UPDATED : ATI Mental Health
Proctored Exam 2025
COMPREHENSIVE
QUESTIONS AND VERIFIED
ANSWERS/SOLUTIONS
|MULTIPLE CHOICES |solved!!
A nurse is planning overall strategies to address problems for a client who
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has a borderline personality disorder. W hich of the following strategies is the
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priority for the nurse to incorporate into the plan of care?
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a. discuss the appropriate use of assertive behavior with the client
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b. encourage the client to attend weekly support group meetings
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c. assist the client to maintain awareness of her thoughts and feelings
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d. implement measures to prevent intentional self-inflicted injury - (Correct Answer) `d.
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implement measures to prevent intentional self-inflicted injury
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A nurse is admitting a client who has a generalized anxiety disorder. W hich of the following
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actions should the nurse plan to take first?
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a. Provide the client with a quiet environment
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b. Determine how the client handles stress.
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c. Teach the client to use guided imagery.
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d. Ask the client to identify her strengths - (Correct Answer) `a. Provide the client with a quiet
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environment
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A nurse is conducting an admission interview with a client who is experiencing mania. W hich
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of the following should the nurse report to the provider?
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a. States that he hasn't bathed in 2 days
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b. Reports eating twice in the past two weeks.
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c. Makes inappropriate sexual comments.
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d. Speaks in rhyming sentences. - (Correct Answer) `b. Reports eating twice in the past two
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weeks.
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,A nurse is planning care for a client who has obsessive-compulsive disorder. W hich of the
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following recommendation should the nurse include in the client's plan of care?
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a. Validation therapy
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b. Thought stopping
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c. Operant conditioning
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d. Reality orientation therapy - (Correct Answer) `b. Thought stopping
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A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode.
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W hich of the following actions should the nurse take?
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a. Encourage the client to join group activities
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b. Dim the lights in the client's room
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c. Provide detailed explanations to the client
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d. Administer methylphenidate - (Correct Answer) `b. Dim the lights in the client's room
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A nurse is leading a crisis intervention group for adolescents who witnessed the suicide of a
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classmate. W hich of the following actions should the nurse take first?
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a. Initiate referrals
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b. Review community resources
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c. Identify prior coping skills
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d. Discuss the importance of confidentiality - (Correct Answer) `c. Identify prior coping skills
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A nurse overhears a client saying"I am a spy, a spy for the FBI .I am an I,an eye for an eye in the
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sky. Sky is up high." The nurse should document the client's statement as which of the
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following speech alterations?
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a. Echolalial
b. W ord salad
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c. Neologism
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d. Clang association - (Correct Answer) `d. Clang association
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An older adult client is brought to the mental health clinic by her daughter. The daughter
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reports that her mother is not eating and seems uninterested in routine activities. The
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daughter states "Im so worried that my mother is depressed" which of the following responses
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should the nurse make?
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a. Everyone gets depressed from time to time.
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b. You shouldn't worry about this because the depressive disorder is easily treated.
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c. Older adults are usually diagnosed with the depressive disorder as they age.
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d. Tell me the reasons you think your mother is depressed. - (Correct Answer) `d. Tell me the
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reasons you think your mother is depressed.
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A nurse is planning care for an adolescent who has autism spectrum disorder. W hich of the
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following outcomes should the nurse include in the plan care?
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, a. Meets own needs without manipulating others.
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b. Initiates social interactions with caregivers.
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c. Changes behavior as a result of peer pressure.
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d. Acknowledges his delusions are not real. - (Correct Answer) `b. Initiates social interactions
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with caregivers.
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A nurse is providing behavior therapy for a client who has obsessive-compulsive disorder.
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The client repeatedly checks that the doors are locked at night. W hich of the following
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instructions should the nurse give the client when using thought stopping technique?
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a. Snap a rubber band on your wrist when you think about checking the locks.
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b. Ask a family member to check the locks for you at night.
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c. Focus on abdominal breathing whenever you go to check the locks.
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d. Keep a journal of how often you check the locks each night. - (Correct Answer) `a. Snap a
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rubber band on your wrist when you think about checking the locks.
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A nurse is caring for a client who is starting treatment for substance use disorder. Which of the
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following actions indicates the nurse is practicing the ethical principle of nonmaleficence?
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a. Provide the client with quality care regardless of their ability to pay for treatment.
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b. Educating the client about legal rights concerning treatment.
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c. W ithholding the prescribed medication that is causing adverse effects for the client.
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d. Being truthful with the client about the manifestations of withdrawal. - (Correct Answer) `c.
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W ithholding the prescribed medication that is causing adverse effects for the client.
l l l l l l l l l l l l
A nurse in a group home facility is caring for a client who is developmentally disabled. The
l l l l l l l l l l l l l l l l
client has been stealing belongings from other clients. Which of the following techniques
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should the nurse use?
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a. Crisis intervention to decrease anxiety.
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b. Aversion therapy to provide distraction
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c. Positive reinforcement to increase desired behavior.
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d. Systematic desensitization to extinguish the behavior. - (Correct Answer) `c. Positive
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reinforcement to increase desired behavior.
l l l l l
A nurse is caring for a client who is experiencing a panic attack. Which of the following actions
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should the nurse take?
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a. Ask the client to discuss precipitating events
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b. Speaks to the client in a high-pitched voice.
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c. Place the client in seclusion
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d. Have the client breathe into a paper bag. - (Correct Answer) `d. Have the client breathe into a
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paper bag.
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Proctored Exam 2025
COMPREHENSIVE
QUESTIONS AND VERIFIED
ANSWERS/SOLUTIONS
|MULTIPLE CHOICES |solved!!
A nurse is planning overall strategies to address problems for a client who
l l l l l l l l l l l l
has a borderline personality disorder. W hich of the following strategies is the
l l l l l l l l l l l
priority for the nurse to incorporate into the plan of care?
l l l l l l l l l l
a. discuss the appropriate use of assertive behavior with the client
l l l l l l l l l l
b. encourage the client to attend weekly support group meetings
l l l l l l l l l
c. assist the client to maintain awareness of her thoughts and feelings
l l l l l l l l l l l l
d. implement measures to prevent intentional self-inflicted injury - (Correct Answer) `d.
l l l l l l l l l l l
implement measures to prevent intentional self-inflicted injury
l l l l l l l
A nurse is admitting a client who has a generalized anxiety disorder. W hich of the following
l l l l l l l l l l l l l l l
actions should the nurse plan to take first?
l l l l l l l l
a. Provide the client with a quiet environment
l l l l l l l
b. Determine how the client handles stress.
l l l l l l l
c. Teach the client to use guided imagery.
l l l l l l l l
d. Ask the client to identify her strengths - (Correct Answer) `a. Provide the client with a quiet
l l l l l l l l l l l l l l l l l
environment
l
A nurse is conducting an admission interview with a client who is experiencing mania. W hich
l l l l l l l l l l l l l l
of the following should the nurse report to the provider?
l l l l l l l l l l
a. States that he hasn't bathed in 2 days
l l l l l l l l
b. Reports eating twice in the past two weeks.
l l l l l l l l
c. Makes inappropriate sexual comments.
l l l l l
d. Speaks in rhyming sentences. - (Correct Answer) `b. Reports eating twice in the past two
l l l l l l l l l l l l l l l
weeks.
l
,A nurse is planning care for a client who has obsessive-compulsive disorder. W hich of the
l l l l l l l l l l l l l l
following recommendation should the nurse include in the client's plan of care?
l l l l l l l l l l l l
a. Validation therapy
l l
b. Thought stopping
l l
c. Operant conditioning
l l
d. Reality orientation therapy - (Correct Answer) `b. Thought stopping
l l l l l l l l l
A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode.
l l l l l l l l l l l l l l l l
W hich of the following actions should the nurse take?
l l l l l l l l l
a. Encourage the client to join group activities
l l l l l l l
b. Dim the lights in the client's room
l l l l l l l
c. Provide detailed explanations to the client
l l l l l l l
d. Administer methylphenidate - (Correct Answer) `b. Dim the lights in the client's room
l l l l l l l l l l l l l
A nurse is leading a crisis intervention group for adolescents who witnessed the suicide of a
l l l l l l l l l l l l l l l
classmate. W hich of the following actions should the nurse take first?
l l l l l l l l l l l
a. Initiate referrals
l l
b. Review community resources
l l l l
c. Identify prior coping skills
l l l l
d. Discuss the importance of confidentiality - (Correct Answer) `c. Identify prior coping skills
l l l l l l l l l l l l l
A nurse overhears a client saying"I am a spy, a spy for the FBI .I am an I,an eye for an eye in the
l l l l l l l l l l l l l l l l l l l l l l l
sky. Sky is up high." The nurse should document the client's statement as which of the
l l l l l l l l l l l l l l l l
following speech alterations?
l l l
a. Echolalial
b. W ord salad
l l
c. Neologism
l
d. Clang association - (Correct Answer) `d. Clang association
l l l l l l l l
An older adult client is brought to the mental health clinic by her daughter. The daughter
l l l l l l l l l l l l l l l
reports that her mother is not eating and seems uninterested in routine activities. The
l l l l l l l l l l l l l l
daughter states "Im so worried that my mother is depressed" which of the following responses
l l l l l l l l l l l l l l l
should the nurse make?
l l l l
a. Everyone gets depressed from time to time.
l l l l l l l
b. You shouldn't worry about this because the depressive disorder is easily treated.
l l l l l l l l l l l l
c. Older adults are usually diagnosed with the depressive disorder as they age.
l l l l l l l l l l l l
d. Tell me the reasons you think your mother is depressed. - (Correct Answer) `d. Tell me the
l l l l l l l l l l l l l l l l l
reasons you think your mother is depressed.
l l l l l l l
A nurse is planning care for an adolescent who has autism spectrum disorder. W hich of the
l l l l l l l l l l l l l l l
following outcomes should the nurse include in the plan care?
l l l l l l l l l l
, a. Meets own needs without manipulating others.
l l l l l l
b. Initiates social interactions with caregivers.
l l l l l
c. Changes behavior as a result of peer pressure.
l l l l l l l l l
d. Acknowledges his delusions are not real. - (Correct Answer) `b. Initiates social interactions
l l l l l l l l l l l l l
with caregivers.
l l
A nurse is providing behavior therapy for a client who has obsessive-compulsive disorder.
l l l l l l l l l l l l
The client repeatedly checks that the doors are locked at night. W hich of the following
l l l l l l l l l l l l l l l
instructions should the nurse give the client when using thought stopping technique?
l l l l l l l l l l l l
a. Snap a rubber band on your wrist when you think about checking the locks.
l l l l l l l l l l l l l l
b. Ask a family member to check the locks for you at night.
l l l l l l l l l l l l
c. Focus on abdominal breathing whenever you go to check the locks.
l l l l l l l l l l l l
d. Keep a journal of how often you check the locks each night. - (Correct Answer) `a. Snap a
l l l l l l l l l l l l l l l l l l
rubber band on your wrist when you think about checking the locks.
l l l l l l l l l l l l
A nurse is caring for a client who is starting treatment for substance use disorder. Which of the
l l l l l l l l l l l l l l l l l
following actions indicates the nurse is practicing the ethical principle of nonmaleficence?
l l l l l l l l l l l l
a. Provide the client with quality care regardless of their ability to pay for treatment.
l l l l l l l l l l l l l l
b. Educating the client about legal rights concerning treatment.
l l l l l l l l
c. W ithholding the prescribed medication that is causing adverse effects for the client.
l l l l l l l l l l l l
d. Being truthful with the client about the manifestations of withdrawal. - (Correct Answer) `c.
l l l l l l l l l l l l l l
W ithholding the prescribed medication that is causing adverse effects for the client.
l l l l l l l l l l l l
A nurse in a group home facility is caring for a client who is developmentally disabled. The
l l l l l l l l l l l l l l l l
client has been stealing belongings from other clients. Which of the following techniques
l l l l l l l l l l l l l
should the nurse use?
l l l l
a. Crisis intervention to decrease anxiety.
l l l l l
b. Aversion therapy to provide distraction
l l l l l
c. Positive reinforcement to increase desired behavior.
l l l l l l
d. Systematic desensitization to extinguish the behavior. - (Correct Answer) `c. Positive
l l l l l l l l l l l
reinforcement to increase desired behavior.
l l l l l
A nurse is caring for a client who is experiencing a panic attack. Which of the following actions
l l l l l l l l l l l l l l l l l
should the nurse take?
l l l l
a. Ask the client to discuss precipitating events
l l l l l l l l
b. Speaks to the client in a high-pitched voice.
l l l l l l l l l
c. Place the client in seclusion
l l l l l
d. Have the client breathe into a paper bag. - (Correct Answer) `d. Have the client breathe into a
l l l l l l l l l l l l l l l l l l
paper bag.
l l
