ATI Mental Health assessment questions
A nurse in an emergency mental health facility is caring for a group of clients. The nurse should
identify that which of the following clients requires a temporary emergency admission?
A. A client who has schizophrenia with delusions of grandeur
B. A client who has manifestations 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
D. A client who has bipolar disorder and paces quickly around the room while talking to
themselves - ANSC. A client who has borderline personality disorder and assaulted a homeless
man with a metal rod
A nurse decides to put a client who has a psychotic disorder in seclusion overnight because the
unit short-staffed, and the client frequently is very fights with other clients. The nurse's actions
are an example of which of the following torts?
A. Invasion of privacy
B. False imprisonment
C. Assault
D. Battery - ANSB. False imprisonment
A client tells a nurse, "Don't tell anyone, but I hid a sharp knife under my mattress in order to
protect myself from my roommate, who is always threatening me." Which of the following
actions should the nurse take?
A. Keep the client's communication confidential, but talk to the client daily, using therapeutic
communication to convince them to admit to hiding the knife.
B. Keep the client's communication confidential, but watch the client and their roommate closely.
C. Tell the client that this must be reported to the health care team because it concerns the
health and safety of the client and others.
D. Report the incident to the health care team, but do not inform the client of the intention to do
so. - ANSC. Tell the client that this must be reported to the health care team because it
concerns the health and safety of the client and others.
A nurse is caring for a client who is in mechanical restraints. Which of the following statements
should the nurse include in the documentation? (Select all that apply.)
A. "Client ate most of their breakfast."
B. "Client was offered 8 oz of water every hr."
C. "Client shouted obscenities at assistive personnel."
D. "Client received chlorpromazine 15 mg by mouth at 1000."
E. "Client acted out after lunch." - ANSB. "Client was offered 8 oz of water every hr."
C. "Client shouted obscenities at assistive personnel."
D. "Client received chlorpromazine 15 mg by mouth at 1000."
, A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway with
another nurse. Which of the following actions should the nurse take first?
A. Notify the nurse manager.
B. Tell the nurse to stop discussing the behavior.
C. Provide an in-service program about confidentiality.
D. Complete an incident report. - ANSB. Tell the nurse to stop discussing the behavior.
A charge nurse is conducting a class on therapeutic communication with a group of newly
licensed nurses. Which of the following aspects of communication should the nurse identify as a
component of verbal communication?
A. Personal space
B. Posture
C. Eye contact
D. Intonation - ANSD. Intonation
A nurse in an acute mental health facility is communicating with a client. The client states, "I
can't sleep. I stay up all night." The nurse responds, "You are having difficulty sleeping?" Which
of the following therapeutic communication techniques is the nurse demonstrating?
A. Offering general leads
B. Summarizing
C. Focusing
D. Restating - ANSD. Restating
Anurse is communicating with a client who was admitted for treatment of a substance use
disorder. Which of the following communication techniques should the nurse identify as a barrier
to therapeutic communication?
A. Offering advice
B. Reflecting
C. Listening attentively
D. Giving information - ANSA. Offering advice
A nurse is talking with a client who is at risk for suicide following their partner's death. Which of
the following statements should the nurse make?
A. "I feel very sorry for the loneliness you must be experiencing."
B. "Suicide is not the appropriate way to cope with loss."
C. "Losing someone close to you must be very upsetting."
D. "I know how difficult it is to lose a loved one." - ANSC. "Losing someone close to you must be
very upsetting."
A charge nurse is discussing the characteristics of a nurse-client relationship with a newly
licensed nurse. Which of the following characteristics should the nurse include in the
discussion? (Select all that apply.)
A. The needs of both participants are met.
B. An emotional commitment exists between the participants.
A nurse in an emergency mental health facility is caring for a group of clients. The nurse should
identify that which of the following clients requires a temporary emergency admission?
A. A client who has schizophrenia with delusions of grandeur
B. A client who has manifestations 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
D. A client who has bipolar disorder and paces quickly around the room while talking to
themselves - ANSC. A client who has borderline personality disorder and assaulted a homeless
man with a metal rod
A nurse decides to put a client who has a psychotic disorder in seclusion overnight because the
unit short-staffed, and the client frequently is very fights with other clients. The nurse's actions
are an example of which of the following torts?
A. Invasion of privacy
B. False imprisonment
C. Assault
D. Battery - ANSB. False imprisonment
A client tells a nurse, "Don't tell anyone, but I hid a sharp knife under my mattress in order to
protect myself from my roommate, who is always threatening me." Which of the following
actions should the nurse take?
A. Keep the client's communication confidential, but talk to the client daily, using therapeutic
communication to convince them to admit to hiding the knife.
B. Keep the client's communication confidential, but watch the client and their roommate closely.
C. Tell the client that this must be reported to the health care team because it concerns the
health and safety of the client and others.
D. Report the incident to the health care team, but do not inform the client of the intention to do
so. - ANSC. Tell the client that this must be reported to the health care team because it
concerns the health and safety of the client and others.
A nurse is caring for a client who is in mechanical restraints. Which of the following statements
should the nurse include in the documentation? (Select all that apply.)
A. "Client ate most of their breakfast."
B. "Client was offered 8 oz of water every hr."
C. "Client shouted obscenities at assistive personnel."
D. "Client received chlorpromazine 15 mg by mouth at 1000."
E. "Client acted out after lunch." - ANSB. "Client was offered 8 oz of water every hr."
C. "Client shouted obscenities at assistive personnel."
D. "Client received chlorpromazine 15 mg by mouth at 1000."
, A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway with
another nurse. Which of the following actions should the nurse take first?
A. Notify the nurse manager.
B. Tell the nurse to stop discussing the behavior.
C. Provide an in-service program about confidentiality.
D. Complete an incident report. - ANSB. Tell the nurse to stop discussing the behavior.
A charge nurse is conducting a class on therapeutic communication with a group of newly
licensed nurses. Which of the following aspects of communication should the nurse identify as a
component of verbal communication?
A. Personal space
B. Posture
C. Eye contact
D. Intonation - ANSD. Intonation
A nurse in an acute mental health facility is communicating with a client. The client states, "I
can't sleep. I stay up all night." The nurse responds, "You are having difficulty sleeping?" Which
of the following therapeutic communication techniques is the nurse demonstrating?
A. Offering general leads
B. Summarizing
C. Focusing
D. Restating - ANSD. Restating
Anurse is communicating with a client who was admitted for treatment of a substance use
disorder. Which of the following communication techniques should the nurse identify as a barrier
to therapeutic communication?
A. Offering advice
B. Reflecting
C. Listening attentively
D. Giving information - ANSA. Offering advice
A nurse is talking with a client who is at risk for suicide following their partner's death. Which of
the following statements should the nurse make?
A. "I feel very sorry for the loneliness you must be experiencing."
B. "Suicide is not the appropriate way to cope with loss."
C. "Losing someone close to you must be very upsetting."
D. "I know how difficult it is to lose a loved one." - ANSC. "Losing someone close to you must be
very upsetting."
A charge nurse is discussing the characteristics of a nurse-client relationship with a newly
licensed nurse. Which of the following characteristics should the nurse include in the
discussion? (Select all that apply.)
A. The needs of both participants are met.
B. An emotional commitment exists between the participants.
