ATI Mental Health Proctored Exam – 403
Practice Questions & Comprehensive Study
Guide
A nurse is assisting with the planning of a determine the rules that the group will follow
therapeutic support group for individuals
who have bulimia nervosa. Which of the *during the orientation phase of group development, the
following tasks should the nurse include nurse should determine the rules that apply to the group
and during the orientation phase of group ensure that all members understand these rules. Examples of
development? rules to be discussed include confidentiality and meeting
times.
A. determine the rules that the group
will follow
B.address disagreements among group
members
C. help clients work through the grief
response
D.transition from the role of leader to
facilitator
,A nurse is providing support for a client who "Dealing with your mother's death must be difficult
for you." is grieving the loss of her mother who died
from Alzeimer's disease. Which of the *The nurse should use therapeutic communication when
following statements should the nurse supporting a client who is grieving. This statement keeps the
offer? focus of the conversation on the client by acknowledging her
grief and encourages further communication."
A. "I know how you must be feeling. I
recently lost my father."
B."Dealing with your mother's death
must be difficult for you."
C. "Knowing your mother is in a better
place provides you with some comfort."
D."I want you to let me know what I can do
to help you cope with your mother's
death."
A nurse in the emergency room is collectingRespiratory depression
data from a client who has heroin
intoxication. Which of the following findings *Heroin is an opioid; therefore, the nurse should expect this
should the nurse expect? client who has heroin intoxication to exhibit respiratory
depression.
A. Seizure activity
B.Respiratory depression
C. Hypersensitivity to pain
D.Increased mental alertness
A nurse on a mental health unit is caring forThe client has a history of
violence a client who is displaying signs of anger.
Which of the following pieces of information *The client's history of violence is the most important
indicator about the client is the strongest indicator that this client might become violent; therefore, this
is the
that the client might become aggressive? strongest indicator of potential aggressiveness.
A. The client has marginal coping skills
B. The client has a history of violence
C. The client feels powerless after being
hospitalized
D.The client blames others for her problems
A nurse is reinforcing teaching with the Offer finger foods to the
client caregiver of a client who has dementia.
Which of the following instructions should *The caregiver should offer finger foods that the client can
eat the nurse include in the teaching? without sitting down. Clients who have dementia often like to
wander and walk off nervous energy, which can decrease
A. Offer the client a list of activities to anxiety and calm the
client. choose from
B.Offer finger foods to the client
C. Discourage naps throughout the day
D.Turn on the television when the client is
in the room
,A nurse is contributing to the plan of care Encourage the client to have frequent rest periods
for a client with bipolar disorder who has
acute mania. Which of the following *The nurse should recommend encouraging frequent rest
interventions should the nurse recommend periods throughout the day to decrease the client's risk
of
including in the plan? exhaustion from the constant activity associated with
acute mania.
A. Provide the client with a low-calorie, low-
fat diet
B.Encourage the client to have frequent
rest periods
C. Escort the client to daily group therapy
D.Limit the client's intake of
caffeinated beverages to 12 oz per
day
A nurse is reviewing the plan of care for a Helps the client deal with distorted thought processes
client who has bipolar disorder. Which of the
following is an effect of using cognitive *CBT assists the client with recognizing distorted
thought behavioral therapy (CBT) for a client whoprocesses that are maladaptive with regards to
recovery.
has bipolar disorder? When experiencing mania, the client tends to view the
future unrealistically as highly favorable. CBT assists the
client in
A. Prevents the need for mood-stabilizing recognizing and challenging such unrealistic or
"automatic" medications thoughts and can help the client and the health care team
B.Helps the client deal with distorted recognize early trends toward
mania thought processes
C. Aids in communication among
family members
D. Replaces the need for
lifestyle interventions
A nurse is caring for a client in a mental Notify the provider of the client's
threat health facility and overhears the client
discussing plans to harm her father-in-law *It is the nurse's duty to notify the provider of the client's
physically when she is discharged. Which of threat. It will then be the provider's responsibility to warn the
the following interventions should the nursethe intended victim or the police of the client's threat
take?
A. Ask the client to sign a contract
agreeing not to harm others
B.Notify the provider of the client's threat
C. Keep the client's discussion confidential
D.Place the client in individual observation
, A nurse is preparing to meet with a client Facilitate change in the client's
behavior who has borderline personality disorder.
Which of the following actions should the *The nurse should facilitate change in the client's behavior
nurse plan to take during the working phase during the working phase of the therapeutic
relationship. of the therapeutic relationship?
A. Introduce the concept of
client confidentiality
B.Establish goals with the client
C. Define the roles of the nurse and
the client
D.Facilitate change in the client's behavior
A nurse is contributing to the plan of care Search the client and his belongings upon arrival
for a client who has suicidal ideation and is
being transferred to the mental health unit. *The nurse should plan to search the client and all of his
Which of the following interventions should belongings upon arrival to the unit. This search is
conducted the nurse recommend? for the client's safety so that the nurse can identify and
remove
any objects that increase the client's risk of injury or suicide.
A. Search the client and his belongings Potentially harmfully objects include razors, shoelaces,
upon arrival hygiene products, and tweezers
B. Assign the client to a private
room near the nurse's station
C. Instruct assistive personnel to check
on the client every 15 m in
D.Keep the door to the client's room closed
A nurse is talking with a client about his "It sounds like you are concerned about your
family's admission to a mental health unit. The client reaction."
states, "I just don't know if I should be here.
What will my family think?" Which of the *In a reflective response, the nurse directs feelings and
following responses by the nurse uses the statements back to the client, allowing the client to
think therapeutic communication technique of about personal feelings
reflection?
A. "It sounds like you are concerned about
your family's reaction."
B."What your family thinks isn't important;
you need to be concerned about
getting well."
C. "I suspect your family doesn't seem to
understand you.
D."Many clients are concerned about the
reaction of their families."
A nurse is caring for a client who just Denial
received a terminal diagnosis of cancer.
Which of the following initial reactions *The nurse should expect the client to deny the reality of the
should the nurse expect from the client? diagnosis initially. This is a protective reaction seeking to avoid
psychological pain
A. Bargaining
B.Depression
C. Denial
D.Anger
Practice Questions & Comprehensive Study
Guide
A nurse is assisting with the planning of a determine the rules that the group will follow
therapeutic support group for individuals
who have bulimia nervosa. Which of the *during the orientation phase of group development, the
following tasks should the nurse include nurse should determine the rules that apply to the group
and during the orientation phase of group ensure that all members understand these rules. Examples of
development? rules to be discussed include confidentiality and meeting
times.
A. determine the rules that the group
will follow
B.address disagreements among group
members
C. help clients work through the grief
response
D.transition from the role of leader to
facilitator
,A nurse is providing support for a client who "Dealing with your mother's death must be difficult
for you." is grieving the loss of her mother who died
from Alzeimer's disease. Which of the *The nurse should use therapeutic communication when
following statements should the nurse supporting a client who is grieving. This statement keeps the
offer? focus of the conversation on the client by acknowledging her
grief and encourages further communication."
A. "I know how you must be feeling. I
recently lost my father."
B."Dealing with your mother's death
must be difficult for you."
C. "Knowing your mother is in a better
place provides you with some comfort."
D."I want you to let me know what I can do
to help you cope with your mother's
death."
A nurse in the emergency room is collectingRespiratory depression
data from a client who has heroin
intoxication. Which of the following findings *Heroin is an opioid; therefore, the nurse should expect this
should the nurse expect? client who has heroin intoxication to exhibit respiratory
depression.
A. Seizure activity
B.Respiratory depression
C. Hypersensitivity to pain
D.Increased mental alertness
A nurse on a mental health unit is caring forThe client has a history of
violence a client who is displaying signs of anger.
Which of the following pieces of information *The client's history of violence is the most important
indicator about the client is the strongest indicator that this client might become violent; therefore, this
is the
that the client might become aggressive? strongest indicator of potential aggressiveness.
A. The client has marginal coping skills
B. The client has a history of violence
C. The client feels powerless after being
hospitalized
D.The client blames others for her problems
A nurse is reinforcing teaching with the Offer finger foods to the
client caregiver of a client who has dementia.
Which of the following instructions should *The caregiver should offer finger foods that the client can
eat the nurse include in the teaching? without sitting down. Clients who have dementia often like to
wander and walk off nervous energy, which can decrease
A. Offer the client a list of activities to anxiety and calm the
client. choose from
B.Offer finger foods to the client
C. Discourage naps throughout the day
D.Turn on the television when the client is
in the room
,A nurse is contributing to the plan of care Encourage the client to have frequent rest periods
for a client with bipolar disorder who has
acute mania. Which of the following *The nurse should recommend encouraging frequent rest
interventions should the nurse recommend periods throughout the day to decrease the client's risk
of
including in the plan? exhaustion from the constant activity associated with
acute mania.
A. Provide the client with a low-calorie, low-
fat diet
B.Encourage the client to have frequent
rest periods
C. Escort the client to daily group therapy
D.Limit the client's intake of
caffeinated beverages to 12 oz per
day
A nurse is reviewing the plan of care for a Helps the client deal with distorted thought processes
client who has bipolar disorder. Which of the
following is an effect of using cognitive *CBT assists the client with recognizing distorted
thought behavioral therapy (CBT) for a client whoprocesses that are maladaptive with regards to
recovery.
has bipolar disorder? When experiencing mania, the client tends to view the
future unrealistically as highly favorable. CBT assists the
client in
A. Prevents the need for mood-stabilizing recognizing and challenging such unrealistic or
"automatic" medications thoughts and can help the client and the health care team
B.Helps the client deal with distorted recognize early trends toward
mania thought processes
C. Aids in communication among
family members
D. Replaces the need for
lifestyle interventions
A nurse is caring for a client in a mental Notify the provider of the client's
threat health facility and overhears the client
discussing plans to harm her father-in-law *It is the nurse's duty to notify the provider of the client's
physically when she is discharged. Which of threat. It will then be the provider's responsibility to warn the
the following interventions should the nursethe intended victim or the police of the client's threat
take?
A. Ask the client to sign a contract
agreeing not to harm others
B.Notify the provider of the client's threat
C. Keep the client's discussion confidential
D.Place the client in individual observation
, A nurse is preparing to meet with a client Facilitate change in the client's
behavior who has borderline personality disorder.
Which of the following actions should the *The nurse should facilitate change in the client's behavior
nurse plan to take during the working phase during the working phase of the therapeutic
relationship. of the therapeutic relationship?
A. Introduce the concept of
client confidentiality
B.Establish goals with the client
C. Define the roles of the nurse and
the client
D.Facilitate change in the client's behavior
A nurse is contributing to the plan of care Search the client and his belongings upon arrival
for a client who has suicidal ideation and is
being transferred to the mental health unit. *The nurse should plan to search the client and all of his
Which of the following interventions should belongings upon arrival to the unit. This search is
conducted the nurse recommend? for the client's safety so that the nurse can identify and
remove
any objects that increase the client's risk of injury or suicide.
A. Search the client and his belongings Potentially harmfully objects include razors, shoelaces,
upon arrival hygiene products, and tweezers
B. Assign the client to a private
room near the nurse's station
C. Instruct assistive personnel to check
on the client every 15 m in
D.Keep the door to the client's room closed
A nurse is talking with a client about his "It sounds like you are concerned about your
family's admission to a mental health unit. The client reaction."
states, "I just don't know if I should be here.
What will my family think?" Which of the *In a reflective response, the nurse directs feelings and
following responses by the nurse uses the statements back to the client, allowing the client to
think therapeutic communication technique of about personal feelings
reflection?
A. "It sounds like you are concerned about
your family's reaction."
B."What your family thinks isn't important;
you need to be concerned about
getting well."
C. "I suspect your family doesn't seem to
understand you.
D."Many clients are concerned about the
reaction of their families."
A nurse is caring for a client who just Denial
received a terminal diagnosis of cancer.
Which of the following initial reactions *The nurse should expect the client to deny the reality of the
should the nurse expect from the client? diagnosis initially. This is a protective reaction seeking to avoid
psychological pain
A. Bargaining
B.Depression
C. Denial
D.Anger
