Correct
answers
Encourage) b.
physical activity for the client during the
day
alcohol withdrawal.
10. A nurse Which
is assessing of thewho
a client following
is findings
should
nurse the
experiencing acute
expect?
a. Diminished
reflexes
b. Hypotension - increased
c.
BP
Insomnia
d. Bradycardia ( Correct answers ) c.
Insomnia
GRADED
A+
PROCTORED EXAM WITH
CORRECT ANSWERS 2025
1.A client is fearful of driving and enters a behavioral
program to help him overcome his anxiety. Using
therapy
systematic
desensitization, he is able to drive down a familiar
street withouta panic attack. The nurse should recognize
experiencing
that to positive results, the client should participate in
continue
which of
the
following?
a.
b. Therapist
Biofeedback
modeling
c. Frequent
d. Positive reinforcement ( Correct answers ) a.
pacing
Biofeedback
2. A nurse is counseling a client following the death of
the client's
partner 8 months ago. Which of the following client
indicates maladaptive
statements
a. "I am so sorry for the times I was angry with my
grieving?
partner."
b. "I like looking at his personal items in the
c. "I find myself thinking about my partner
closet."
often."
d. "I still don't feel up to returning to work." ( Correct answers ) d. "I still
don't feel to
returning up to
work."
Rationale: 8 months too long Maladaptive Grief: . Distorted or
exaggerated
response grief
- unable
perform activities of daily
to
living.
RISK FACTORS FOR MALADAPTIVE GRIEVING
●● Being dependent upon the
deceased
●● Unexpected death at a young age, through violence, or by a socially
manne
unacceptable
r●● Inadequate coping skills or lack of social
●● Pre-existing mental health issues, such as depression or substance
support
use disorder
3./21 A nurse in an inpatient mental health facility is
assessing
client who ahas schizophrenia and is taking haloperidol
1st
(antipsychotic,
gen).
Which of the following clinical findings is the nurse's
a.
priority?
Headache
b. Insomnia
c. Urinary hesitancy (Complication → ANTIcholinergic
(sedation)
effects)
GRADED
A+
,d. High fever (Complication → agranulocytosis) ( Correct answers ) d.
High fever (Complication → agranulocytosis)
Other complications: Acute dystonia, Pseudoparkinsonism, Akathisia,
dyskinesi
Tardive
Neuroendocrine effects (Gynecomastia, Weight gain, Menstrual
a,
irregularities),
Orthostatic NMS,
Hypotension, Sedation, Sexual dysfunction, Skin effects, Liver
impairment
compulsive
4. A nurse isdisorder.
planningWhich of the
care for following
a client who has obsessive
recommendations
should the nurse include in the client's plan
of Reality
a. care? Orientation therapy (re-orient to
reality)
b. Operant Conditioning (receives positive rewards for positive
c. Thought Stopping (say "stop" when compulsive behaviors arise &
behavior)
substitute
w/ positive
d. Validation Therapy (acknowledging pt's feelings) ( Correct answers )
thought)
c. Thought
Stopping (say "stop" when compulsive behaviors arise &
w/ positive thought)
substitute
5. A nurse is caring for a client who is in the manic
bipolar
phase ofdisorder. Which of the following actions
should the
nurse
take?
a. Provide in depth explanation of nursing
(inability to focus - give concise
expectations
explanations)
b. Encourage the client to participate in group
(decrease
activities
stimulation)
c. Avoid power struggles by remaining neutral (do
not react to pt's
personally
comments)
d. Allow the client to set limits for his behavior (nurse sets limits) ( Correct
answers
Avoid power
) c. struggles by remaining neutral (do
not react to pt's comments)
personally
6. A nurse is providing behavioral therapy for a client
OCD.
who has The client repeatedly checks that the doors are
lockedWhich
night. at of the following instructions should the
nurse
the client
givewhen using thought stopping
technique?
a. "Keep a journal of how often you check the
locks each
night.
"b. "Ask a family member to check the locks for you
c.
at "Focus
night." on abdominal breathing whenever
you gothe
check to
locks."
d. "Snap a rubber band on your wrist when you
think about
checking the locks." ( Correct answers ) d. "Snap a rubber band on your wrist
think
when you
about
checking the
locks."
GRADED
A+
, Thought stopping: teach pt to say "stop" when
thoughts/compulsive behaviors arise & substitute positive thought -
negative
goal forpt use
command silently over
time
7. A nurse is caring for a client who has a cocaine use
Which of the following manifestations should the
disorder.
nurse
the expect
client to have during
a. Hand tremors
withdrawal?
(Intoxication)
b.
c. Seizures
Fatigue
(Intoxication)
d. Rapid
speech
Rationale: Pg: 97 WITHDRAWAL MANIFESTATIONS● Depression, fatigue,
excess sleeping
craving,
or
insomnia, dramatic unpleasant dreams, psychomotor retardation,
agitation ● Not life-
threatening,
but
possible occurrence of suicidal
Cocaine = STIMULANT → OPPOSITE of
ideation
HEROIN
● Withdrawal = opposite effects ( Correct answers ) b.
Fatigue
8. A nurse is reviewing the medical record of a client who
clozapine.
is taking For which of the following findings should
the nursethe medication and notify the
withhold
a. WBC
provider?
count
b. Heart
c. Report of
rate
photosensitivity
d. Blood glucose level ( Correct answers ) a. WBC
count
major
9./59. depressive disorder.a Which
A nurse is creating plan ofofcare
the for
following
a client
interventions
should
who hasthe nurse include in the
a. Keep the ring light on in the client's room
plan?
at Encourage
b. night physical activity for the client during
theIdentity
c. day and schedule alternative group
activities
clien for the
td. Discourage the client from expressing feeling of anger ( Correct
answers
Encourage) b.
physical activity for the client during the
day
alcohol withdrawal.
10. A nurse Which
is assessing of thewho
a client following
is findings
should
nurse the
experiencing acute
expect?
a. Diminished
reflexes
b. Hypotension - increased
c.
BP
Insomnia
d. Bradycardia ( Correct answers ) c.
Insomnia
GRADED
A+
