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ATI Mental Health Proctored Exam
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1. A charge nurse is discussing mental status exams -"To assess cognitive abil-
with a newly licensed nurse. Which of the following ity, I should ask the client
statements by the newly licensed nurse indicates an to count backward by sev-
understanding of the teaching? (Select all that apply). ens."
-"To assess affect, I should
observe the client's facial
expression.
-"To assess language abil-
ity, I should instruct the
client to write a sentence."
2. A nurse is planning care for a client who has a mental Monitor the client for ad-
health disorder. Which of the following actions should verse effects of the med-
the nurse include as a psychobiological intervention? ications.
3. A nurse in an outpatient mental health clinic is prepar- Identify the client's per-
ing to conduct an initial client interview. When con- ception of her mental
ducting the interview, which of the following actions health status.
should the nurse identify as the priority?
4. A nurse is told during change of shift report that a The client arouses briefly
client is stuporous. When assessing the client, which in response to a sternal
of the following findings should the nurse expect? rub.
5. A nurse is planning a peer group discussion about -The DSM-5 establish-
the DSM-5. Which of the following information is ap- es diagnostic criteria for
propriate to include in the discussion? (Select all that individual mental health
apply) disorders.
-The DSM-5 assists nurs-
es in planning care for
client's who have mental
health disorders.
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-The DSM-5 indicates ex-
pected assessment find-
ings of mental health dis-
orders.
6. A nurse in an emergency mental health facility is car- A client who has border-
ing for a group of clients. The nurse should identify line personality disorder
that which of the following clients requires a tempo- and assaulted a homeless
rary emergency admission? man with a metal rod
7. A nurse decides to put a client who has a psychot- False imprisonment
ic disorder in seclusion overnight because the unit
is very short-staffed, and the client frequently fights
with other clients. The nurse's actions are an example
of which of the following torts?
8. A client tells a nurse, "Don't tell anyone but I hid a Report the incident to the
sharp knife under my mattress in order to protect my- health care team, but do
self from my roommate, who is always yelling at me not inform the client of the
and threatening me." Which of the following actions intention to do so.
should the nurse take?
9. A nurse is caring for a client who is in mechanical -"Client was offered 8 oz of
restraints. Which of the following statements should water every hr."
the nurse include in the documentation? (Select all -"Client shouted obscen-
that apply) ities at assistive person-
nel."
-"Client received chlorpro-
mazine 15 mg by mouth at
1000.
10. A nurse hears a newly licensed nurse discussing a Tell the nurse to stop dis-
client's hallucinations in the hallway with another cussing the behavior
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nurse. Which of the following actions should the nurse
take first?
11. A nurse is caring for the parents of a child who has "I understand you're con-
demonstrated changes in behavior and mood. When cerned. Let's discuss what
the mother of the child asks the nurse for reassurance concerns you specifically."
about her son's condition, which of the following re-
sponses should the nurse make?
12. A nurse is caring for a client who smokes and has Denial
lung cancer. The client reports, "I'm coughing because
I have that cold that everyone has been getting." The
nurse should identify that the client is using which of
the following defense mechanisms?
13. A nurse is providing preoperative teaching for a client Moderate
who was just informed that she requires emergency
surgery. The client has a respiratory rate 30/min and
says, "This is difficult to comprehend. I feel shaky and
nervous." The nurse should identify that the client is
experiencing which of the following levels of anxiety?
14. A nurse is caring for a client who is experiencing mod- -Discuss prior use of cop-
erate anxiety. Which of the following actions should ing mechanisms with the
the nurse take when trying to give necessary informa- client.
tion to the client? (Select all that apply.) -Demonstrate a calm
manner while using sim-
ple and clear directions.
15. A nurse is talking with a client who is at risk for suicide "Losing someone close to
following the death of his spouse. Which of the follow- you must be very upset-
ing statements should the nurse make? ting."
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16. A charge nurse is discussing the characteristics of a -It is goal-directed.
nurse-client relationship with a newly licensed nurse. -Behavioral change is en-
Which of the following characteristics should the couraged.
nurse include in the discussion? (Select all that apply) -A termination date is es-
tablished.
17. A nurse is in the working phase of a therapeutic re- The client accuses the
lationship with a client who has methamphetamine nurses of telling him what
use disorder. Which of the following actions indicates to do just like his ex-girl-
transference behavior? friend.
18. A nurse is planning care for the termination phase Discussing ways to use
of a nurse-client relationship. Which of the following new behaviors
actions should the nurse include in the plan of care?
19. A nurse is orienting a new client to a mental health "You and the other clients
unit. When explaining the unit's community meetings, will meet with staff to dis-
which of the following statements should the nurse cuss common problems.
make?
20. A nurse is caring several clients who are attending A client who says he is
community-based mental health programs. Which of hearing a voice that tells
the following clients should the nurse plan to visit him he is not worth living
first? anymore.
21. A community mental health nurse is planning care to Establishing rehabilitation
address the issue of depression among older adult programs to decrease the
clients in the community. Which of the following inter- effects of depression
ventions should the nurse plan as a method of tertiary
prevention?
22. -Educational groups
-Medication dispensing
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1. A charge nurse is discussing mental status exams -"To assess cognitive abil-
with a newly licensed nurse. Which of the following ity, I should ask the client
statements by the newly licensed nurse indicates an to count backward by sev-
understanding of the teaching? (Select all that apply). ens."
-"To assess affect, I should
observe the client's facial
expression.
-"To assess language abil-
ity, I should instruct the
client to write a sentence."
2. A nurse is planning care for a client who has a mental Monitor the client for ad-
health disorder. Which of the following actions should verse effects of the med-
the nurse include as a psychobiological intervention? ications.
3. A nurse in an outpatient mental health clinic is prepar- Identify the client's per-
ing to conduct an initial client interview. When con- ception of her mental
ducting the interview, which of the following actions health status.
should the nurse identify as the priority?
4. A nurse is told during change of shift report that a The client arouses briefly
client is stuporous. When assessing the client, which in response to a sternal
of the following findings should the nurse expect? rub.
5. A nurse is planning a peer group discussion about -The DSM-5 establish-
the DSM-5. Which of the following information is ap- es diagnostic criteria for
propriate to include in the discussion? (Select all that individual mental health
apply) disorders.
-The DSM-5 assists nurs-
es in planning care for
client's who have mental
health disorders.
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ATI Mental Health Proctored Exam
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-The DSM-5 indicates ex-
pected assessment find-
ings of mental health dis-
orders.
6. A nurse in an emergency mental health facility is car- A client who has border-
ing for a group of clients. The nurse should identify line personality disorder
that which of the following clients requires a tempo- and assaulted a homeless
rary emergency admission? man with a metal rod
7. A nurse decides to put a client who has a psychot- False imprisonment
ic disorder in seclusion overnight because the unit
is very short-staffed, and the client frequently fights
with other clients. The nurse's actions are an example
of which of the following torts?
8. A client tells a nurse, "Don't tell anyone but I hid a Report the incident to the
sharp knife under my mattress in order to protect my- health care team, but do
self from my roommate, who is always yelling at me not inform the client of the
and threatening me." Which of the following actions intention to do so.
should the nurse take?
9. A nurse is caring for a client who is in mechanical -"Client was offered 8 oz of
restraints. Which of the following statements should water every hr."
the nurse include in the documentation? (Select all -"Client shouted obscen-
that apply) ities at assistive person-
nel."
-"Client received chlorpro-
mazine 15 mg by mouth at
1000.
10. A nurse hears a newly licensed nurse discussing a Tell the nurse to stop dis-
client's hallucinations in the hallway with another cussing the behavior
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nurse. Which of the following actions should the nurse
take first?
11. A nurse is caring for the parents of a child who has "I understand you're con-
demonstrated changes in behavior and mood. When cerned. Let's discuss what
the mother of the child asks the nurse for reassurance concerns you specifically."
about her son's condition, which of the following re-
sponses should the nurse make?
12. A nurse is caring for a client who smokes and has Denial
lung cancer. The client reports, "I'm coughing because
I have that cold that everyone has been getting." The
nurse should identify that the client is using which of
the following defense mechanisms?
13. A nurse is providing preoperative teaching for a client Moderate
who was just informed that she requires emergency
surgery. The client has a respiratory rate 30/min and
says, "This is difficult to comprehend. I feel shaky and
nervous." The nurse should identify that the client is
experiencing which of the following levels of anxiety?
14. A nurse is caring for a client who is experiencing mod- -Discuss prior use of cop-
erate anxiety. Which of the following actions should ing mechanisms with the
the nurse take when trying to give necessary informa- client.
tion to the client? (Select all that apply.) -Demonstrate a calm
manner while using sim-
ple and clear directions.
15. A nurse is talking with a client who is at risk for suicide "Losing someone close to
following the death of his spouse. Which of the follow- you must be very upset-
ing statements should the nurse make? ting."
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16. A charge nurse is discussing the characteristics of a -It is goal-directed.
nurse-client relationship with a newly licensed nurse. -Behavioral change is en-
Which of the following characteristics should the couraged.
nurse include in the discussion? (Select all that apply) -A termination date is es-
tablished.
17. A nurse is in the working phase of a therapeutic re- The client accuses the
lationship with a client who has methamphetamine nurses of telling him what
use disorder. Which of the following actions indicates to do just like his ex-girl-
transference behavior? friend.
18. A nurse is planning care for the termination phase Discussing ways to use
of a nurse-client relationship. Which of the following new behaviors
actions should the nurse include in the plan of care?
19. A nurse is orienting a new client to a mental health "You and the other clients
unit. When explaining the unit's community meetings, will meet with staff to dis-
which of the following statements should the nurse cuss common problems.
make?
20. A nurse is caring several clients who are attending A client who says he is
community-based mental health programs. Which of hearing a voice that tells
the following clients should the nurse plan to visit him he is not worth living
first? anymore.
21. A community mental health nurse is planning care to Establishing rehabilitation
address the issue of depression among older adult programs to decrease the
clients in the community. Which of the following inter- effects of depression
ventions should the nurse plan as a method of tertiary
prevention?
22. -Educational groups
-Medication dispensing
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