ATI RN MENTAL HEALTH PROCTORED
EXAM 2025/2026
1. A client is fearful of driving and enters a behavioral therapy program to help him overcome his
anxiety. Using systematic desensitization, he is able to drive down a familiar street without
experiencing a panic attack. The nurse should recognize that to continue positive results, the client
should participate in which of the following? a. Biofeedback or d. Positive reinforcement
2. A nurse is counseling a client following the death of the client’s partner 8 months ago. Whichof
the following client statements indicates maladaptive grieving? d. “I still don’t feel up to returning
to work.”
3. A nurse in an inpatient mental health facility is assessing a client who has
schizophrenia and is taking haloperidol (antipsychotic, 1st gen). Which of the
following clinical findings is the nurse’s priority? d. High fever (Complication →
agranulocytosis)
4. A nurse is planning care for a client who has obsessive compulsive disorder. Which of the
following recommendations should the nurse include in the client’s plan of care? c. Thought
Stopping
4. A nurse is providing teaching to the daughter of an older client who has obsessive-compulsive
disorder. Which of the following statements by the daughter indicates an understanding of the
teaching? b. “I will limit my mother’s clothing choices when she is getting dressed.”
5. A nurse is caring for a client who is in the manic phase of bipolar disorder. Which of the
following actions should the nurse take? c. Avoid power struggles by remaining neutral
6. A nurse is providing behavioral therapy for a client who has OCD. The client repeatedly
checks that the doors are locked at night. Which of the following instructions should the nurse
give the client when using thought stopping technique? d. “Snap a rubber band on your wrist
when you think about checking the locks.”
7. A nurse is caring for a client who has a cocaine use disorder. Which of the following
manifestations should the nurse expect the client to have during withdrawal? b. Fatigue
8. A nurse is reviewing the medical record of a client who is taking clozapine. For which of the
following findings should the nurse withhold the medication and notify the provider? a. WBC
9. A nurse is creating a plan of care for a client who has major depressive disorder. Which of the
following interventions should the nurse include in the plan? b. Encourage physical activity for the
client during the day
10. A nurse is assessing a client who is experiencing acute alcohol withdrawal. Which of the
following findings should the nurse expect? c. Insomnia
,11. A nurse is caring for a client who has schizophrenia and displays severe symptoms of the
disorder. Which of the following actions should the nurse take? d. Direct the client to perform her
own daily hygiene and grooming tasks
12. A nurse is caring for a client who was involuntarily committed and is scheduled to receive
electroconvulsive therapy. The client refuses the treatment and will discuss why with the
healthcare team. Which of the following actions should the nurse take? a. Document the client’s
refusal of the treatment in the medication record
13. A nurse is providing crisis intervention for a client who was involved in a violent mass
casualty situation in the community. Which of the following actions should the nurse take during
the initial session with the client? a. Identify the client’s usual coping style.
14. A nurse in the emergency department is caring for a client who reports feeling sad,
worthless, and hopeless 9 months after the death of her son. Which of the following actions
should the nurse take first? d. Ask the client if she has thought about harming herself given -.
15. A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the
following outcomes should the nurse include in the plan of care? c. Initiate social interactions with
caregiver
16. A nurse is caring for a client who is experiencing active auditory hallucination. Which of the
following should the nurse take? d. Focus the client on reality based activities
17. A nurse is conducting an admission interview with a client who is experiencing mania. Whichof
the following findings the nurse reports to the provider? a. Reports eating twice in the past week 't
bathed in 2 days
18. A nurse is caring for a client who has anorexia nervosa. Which of the following findings
requires immediate intervention by the nurse? c. +2 edema of the lower extremities
19. A nurse is planning care for a client who has a recent diagnosis of antisocial personality
disorder. Which of the following outcomes should the nurse in the care plan? a. The client treats
others with respect
20. A nurse is caring for a client who is prescribed massage therapy to treat panic disorder. The
client states “I can't stand to be touched by another person”. Which of the following response
should the nurse make? c. I will tell your provider know that you would like a treat other than a
message (avoid triggers)
??(doubled)21. A nurse in a group home facility is caring for a client who is developmentally
disabled. The client has been stealing belongings from the other clients. Which of the following
techniques should the nurse use? b. Positive reinforcement
, 22. A nurse in a mental facility is caring for a newly admitted client. Which of the following
resources should the nurse recommend to help the client adapt to the healthcare setting? a. A
Community meeting
23. A dnurse dis dteaching dthe dcaregiver dof da dclient dwho dhas dadvanced dAlzheimer’s ddisease
dabout dhome dsafety. dWhich dof dthe dfollowing dstatements dby dthe dcaregiver dindicates dan
dunderstanding dofthe dteaching? db. dI dwill dplace da dsliding dbolt dlock djust dabove dthe
ddoorknob
24. A dnurse dis dbeginning da dtherapeutic drelationship dwith da dclient. dThe dnurse dshould
dplan dto daccomplish dwhich dof dthe dfollowing dtasks dduring dthe dworking dphase? db.
dEvaluate dprogress dtoward dpredetermined dgoals
25. A dnurse dIs dplanning dcare dfor da dclient dwho dhas danorexia dnervosa dand dis dadmitted
dto dan dinpatient deating ddisorder dunit. dWhich dof dthe dfollowing dis dan dappropriate
dintervention? d(p. d167) dc. dInitiate da drelationship dbuilt don dtrust dwith dthe dclient.
26. A dnurse dis dproviding ddischarge dteaching dabout dmanifestations dof drelapse dto dthe
dfamily dof da dclient dwho dhas dschizophrenia. dWhich dof dthe dfollowing dinformation dshould
dthe dnurse dinclude din dthe dteaching da. dThe dclient ddevelops dan dinability dto dconcentrate
27. A dnurse din da dmental dhealth dfacility dis dcaring dfor da dclient. dWhich dof dthe dfollowing
dactions dshould dthe dnurse dtake dduring dthe dworking dphase dof dthe dnurse-client
drelationship? dc. dPromote dproblem- dsolving dskills.
28. A dnurse dis dplanning dcare dfor da dclient dwho dhas ddementia. dWhich dof dthe dfollowing
dinterventions dshould dthe dnurse dinclude din dthe dplan? dd. dProvide dfinger dfood dto
denhance dcaloric dintake d(ensure dadequate dfood/fluid dintake)
29. A dnurse dis ddeveloping da dteaching dplan dfor dthe dfamily dof dan dolder dadult dclient dwho
dis dto dreceive dtranscranial dmagnetic dstimulation. dWhich dof dthe dfollowing dinformation
dshould dthe dnurse dinclude din dthe dteaching dplans? da. dThe dclient dmight dhave da dheadache
dafter dtreatment d(a/e dmild ddiscomfort dand dtingling dsensation dat dthe dsite dof dthe
delectromagnet)
30. A dnurse doverhears da dclient dsaying, d“I dam da dspy, da dspy dfor dthe dFBI. dI dam dan dI, dan
deye dfor daneye, dan deye din dthe dsky. dSky dis dup dhigh. dThe dnurse dshould ddocument dthe
dclient’s dstatement daswhich dof dthe dfollowing dspeech dalterations? da. dClang dassociation
31. A dnurse dis dassessing da dclient dwho dhas dneuroleptic dmalignant dsyndrome. dWhich
dof dthe dfollowing dclinical dfindings dshould dthe dnurse dexpect? db. dTemperature d40
d(104F) d(sudden dhigh dfever)
32. A dnurse din dan dacute dcare dmental dhealth dfacility dis dplanning ddischarge dcare dfor da
dclient dwho dsustained da dtraumatic dbrain dinjury. dFor dwhich dof dthe dfollowing dneeds dshould
dthe dnurse dcollaborate dwith da dclinical dpsychologist? da. dThe dclient dneeds dto dbegin da
dgroup dtherapy dprogram dprior dto
EXAM 2025/2026
1. A client is fearful of driving and enters a behavioral therapy program to help him overcome his
anxiety. Using systematic desensitization, he is able to drive down a familiar street without
experiencing a panic attack. The nurse should recognize that to continue positive results, the client
should participate in which of the following? a. Biofeedback or d. Positive reinforcement
2. A nurse is counseling a client following the death of the client’s partner 8 months ago. Whichof
the following client statements indicates maladaptive grieving? d. “I still don’t feel up to returning
to work.”
3. A nurse in an inpatient mental health facility is assessing a client who has
schizophrenia and is taking haloperidol (antipsychotic, 1st gen). Which of the
following clinical findings is the nurse’s priority? d. High fever (Complication →
agranulocytosis)
4. A nurse is planning care for a client who has obsessive compulsive disorder. Which of the
following recommendations should the nurse include in the client’s plan of care? c. Thought
Stopping
4. A nurse is providing teaching to the daughter of an older client who has obsessive-compulsive
disorder. Which of the following statements by the daughter indicates an understanding of the
teaching? b. “I will limit my mother’s clothing choices when she is getting dressed.”
5. A nurse is caring for a client who is in the manic phase of bipolar disorder. Which of the
following actions should the nurse take? c. Avoid power struggles by remaining neutral
6. A nurse is providing behavioral therapy for a client who has OCD. The client repeatedly
checks that the doors are locked at night. Which of the following instructions should the nurse
give the client when using thought stopping technique? d. “Snap a rubber band on your wrist
when you think about checking the locks.”
7. A nurse is caring for a client who has a cocaine use disorder. Which of the following
manifestations should the nurse expect the client to have during withdrawal? b. Fatigue
8. A nurse is reviewing the medical record of a client who is taking clozapine. For which of the
following findings should the nurse withhold the medication and notify the provider? a. WBC
9. A nurse is creating a plan of care for a client who has major depressive disorder. Which of the
following interventions should the nurse include in the plan? b. Encourage physical activity for the
client during the day
10. A nurse is assessing a client who is experiencing acute alcohol withdrawal. Which of the
following findings should the nurse expect? c. Insomnia
,11. A nurse is caring for a client who has schizophrenia and displays severe symptoms of the
disorder. Which of the following actions should the nurse take? d. Direct the client to perform her
own daily hygiene and grooming tasks
12. A nurse is caring for a client who was involuntarily committed and is scheduled to receive
electroconvulsive therapy. The client refuses the treatment and will discuss why with the
healthcare team. Which of the following actions should the nurse take? a. Document the client’s
refusal of the treatment in the medication record
13. A nurse is providing crisis intervention for a client who was involved in a violent mass
casualty situation in the community. Which of the following actions should the nurse take during
the initial session with the client? a. Identify the client’s usual coping style.
14. A nurse in the emergency department is caring for a client who reports feeling sad,
worthless, and hopeless 9 months after the death of her son. Which of the following actions
should the nurse take first? d. Ask the client if she has thought about harming herself given -.
15. A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the
following outcomes should the nurse include in the plan of care? c. Initiate social interactions with
caregiver
16. A nurse is caring for a client who is experiencing active auditory hallucination. Which of the
following should the nurse take? d. Focus the client on reality based activities
17. A nurse is conducting an admission interview with a client who is experiencing mania. Whichof
the following findings the nurse reports to the provider? a. Reports eating twice in the past week 't
bathed in 2 days
18. A nurse is caring for a client who has anorexia nervosa. Which of the following findings
requires immediate intervention by the nurse? c. +2 edema of the lower extremities
19. A nurse is planning care for a client who has a recent diagnosis of antisocial personality
disorder. Which of the following outcomes should the nurse in the care plan? a. The client treats
others with respect
20. A nurse is caring for a client who is prescribed massage therapy to treat panic disorder. The
client states “I can't stand to be touched by another person”. Which of the following response
should the nurse make? c. I will tell your provider know that you would like a treat other than a
message (avoid triggers)
??(doubled)21. A nurse in a group home facility is caring for a client who is developmentally
disabled. The client has been stealing belongings from the other clients. Which of the following
techniques should the nurse use? b. Positive reinforcement
, 22. A nurse in a mental facility is caring for a newly admitted client. Which of the following
resources should the nurse recommend to help the client adapt to the healthcare setting? a. A
Community meeting
23. A dnurse dis dteaching dthe dcaregiver dof da dclient dwho dhas dadvanced dAlzheimer’s ddisease
dabout dhome dsafety. dWhich dof dthe dfollowing dstatements dby dthe dcaregiver dindicates dan
dunderstanding dofthe dteaching? db. dI dwill dplace da dsliding dbolt dlock djust dabove dthe
ddoorknob
24. A dnurse dis dbeginning da dtherapeutic drelationship dwith da dclient. dThe dnurse dshould
dplan dto daccomplish dwhich dof dthe dfollowing dtasks dduring dthe dworking dphase? db.
dEvaluate dprogress dtoward dpredetermined dgoals
25. A dnurse dIs dplanning dcare dfor da dclient dwho dhas danorexia dnervosa dand dis dadmitted
dto dan dinpatient deating ddisorder dunit. dWhich dof dthe dfollowing dis dan dappropriate
dintervention? d(p. d167) dc. dInitiate da drelationship dbuilt don dtrust dwith dthe dclient.
26. A dnurse dis dproviding ddischarge dteaching dabout dmanifestations dof drelapse dto dthe
dfamily dof da dclient dwho dhas dschizophrenia. dWhich dof dthe dfollowing dinformation dshould
dthe dnurse dinclude din dthe dteaching da. dThe dclient ddevelops dan dinability dto dconcentrate
27. A dnurse din da dmental dhealth dfacility dis dcaring dfor da dclient. dWhich dof dthe dfollowing
dactions dshould dthe dnurse dtake dduring dthe dworking dphase dof dthe dnurse-client
drelationship? dc. dPromote dproblem- dsolving dskills.
28. A dnurse dis dplanning dcare dfor da dclient dwho dhas ddementia. dWhich dof dthe dfollowing
dinterventions dshould dthe dnurse dinclude din dthe dplan? dd. dProvide dfinger dfood dto
denhance dcaloric dintake d(ensure dadequate dfood/fluid dintake)
29. A dnurse dis ddeveloping da dteaching dplan dfor dthe dfamily dof dan dolder dadult dclient dwho
dis dto dreceive dtranscranial dmagnetic dstimulation. dWhich dof dthe dfollowing dinformation
dshould dthe dnurse dinclude din dthe dteaching dplans? da. dThe dclient dmight dhave da dheadache
dafter dtreatment d(a/e dmild ddiscomfort dand dtingling dsensation dat dthe dsite dof dthe
delectromagnet)
30. A dnurse doverhears da dclient dsaying, d“I dam da dspy, da dspy dfor dthe dFBI. dI dam dan dI, dan
deye dfor daneye, dan deye din dthe dsky. dSky dis dup dhigh. dThe dnurse dshould ddocument dthe
dclient’s dstatement daswhich dof dthe dfollowing dspeech dalterations? da. dClang dassociation
31. A dnurse dis dassessing da dclient dwho dhas dneuroleptic dmalignant dsyndrome. dWhich
dof dthe dfollowing dclinical dfindings dshould dthe dnurse dexpect? db. dTemperature d40
d(104F) d(sudden dhigh dfever)
32. A dnurse din dan dacute dcare dmental dhealth dfacility dis dplanning ddischarge dcare dfor da
dclient dwho dsustained da dtraumatic dbrain dinjury. dFor dwhich dof dthe dfollowing dneeds dshould
dthe dnurse dcollaborate dwith da dclinical dpsychologist? da. dThe dclient dneeds dto dbegin da
dgroup dtherapy dprogram dprior dto
