ATI Mental Health Proctored Exam Review
1. 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).:
-To assess cognitive ability, I should ask the client to count backward by sevens."
-To assess affect, I should observe the client's facial expression.
-To assess language ability, I should instruct the client to write a sentence."
2. 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?: Monitor the client for adverse effects of the medications.
3. 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?: Identify the client's perception
of her mental health status.
4. 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?: The client arouses briefly in response to a sternal rub.
5. 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): The DSM-5 establishes diagnostic criteria for individual mental
health disorders.
-The DSM-5 assists nurses in planning care for client's who have mental health
disorders.
-The DSM-5 indicates expected assessment findings of mental health disorders.
6. 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 client who has borderline
personality disorder and assaulted a homeless man with a metal rod
7. A nurse decides to put a client who has a psychotic 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?: False imprisonment
8. 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
yelling at me and threatening me." Which of the following actions should the
nurse take?: Report the incident to the health care team, but do not inform the
client of the intention to do so.
, ATI Mental Health Proctored Exam Review
9. 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): -Client was offered 8 oz of water every hr."
-Client shouted obscenities at assistive personnel."
-Client received chlorpromazine 15 mg by mouth at 1000.
10. 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?: Tell the nurse to stop discussing the
behavior
11. A nurse is caring for the parents of a child who has demonstrated
changes in behavior and mood. When the mother of the child asks the nurse
for reassurance about her son's condition, which of the following responses
should the nurse make?: I understand you're concerned. Let's discuss what
concerns you specifically."
12. A nurse is caring for a client who smokes and has 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?: Denial
13. A nurse is providing preoperative teaching for a client 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?: Moderate
14. A nurse is caring for a client who is experiencing moderate anxiety.
Which of the following actions should the nurse take when trying to give
necessary information to the client? (Select all that apply.): -Discuss prior use
of coping mechanisms with the client.
-Demonstrate a calm manner while using simple and clear directions.
15. A nurse is talking with a client who is at risk for suicide following the
death of his spouse. Which of the following statements should the nurse
make?: -Losing someone close to you must be very upsetting."
16. 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): -It is goal-directed.
-Behavioral change is encouraged.
, ATI Mental Health Proctored Exam Review
-A termination date is established.
17. A nurse is in the working phase of a therapeutic relationship with a
client who has methamphetamine use disorder. Which of the following
actions indicates transference behavior?: The client accuses the nurses of
telling him what to do just like his ex-girlfriend.
18. A nurse is planning care for the termination phase of a nurse-client
relationship. Which of the following actions should the nurse include in the
plan of care?: Discussing ways to use new behaviors
19. A nurse is orienting a new client to a mental health unit. When
explaining the unit's community meetings, which of the following
statements should the nurse make?: You and the other clients will meet with
staff to discuss common problems.
20. A nurse is caring several clients who are attending community-based
mental health programs. Which of the following clients should the nurse
plan to visit first?: A client who says he is hearing a voice that tells him he is not
worth living anymore.
21. A community mental health nurse is planning care to address the issue
of depression among older adult clients in the community. Which of the
following interventions should the nurse plan as a method of tertiary
prevention?: Establishing rehabilitation programs to decrease the effects of
depression
22. A nurse is working in a community mental health facility. Which of the
following services does this type of program provide? (Select all that apply):
-Educational groups
-Medication dispensing programs
-Individual counseling programs
-Family therapy
23. A nurse in an acute mental health facility is assisting with discharge
planning for a client who has a severe mental illness and requires
supervision much of the time. The client's wife works all day but is home by
late afternoon. Which of the following strategies should the nurse suggest
as appropriate follow-up care?: Attending a partial hospitalization program
24. A nurse is caring for a group of clients. Which of the following clients
should a nurse consider for referral to an assertive community treatment
(ACT) group?: A client who loves at home and keeps "forgetting" to come in for
his monthly antipsychotic injection for schizophrenia
1. 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).:
-To assess cognitive ability, I should ask the client to count backward by sevens."
-To assess affect, I should observe the client's facial expression.
-To assess language ability, I should instruct the client to write a sentence."
2. 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?: Monitor the client for adverse effects of the medications.
3. 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?: Identify the client's perception
of her mental health status.
4. 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?: The client arouses briefly in response to a sternal rub.
5. 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): The DSM-5 establishes diagnostic criteria for individual mental
health disorders.
-The DSM-5 assists nurses in planning care for client's who have mental health
disorders.
-The DSM-5 indicates expected assessment findings of mental health disorders.
6. 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 client who has borderline
personality disorder and assaulted a homeless man with a metal rod
7. A nurse decides to put a client who has a psychotic 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?: False imprisonment
8. 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
yelling at me and threatening me." Which of the following actions should the
nurse take?: Report the incident to the health care team, but do not inform the
client of the intention to do so.
, ATI Mental Health Proctored Exam Review
9. 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): -Client was offered 8 oz of water every hr."
-Client shouted obscenities at assistive personnel."
-Client received chlorpromazine 15 mg by mouth at 1000.
10. 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?: Tell the nurse to stop discussing the
behavior
11. A nurse is caring for the parents of a child who has demonstrated
changes in behavior and mood. When the mother of the child asks the nurse
for reassurance about her son's condition, which of the following responses
should the nurse make?: I understand you're concerned. Let's discuss what
concerns you specifically."
12. A nurse is caring for a client who smokes and has 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?: Denial
13. A nurse is providing preoperative teaching for a client 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?: Moderate
14. A nurse is caring for a client who is experiencing moderate anxiety.
Which of the following actions should the nurse take when trying to give
necessary information to the client? (Select all that apply.): -Discuss prior use
of coping mechanisms with the client.
-Demonstrate a calm manner while using simple and clear directions.
15. A nurse is talking with a client who is at risk for suicide following the
death of his spouse. Which of the following statements should the nurse
make?: -Losing someone close to you must be very upsetting."
16. 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): -It is goal-directed.
-Behavioral change is encouraged.
, ATI Mental Health Proctored Exam Review
-A termination date is established.
17. A nurse is in the working phase of a therapeutic relationship with a
client who has methamphetamine use disorder. Which of the following
actions indicates transference behavior?: The client accuses the nurses of
telling him what to do just like his ex-girlfriend.
18. A nurse is planning care for the termination phase of a nurse-client
relationship. Which of the following actions should the nurse include in the
plan of care?: Discussing ways to use new behaviors
19. A nurse is orienting a new client to a mental health unit. When
explaining the unit's community meetings, which of the following
statements should the nurse make?: You and the other clients will meet with
staff to discuss common problems.
20. A nurse is caring several clients who are attending community-based
mental health programs. Which of the following clients should the nurse
plan to visit first?: A client who says he is hearing a voice that tells him he is not
worth living anymore.
21. A community mental health nurse is planning care to address the issue
of depression among older adult clients in the community. Which of the
following interventions should the nurse plan as a method of tertiary
prevention?: Establishing rehabilitation programs to decrease the effects of
depression
22. A nurse is working in a community mental health facility. Which of the
following services does this type of program provide? (Select all that apply):
-Educational groups
-Medication dispensing programs
-Individual counseling programs
-Family therapy
23. A nurse in an acute mental health facility is assisting with discharge
planning for a client who has a severe mental illness and requires
supervision much of the time. The client's wife works all day but is home by
late afternoon. Which of the following strategies should the nurse suggest
as appropriate follow-up care?: Attending a partial hospitalization program
24. A nurse is caring for a group of clients. Which of the following clients
should a nurse consider for referral to an assertive community treatment
(ACT) group?: A client who loves at home and keeps "forgetting" to come in for
his monthly antipsychotic injection for schizophrenia
