Mental Health, ATI Mental health Assessment 2025-
2026 TEST QUESTIONS AND CORRECT DETAILED
ANSWERS VERIFIED BY EXPERTS ALREADY GRADED A+
A nurse in an acute care facility is assisting with the admission
of an older adult client who has late stage Alzheimer's disease.
The nurse notes that the client's partner appears exhausted. He
states that he is finding it more and more difficult to care for his
partner. Which of the following actions should the nurse take
first?
ANSWER; Ask the partner to talk about his difficulties in caring
for the client.
The first action the nurse should take, using the nursing process
priority framework, is to collect data regarding the partner's
ability to take care of the client.
A nurse is collecting data from a client who is taking bupropion.
Which of the following findings indicates the medications is
effective?
,ANSWER; Decrease in urge to smoke
Bupropion is an antidepressant that is also used for smoking
cessation.
A nurse is evaluating the outcome for a client who has
depression following the death of his wife 3 months ago. Which
of the following client statements indicates a need for further
intervention?
"I just don't feel like eating because I never like to eat alone."
ANSWER; At risk for malnutrition and injury.
A nurse in a long-term care setting is caring for a client who has
Alzheimer's disease. The client states, "I just came back from a
hard day's work in my office." The nurse should identify this
statement is an example of which of the following coping
mechanisms?
ANSWER; Confabulation
,Confabulation is the creation of information which is untrue to
fill in gaps in memory and to protect self-esteem in clients who
have dementia.
A nurse is planning care for a new client. Which of the following
actions should the nurse plan to take in order to use the
technique of presence to establish the nurse- client
relationship?
ANSWER; Use active listening when with the client.
The nurse should use active listening to establish presence with
the client. presence involves eye contact, body language, voice
tone, listening, and reflection to convay openness and
understanding.
A nurse is assessing a client in the emergency department who
drank alcohol while taking disulfiram. The client states, "The
nurse told me not to drink when taking the medication. I am
just a social drinker. I didn't realize that having just one drink
with my friends would cause such a problem." Which of the
following defense mechanisms is the client demonstrating?
ANSWER; Rationalization
, The client is demonstrating rationalization when he creates
reasonable and acceptable explanations for unacceptable
behavior. The client is using rationalization asa defense
mechanisms to justify why he had just one drink. Even though
the nurse told him not to drink alcohol.
A nurse is caring for a group of older adult clients. Which of the
following client findings indicates delirium?
ANSWER; A client asks when family members will be arriving
after visiting 1 hr earlier.
Delirium is characterized by a change in cognition that occurs
over a short period of time. It always results from secondary
physiological condition, ( infection, surgery, prolonged
hospitalization, hypoxia, fever, medication) and is a transient
disorder. Although delirium can occur at any age, it is more
common in older adults. It frequently progresses in the evening
hours and is sometimes called "sundown syndrome"