TUTORPAPER
ATI - Mental Health Proctored Exam Study Guide
Practice Test, Detailed Answer Explanations
1. **The client is responsive and able to fully respond by opening their eyes and attending to a normal
tone of voice and speech. What is the level of consciousness?**
- A. **Alert**
- B. Lethargic
- C. Stuporous
- D. Comatose
2. **The client is able to open their eyes and respond but is drowsy and falls asleep readily. What is the
level of consciousness?**
- A. Alert
- B. **Lethargic**
- C. Stuporous
- D. Comatose
3. **The client requires vigorous or painful stimuli (pinching a tendon or rubbing the sternum) to elicit a
brief response. They might not be able to respond verbally. What is the level of consciousness?**
- A. Alert
- B. Lethargic
- C. **Stuporous**
- D. Comatose
4. **The client is unconscious and does not respond to painful stimuli. What is the level of
consciousness?**
- A. Alert
- B. Lethargic
- C. Stuporous
- D. **Comatose**
5. **How to test a client's immediate memory?**
- A. Ask the client to count backward from 100 in sevens.
- B. **Ask the client to repeat a series of numbers or a list of objects.**
- C. Ask the client to state a fact from their past that is verifiable.
- D. Ask the client to identify the current president.
6. **How to test a client's recent memory?**
- A. Ask the client to count backward from 100 in sevens.
- B. Ask the client to identify the current president.
,TUTORPAPER
- C. **Ask the client to recall recent events, such as visitors from the current day.**
- D. Ask the client to state their birth date.
7. **How to test a client's remote memory?**
- A. **Ask the client to state a fact from their past that is verifiable, such as their birth date.**
- B. Ask the client to recall the names of recent visitors.
- C. Ask the client to repeat a list of objects.
- D. Ask the client to identify the current president.
8. **How to assess a client's ability to calculate?**
- A. Ask the client to interpret a proverb.
- B. **Ask the client to count backward from 100 in sevens.**
- C. Ask the client to draw a clock.
- D. Ask the client to repeat a series of numbers.
9. **How to assess a client's ability to think abstractly?**
- A. Ask the client to repeat a series of numbers.
- B. **Ask the client to interpret something complex such as, "A bird in the hand is worth two in the
bush."**
- C. Ask the client to identify the current president.
- D. Ask the client to state a fact from their past that is verifiable.
10. **Glasgow Coma Scale: What score indicates that a client is in a coma?**
- A. 15
- B. **7 or less**
- C. 8-12
- D. 13-14
11. **A charge nurse is discussing mental status exams with a newly licensed nurse. Which of the
following statements by the newly licensed nurse indicates an understanding of the teaching? (Select all
that apply)**
- A. **"To assess cognitive ability, I should ask the client to count backward by sevens."**
- B. **"To assess affect, I should observe the client's facial expression."**
- C. **"To assess language ability, I should instruct the client to write a sentence."**
- D. "To assess remote memory, I should have the client repeat a list of objects."
- E. "To assess the client's abstract thinking, I should ask the client to identify our most recent
presidents."
12. **A nurse is planning care for a client who has a mental health disorder. Which of the following
actions should the nurse include as a psychobiological intervention?**
- A. Assist the client with systematic desensitization therapy.
- B. Teach the client appropriate coping mechanisms.
,TUTORPAPER
- C. Assess the client for comorbid health conditions.
- D. **Monitor the client for adverse effects of the medications.**
13. **A nurse in an outpatient mental health clinic is preparing to conduct an initial client interview.
When conducting the interview, which of the following actions should the nurse identify as the
priority?**
- A. Coordinate holistic care with social services.
- B. **Identify the client's perception of her mental health status.**
- C. Include the client's family in the interview.
- D. Teach the client about her current mental health disorder.
14. **A nurse is told during change of shift report that a client is stuporous. When assessing the client,
which of the following findings should the nurse expect?**
- A. **The client arouses briefly in response to a sternal rub.**
- B. The client has a Glasgow Coma Scale score of less than 7.
- C. The client exhibits decorticate rigidity.
- D. The client is alert but disoriented to time and place.
15. **A nurse is planning a peer group discussion about the DSM-5. Which of the following information
is appropriate to include in the discussion? (Select all that apply)**
- A. The DSM-5 includes client education handouts for mental health disorders.
- B. **The DSM-5 establishes diagnostic criteria for individual mental health disorders.**
- C. The DSM-5 indicates recommended pharmacological treatment for mental health disorders.
- D. **The DSM-5 assists nurses in planning care for clients who have mental health disorders.**
- E. **The DSM-5 indicates expected assessment findings of mental health disorders.**
16. **What is the ethical principle of beneficence?**
- A. The client's right to make their own decisions
- B. **The quality of doing good, can be described as charity**
- C. Fair and equal treatment for all
- D. Loyalty and faithfulness to the client and to one's duty
17. **What is the ethical principle of autonomy?**
- A. **The client's right to make their own decisions**
- B. The quality of doing good
- C. Fair and equal treatment for all
- D. Loyalty and faithfulness to the client and to one's duty
18. **What is the ethical principle of justice?**
- A. The quality of doing good
- B. The client's right to make their own decisions
- C. **Fair and equal treatment for all**
, TUTORPAPER
- D. Loyalty and faithfulness to the client and to one's duty
19. **What is the ethical principle of fidelity?**
- A. The client's right to make their own decisions
- B. The quality of doing good
- C. **Loyalty and faithfulness to the client and to one's duty**
- D. Fair and equal treatment for all
20. **What is the ethical principle of veracity?**
- A. **Honesty when dealing with a client**
- B. The client's right to make their own decisions
- C. Loyalty and faithfulness to the client and to one's duty
- D. Fair and equal treatment for all
21. **What are the requirements for restraining a patient?**
- A. Restraints can be applied indefinitely once prescribed.
- B. **Provider must prescribe the restraint in writing; time limits are based on age.**
- C. Documentation is required only if the restraint is applied for more than 1 hour.
- D. Restraints are not allowed in mental health facilities.
22. **What is false imprisonment in a healthcare setting?**
- A. **Confining a client to a specific area if the reason for such confinement is for the convenience of
the staff**
- B. Making a threat to a client's person
- C. Touching a client in a harmful or offensive way
- D. Restricting a client’s phone usage for their safety
23. **What is considered assault in a healthcare setting?**
- A. Confining a client to a specific area
- B. **Making a threat to a client's person**
- C. Touching a client in a harmful or offensive way
- D. Administering medication without consent
24. **What is considered battery in a healthcare setting?**
- A. Confining a client to a specific area
- B. Making a threat to a client's person
- C. **Touching a client in a harmful or offensive way**
- D. Administering medication without consent
25. **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
ATI - Mental Health Proctored Exam Study Guide
Practice Test, Detailed Answer Explanations
1. **The client is responsive and able to fully respond by opening their eyes and attending to a normal
tone of voice and speech. What is the level of consciousness?**
- A. **Alert**
- B. Lethargic
- C. Stuporous
- D. Comatose
2. **The client is able to open their eyes and respond but is drowsy and falls asleep readily. What is the
level of consciousness?**
- A. Alert
- B. **Lethargic**
- C. Stuporous
- D. Comatose
3. **The client requires vigorous or painful stimuli (pinching a tendon or rubbing the sternum) to elicit a
brief response. They might not be able to respond verbally. What is the level of consciousness?**
- A. Alert
- B. Lethargic
- C. **Stuporous**
- D. Comatose
4. **The client is unconscious and does not respond to painful stimuli. What is the level of
consciousness?**
- A. Alert
- B. Lethargic
- C. Stuporous
- D. **Comatose**
5. **How to test a client's immediate memory?**
- A. Ask the client to count backward from 100 in sevens.
- B. **Ask the client to repeat a series of numbers or a list of objects.**
- C. Ask the client to state a fact from their past that is verifiable.
- D. Ask the client to identify the current president.
6. **How to test a client's recent memory?**
- A. Ask the client to count backward from 100 in sevens.
- B. Ask the client to identify the current president.
,TUTORPAPER
- C. **Ask the client to recall recent events, such as visitors from the current day.**
- D. Ask the client to state their birth date.
7. **How to test a client's remote memory?**
- A. **Ask the client to state a fact from their past that is verifiable, such as their birth date.**
- B. Ask the client to recall the names of recent visitors.
- C. Ask the client to repeat a list of objects.
- D. Ask the client to identify the current president.
8. **How to assess a client's ability to calculate?**
- A. Ask the client to interpret a proverb.
- B. **Ask the client to count backward from 100 in sevens.**
- C. Ask the client to draw a clock.
- D. Ask the client to repeat a series of numbers.
9. **How to assess a client's ability to think abstractly?**
- A. Ask the client to repeat a series of numbers.
- B. **Ask the client to interpret something complex such as, "A bird in the hand is worth two in the
bush."**
- C. Ask the client to identify the current president.
- D. Ask the client to state a fact from their past that is verifiable.
10. **Glasgow Coma Scale: What score indicates that a client is in a coma?**
- A. 15
- B. **7 or less**
- C. 8-12
- D. 13-14
11. **A charge nurse is discussing mental status exams with a newly licensed nurse. Which of the
following statements by the newly licensed nurse indicates an understanding of the teaching? (Select all
that apply)**
- A. **"To assess cognitive ability, I should ask the client to count backward by sevens."**
- B. **"To assess affect, I should observe the client's facial expression."**
- C. **"To assess language ability, I should instruct the client to write a sentence."**
- D. "To assess remote memory, I should have the client repeat a list of objects."
- E. "To assess the client's abstract thinking, I should ask the client to identify our most recent
presidents."
12. **A nurse is planning care for a client who has a mental health disorder. Which of the following
actions should the nurse include as a psychobiological intervention?**
- A. Assist the client with systematic desensitization therapy.
- B. Teach the client appropriate coping mechanisms.
,TUTORPAPER
- C. Assess the client for comorbid health conditions.
- D. **Monitor the client for adverse effects of the medications.**
13. **A nurse in an outpatient mental health clinic is preparing to conduct an initial client interview.
When conducting the interview, which of the following actions should the nurse identify as the
priority?**
- A. Coordinate holistic care with social services.
- B. **Identify the client's perception of her mental health status.**
- C. Include the client's family in the interview.
- D. Teach the client about her current mental health disorder.
14. **A nurse is told during change of shift report that a client is stuporous. When assessing the client,
which of the following findings should the nurse expect?**
- A. **The client arouses briefly in response to a sternal rub.**
- B. The client has a Glasgow Coma Scale score of less than 7.
- C. The client exhibits decorticate rigidity.
- D. The client is alert but disoriented to time and place.
15. **A nurse is planning a peer group discussion about the DSM-5. Which of the following information
is appropriate to include in the discussion? (Select all that apply)**
- A. The DSM-5 includes client education handouts for mental health disorders.
- B. **The DSM-5 establishes diagnostic criteria for individual mental health disorders.**
- C. The DSM-5 indicates recommended pharmacological treatment for mental health disorders.
- D. **The DSM-5 assists nurses in planning care for clients who have mental health disorders.**
- E. **The DSM-5 indicates expected assessment findings of mental health disorders.**
16. **What is the ethical principle of beneficence?**
- A. The client's right to make their own decisions
- B. **The quality of doing good, can be described as charity**
- C. Fair and equal treatment for all
- D. Loyalty and faithfulness to the client and to one's duty
17. **What is the ethical principle of autonomy?**
- A. **The client's right to make their own decisions**
- B. The quality of doing good
- C. Fair and equal treatment for all
- D. Loyalty and faithfulness to the client and to one's duty
18. **What is the ethical principle of justice?**
- A. The quality of doing good
- B. The client's right to make their own decisions
- C. **Fair and equal treatment for all**
, TUTORPAPER
- D. Loyalty and faithfulness to the client and to one's duty
19. **What is the ethical principle of fidelity?**
- A. The client's right to make their own decisions
- B. The quality of doing good
- C. **Loyalty and faithfulness to the client and to one's duty**
- D. Fair and equal treatment for all
20. **What is the ethical principle of veracity?**
- A. **Honesty when dealing with a client**
- B. The client's right to make their own decisions
- C. Loyalty and faithfulness to the client and to one's duty
- D. Fair and equal treatment for all
21. **What are the requirements for restraining a patient?**
- A. Restraints can be applied indefinitely once prescribed.
- B. **Provider must prescribe the restraint in writing; time limits are based on age.**
- C. Documentation is required only if the restraint is applied for more than 1 hour.
- D. Restraints are not allowed in mental health facilities.
22. **What is false imprisonment in a healthcare setting?**
- A. **Confining a client to a specific area if the reason for such confinement is for the convenience of
the staff**
- B. Making a threat to a client's person
- C. Touching a client in a harmful or offensive way
- D. Restricting a client’s phone usage for their safety
23. **What is considered assault in a healthcare setting?**
- A. Confining a client to a specific area
- B. **Making a threat to a client's person**
- C. Touching a client in a harmful or offensive way
- D. Administering medication without consent
24. **What is considered battery in a healthcare setting?**
- A. Confining a client to a specific area
- B. Making a threat to a client's person
- C. **Touching a client in a harmful or offensive way**
- D. Administering medication without consent
25. **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
