ATI Mental Health Assessment A 2023
Questions and Answers
1. A client who has a recent diagnosis of bipolar disorder is placed in a room with a client
who has severe depression. The client who has depression reports to the nurse, "My
roommate never sleeps and keeps me up, too." Which of the following actions should
the nurse take?
A. Move the client who has bipolar disorder to a private room.
B. Administer sleep medication to the client who has bipolar disorder.
C. Move the client who has depression to a private room.
D. Administer sleep medication to the client who has severe depression. - ANS-A. Move
the client who has bipolar disorder to a private room.
2. A nurse in a clinic is assessing a client whose partner dies 4 months ago. Which of the
following statements indicates that the client is at risk for complicated grief?
A. "I wish I had been nicer and more generous with my wife before she died."
B. "I told my wife to go to the doctor, but she wouldn't listen to me."
C. "I think about my wife all the time when I go on outings with my family."
D. "I feel so empty without my wife that it's hard to get up every morning." - ANS-D. "I
feel so empty without my wife that it's hard to get up every morning."
3. A nurse in a community health center is counseling a family of two parents and two
children. Which of the following statements by a family member indicates manipulative
behavior?
A. "If you do my homework for me, I won't bother you for the rest of the day."
B. "Mom is always upset."
C. "It's not the children's fault. It's mine."
D. "It's your fault we're having problems as a family." - ANS-A. "If you do my
homework for me, I won't bother you for the rest of the day."
4. A nurse in a community health center is teaching families of clients who have
post-traumatic stress disorder (PTSD) about expected clinical manifestations. Which of
the following manifestations should the nurse include?
A. Repeatedly talks about the traumatic incident
B. Sleeps excessively
C. Experiences feelings of isolation
D. Uses repetitive speech - ANS-C. Experiences feelings of isolation
5. A nurse in a community health center is working with a group of clients who have
post-traumatic stress disorder. Which of the following interventions should the nurse
include to reduce anxiety among the group members?
A. Response prevention
B. Guided imagery
C. Aversion therapy
D. Light therapy - ANS-B. Guided imagery
, 6. A nurse in a mental health facility is caring for a client who requires the use of restraints.
Which of the following actions should the nurse take when caring for the client?
A. Complete written documentation every 60 min.
B. Request a PRN prescription for restraint after the client has been reintegrated to the
unit.
C. Renew prescription for restraints every 48 hr.
D. Ensure a staff member checks on the client every 15 min. - ANS-D. Ensure a staff
member checks on the client every 15 min.
7. A nurse in a provider's office is collecting a health history from the guardian of a
school-age child who has been taking atomoxetine. Which of the following adverse
effects reported but the guardian is the priority for the nurse to report to the provider?
A. Reduced appitite
B. Fatigue
C. Dark urine
D. Sweating - ANS-C. Dark urine
8. A nurse in an acute mental health facility is receiving a change-of-shift report for four
clients. Which of the following clients should the nurse assess first?
A. A client who does not recognize familiar people
B. A client who cannot verbalize their needs
C. A client who is awake and disoriented at night
D. A client who is experiencing delusions of persecution - ANS-D. A client who is
experiencing delusions of persecution
9. A nurse in the emergency department is caring for a client who has alcohol toxicity and
is unresponsive. Which of the following interventions should the nurse take?
A. Gather supplies for endotracheal intubation
B. Administer a beta blocker intravenously
C. Position the client in a low-Fowler's position
D. Place a cooling blanket over the client - ANS-A. Gather supplies for endotracheal
intubation
10.A nurse is admitting a client who has anorexia nervosa and is at 60% of their ideal body
weight. Which of the following interventions should the nurse include in the plan of care?
A. Encourage the client to drink 125 ml of fluid each hour while awake.
B. Allow the client to eat independently in their room.
C. Weigh the client twice weekly.
D. Measure the client's vital signs once each day. - ANS-A. Encourage the client to
drink 125 ml of fluid each hour while awake.
11.A nurse is assessing a client for risk factors for the development of depression. The
nurse should identify that which of the following factors places the client at an increased
risk for depression?
A. The client is married.
B. The client has recently been promoted at work.
C. The client has COPD.
D. The client was assigned male at birth. - ANS-C. The client has COPD.
Questions and Answers
1. A client who has a recent diagnosis of bipolar disorder is placed in a room with a client
who has severe depression. The client who has depression reports to the nurse, "My
roommate never sleeps and keeps me up, too." Which of the following actions should
the nurse take?
A. Move the client who has bipolar disorder to a private room.
B. Administer sleep medication to the client who has bipolar disorder.
C. Move the client who has depression to a private room.
D. Administer sleep medication to the client who has severe depression. - ANS-A. Move
the client who has bipolar disorder to a private room.
2. A nurse in a clinic is assessing a client whose partner dies 4 months ago. Which of the
following statements indicates that the client is at risk for complicated grief?
A. "I wish I had been nicer and more generous with my wife before she died."
B. "I told my wife to go to the doctor, but she wouldn't listen to me."
C. "I think about my wife all the time when I go on outings with my family."
D. "I feel so empty without my wife that it's hard to get up every morning." - ANS-D. "I
feel so empty without my wife that it's hard to get up every morning."
3. A nurse in a community health center is counseling a family of two parents and two
children. Which of the following statements by a family member indicates manipulative
behavior?
A. "If you do my homework for me, I won't bother you for the rest of the day."
B. "Mom is always upset."
C. "It's not the children's fault. It's mine."
D. "It's your fault we're having problems as a family." - ANS-A. "If you do my
homework for me, I won't bother you for the rest of the day."
4. A nurse in a community health center is teaching families of clients who have
post-traumatic stress disorder (PTSD) about expected clinical manifestations. Which of
the following manifestations should the nurse include?
A. Repeatedly talks about the traumatic incident
B. Sleeps excessively
C. Experiences feelings of isolation
D. Uses repetitive speech - ANS-C. Experiences feelings of isolation
5. A nurse in a community health center is working with a group of clients who have
post-traumatic stress disorder. Which of the following interventions should the nurse
include to reduce anxiety among the group members?
A. Response prevention
B. Guided imagery
C. Aversion therapy
D. Light therapy - ANS-B. Guided imagery
, 6. A nurse in a mental health facility is caring for a client who requires the use of restraints.
Which of the following actions should the nurse take when caring for the client?
A. Complete written documentation every 60 min.
B. Request a PRN prescription for restraint after the client has been reintegrated to the
unit.
C. Renew prescription for restraints every 48 hr.
D. Ensure a staff member checks on the client every 15 min. - ANS-D. Ensure a staff
member checks on the client every 15 min.
7. A nurse in a provider's office is collecting a health history from the guardian of a
school-age child who has been taking atomoxetine. Which of the following adverse
effects reported but the guardian is the priority for the nurse to report to the provider?
A. Reduced appitite
B. Fatigue
C. Dark urine
D. Sweating - ANS-C. Dark urine
8. A nurse in an acute mental health facility is receiving a change-of-shift report for four
clients. Which of the following clients should the nurse assess first?
A. A client who does not recognize familiar people
B. A client who cannot verbalize their needs
C. A client who is awake and disoriented at night
D. A client who is experiencing delusions of persecution - ANS-D. A client who is
experiencing delusions of persecution
9. A nurse in the emergency department is caring for a client who has alcohol toxicity and
is unresponsive. Which of the following interventions should the nurse take?
A. Gather supplies for endotracheal intubation
B. Administer a beta blocker intravenously
C. Position the client in a low-Fowler's position
D. Place a cooling blanket over the client - ANS-A. Gather supplies for endotracheal
intubation
10.A nurse is admitting a client who has anorexia nervosa and is at 60% of their ideal body
weight. Which of the following interventions should the nurse include in the plan of care?
A. Encourage the client to drink 125 ml of fluid each hour while awake.
B. Allow the client to eat independently in their room.
C. Weigh the client twice weekly.
D. Measure the client's vital signs once each day. - ANS-A. Encourage the client to
drink 125 ml of fluid each hour while awake.
11.A nurse is assessing a client for risk factors for the development of depression. The
nurse should identify that which of the following factors places the client at an increased
risk for depression?
A. The client is married.
B. The client has recently been promoted at work.
C. The client has COPD.
D. The client was assigned male at birth. - ANS-C. The client has COPD.
