ATI RN MENTAL HEALTH PROCTORED
EXAM FINAL COMPREHENSIVE
ASSESSMENT TEST PAPER QUESTIONS AND
SOLUTIONS
⩥ A nurse is assisting in the planning of care for a client who has a
mental health disorder. Which of the following is appropriate to include
as a psychobiological intervention?
A. Assist the client with systematic desensitization therapy.
B. Encourage the client to use appropriate coping mechanisms.
C. Evaluate the client for comorbid health conditions.
D. Monitor the client for adverse effects of medications.
Answer: D
D. CORRECT: Monitoring for adverse effects of medications is an
example of a psychobiological intervention.
A. INCORRECT: Assisting with systematic desensitization therapy is a
cognitive and behavioral, rather than psychobiological, intervention. B.
INCORRECT: Encouraging appropriate coping mechanisms is a
counseling or health teaching, rather than a psychobiological
intervention. C. INCORRECT: Evaluating for comorbid health
conditions is health promotion and maintenance, rather than a
psychobiological intervention.
CHAPTER 1 Basic Mental Health Nursing Concepts
,⩥ A nurse in an outpatient mental health clinic is preparing to conduct
an initial client interview. When conducting the interview, which of the
following is the highest priority action?
A. Respect the client's need for personal space.
B. Identify the client's perception of her mental health status.
C. Include the client's family in the interview.
D. Reinforce teaching about the client's mental health disorder.
Answer: B
B. CORRECT: Data collection is the priority action when taking the
nursing process approach to client care. Identifying the client's
perception of her mental health status provides important information
about the client's psychosocial history.
A. INCORRECT: It is appropriate to respect the client's need for
personal space. However, it is not the highest priority action when taking
the nursing process approach to client care. C. INCORRECT: If the
client wishes, it is appropriate to include the client's family in the
interview. However, it is not the highest priority action when taking the
nursing process approach to client care. D. INCORRECT: It is
appropriate to reinforce teaching for the client about her disorder.
However, it is not the highest priority action when taking the nursing
process approach to client care. CHAPTER 1 Basic Mental Health
Nursing Concepts
,⩥ A nurse is told during change-of-shift report that a client is stuporous.
When collecting data from the client, which of the following is an
expected finding?
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.
Answer: A
A. CORRECT: A client who is stuporous requires vigorous or painful
stimuli to elicit a response.
B. INCORRECT: A GCS score of less than 7 indicates a comatose,
rather than stuporous, level of consciousness. C. INCORRECT:
Abnormal posturing is associated with a comatose, rather than
stuporous, level of consciousness. D. INCORRECT: A client who is
stuporous is not alert.
CHAPTER 1 Basic Mental Health Nursing Concepts
⩥ A nurse is assisting with the planning of a peer group discussion about
the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition
(DSM-5). Which of the following is appropriate to include in the
discussion?
(Select all that apply.)
A. The DSM-5 is used to identify mental health disorders.
B. The DSM-5 establishes diagnostic criteria.
, C. The DSM-5 indicates recommended pharmacological treatment.
D. The DSM-5 is used to assist in the planning of care.
E. The DSM-5 indicates expected data collection findings.
Answer: A, B, D, E
A. CORRECT: The DSM-5 is used as a diagnostic tool to identify
mental health diagnoses. B. CORRECT: The DSM-5 establishes
diagnostic criteria for mental health disorders. D. CORRECT: Nurses
use the DSM-5 to assist in the planning of care, and to implement and
evaluate care. E. CORRECT: The DSM-5 identifies expected findings
for mental health disorders.
C. INCORRECT: The DSM-5 is a diagnostic tool for the diagnosis of
mental health disorders but does not indicate pharmacological treatment.
CHAPTER 1 Basic Mental Health Nursing Concepts
⩥ A nurse is discussing candidates for emergency admission to a mental
health facility with a newly licensed nurse. Which of the following is an
example of a client who requires emergency admission to a mental
health facility?
A. A client who has schizophrenia and has frequent hallucinations
B. A client who has symptoms of depression and attempted suicide a
year ago
C. A client who has borderline personality disorder and assaulted a
homeless man with a metal rod
EXAM FINAL COMPREHENSIVE
ASSESSMENT TEST PAPER QUESTIONS AND
SOLUTIONS
⩥ A nurse is assisting in the planning of care for a client who has a
mental health disorder. Which of the following is appropriate to include
as a psychobiological intervention?
A. Assist the client with systematic desensitization therapy.
B. Encourage the client to use appropriate coping mechanisms.
C. Evaluate the client for comorbid health conditions.
D. Monitor the client for adverse effects of medications.
Answer: D
D. CORRECT: Monitoring for adverse effects of medications is an
example of a psychobiological intervention.
A. INCORRECT: Assisting with systematic desensitization therapy is a
cognitive and behavioral, rather than psychobiological, intervention. B.
INCORRECT: Encouraging appropriate coping mechanisms is a
counseling or health teaching, rather than a psychobiological
intervention. C. INCORRECT: Evaluating for comorbid health
conditions is health promotion and maintenance, rather than a
psychobiological intervention.
CHAPTER 1 Basic Mental Health Nursing Concepts
,⩥ A nurse in an outpatient mental health clinic is preparing to conduct
an initial client interview. When conducting the interview, which of the
following is the highest priority action?
A. Respect the client's need for personal space.
B. Identify the client's perception of her mental health status.
C. Include the client's family in the interview.
D. Reinforce teaching about the client's mental health disorder.
Answer: B
B. CORRECT: Data collection is the priority action when taking the
nursing process approach to client care. Identifying the client's
perception of her mental health status provides important information
about the client's psychosocial history.
A. INCORRECT: It is appropriate to respect the client's need for
personal space. However, it is not the highest priority action when taking
the nursing process approach to client care. C. INCORRECT: If the
client wishes, it is appropriate to include the client's family in the
interview. However, it is not the highest priority action when taking the
nursing process approach to client care. D. INCORRECT: It is
appropriate to reinforce teaching for the client about her disorder.
However, it is not the highest priority action when taking the nursing
process approach to client care. CHAPTER 1 Basic Mental Health
Nursing Concepts
,⩥ A nurse is told during change-of-shift report that a client is stuporous.
When collecting data from the client, which of the following is an
expected finding?
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.
Answer: A
A. CORRECT: A client who is stuporous requires vigorous or painful
stimuli to elicit a response.
B. INCORRECT: A GCS score of less than 7 indicates a comatose,
rather than stuporous, level of consciousness. C. INCORRECT:
Abnormal posturing is associated with a comatose, rather than
stuporous, level of consciousness. D. INCORRECT: A client who is
stuporous is not alert.
CHAPTER 1 Basic Mental Health Nursing Concepts
⩥ A nurse is assisting with the planning of a peer group discussion about
the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition
(DSM-5). Which of the following is appropriate to include in the
discussion?
(Select all that apply.)
A. The DSM-5 is used to identify mental health disorders.
B. The DSM-5 establishes diagnostic criteria.
, C. The DSM-5 indicates recommended pharmacological treatment.
D. The DSM-5 is used to assist in the planning of care.
E. The DSM-5 indicates expected data collection findings.
Answer: A, B, D, E
A. CORRECT: The DSM-5 is used as a diagnostic tool to identify
mental health diagnoses. B. CORRECT: The DSM-5 establishes
diagnostic criteria for mental health disorders. D. CORRECT: Nurses
use the DSM-5 to assist in the planning of care, and to implement and
evaluate care. E. CORRECT: The DSM-5 identifies expected findings
for mental health disorders.
C. INCORRECT: The DSM-5 is a diagnostic tool for the diagnosis of
mental health disorders but does not indicate pharmacological treatment.
CHAPTER 1 Basic Mental Health Nursing Concepts
⩥ A nurse is discussing candidates for emergency admission to a mental
health facility with a newly licensed nurse. Which of the following is an
example of a client who requires emergency admission to a mental
health facility?
A. A client who has schizophrenia and has frequent hallucinations
B. A client who has symptoms of depression and attempted suicide a
year ago
C. A client who has borderline personality disorder and assaulted a
homeless man with a metal rod
