b. Initiates social interactions with caregivers.
ATI Mental Health A and B
1) A nurse is teaching a client who has schizophrenia about her new prescription for risperidone. Which of
the following statements should the nurse include in the teaching?
a. “You should continue this medication if you develop muscle rigidity”.
b. “You will experience weight loss while taking this medication.”
c. “You will notice your symptoms improve within 24 hours of taking this medication.”
d. “You should increase your consumption of complex carbohydrates.”
2) A nurse is admitting a client who has generalized anxiety disorder. Which of the following actions should
the nurse plan to take first?
a. Provide the client with a quiet environment
b. Determine how the client handles stress.
c. Teach the client to use guided imagery.
d. Ask the client to identify her strengths
3) A nurse is conducting an admission interview with a client who is experiencing mania. Which of the
following should the nurse report to the provider?
a. States that he hasn’t bathed in 2 days
b. Reports eating twice in the past two weeks.
c. Makes inappropriate sexual comments.
d. Speaks in rhyming sentences.
4) A nurse is planning care for a client who has obsessive-compulsive disorder. Which of the following
recommendation should the nurse include in the clients plan of care?
a. Validation therapy
b. Thought stopping
c. Operant conditioning
d. Reality orientation therapy
5) A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode. Which of the
following actions should the nurse take?
a. Encourage the client to join group activities
b. Dim the lights in the clients room
c. Provide detailed explanations to the client
d. Administer methylphenidate
6) A nurse is leading a crisis intervention group for adolescents who witnessed the suicide of a classmate.
Which of the following actions should the nurse take first.
a. Initiate referrals
b. Review community resources
c. Identify prior coping skills
d. Discuss the importance of confidentiality
7) A nurse overhears a client saying, "I am a spy, a spy for the FBI. I am an I, an eye for an eye in the sky. Sky is
up high." The nurse should document the client's statement as which of the following speech alterations?
a. Echolalia
b. Word salad
c. Neologism
d. Clang association
8) An older adult client is brought to the mental health clinic by her daughter. The daughter reports that her
mother is not eating and seems uninterested in routine activities. The daughter states "I'm so worried that
my mother is depressed" which of the following responses should the nurse make?
a. Everyone gets depressed from time to time.
b. You shouldn't worry about this because depressive disorder is easily treated.
c. Older adults are usually diagnosed with depressive disorder as they age.
d. Tell me the reasons you think your mother is depressed.
9) A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following
outcomes should the nurse include in the plan care?
a. Meets own needs without manipulating others.
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, c. Changes behavior as a result of peer pressure. d. Tell the client he cannot refuse the treatment because he was involuntarily committed.
d. Acknowledges his delusions are not real. 19) A nurse in the emergency department is caring for a client who reports feeling sad, worthless, and
10) A nurse is providing behavior therapy for a client who has obsessive-compulsive disorder. The client hopeless 9 months after the death of her son. Which of the following actions should the nurse take first?
repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse a. Request a mental health consult for the client.
give the client when using thought stopping technique? b. Ask the client if she has thought about harming herself.
a. Snap a rubber band on your wrist when you think about checking the locks. c. Encourage the client to attend a grief support group.
b. Ask a family member to check the locks for you at night. d. Discuss the clients coping skills.
c. Focus on abdominal breathing whenever you go to check the locks. 20) A nurse is caring for a client who has borderline personality disorder and has been engaging in self-
d. Keep a journal of how often you check the locks each night. mutilation. The nurse should encourage the client to participate in which of the following groups.
11) A nurse is caring for a client who is starting treatment for substance use disorder. Which of the following a. Dual diagnosis treatment group
actions indicate the nurse is practicing the ethical principle of nonmaleficence? b. Dialectical treatment group
a. Provide the client with quality care regardless of their ability to pay for treatment. c. Desensitization therapy
b. Educating the client about legal rights concerning treatment. d. Co-dependents support group.
c. Withholding the prescribed medication that is causing adverse effects for the client. 21) The nurse is reviewing the medication administration record of a client who has schizophrenia. The nurse
d. Being truthful with the client about the manifestations of withdrawl. should plan to initiate the Abnormal Involuntary Movement Scale to monitor for adverse effects of which
12) A nurse in a group home facility is caring for a client who is developmentally disabled. The client has been of the following medications.?
stealing belongings from other clients. Which of the following techniques should the nurse use? a. Amantadine
a. Crisis intervention to decrease anxiety. b. Diphenhydramine
b. Aversion therapy to provide distraction c. Benztropine
c. Positive reinforcement to increase desired behavior. d. Haloperidol
d. Systematic desensitization to extinguish the behavior. 22) A nurse is counseling a client following the death of a clients partner 8 months ago. Which of the following
13) A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the client statements indicates maladaptive grieving?
nurse take? a. I am so sorry for the times I was angry with my partner.
a. Ask the client to discuss precipitating events b. I find myself thinking about my partner often.
b. Speaks to the client in a high-pitched voice. c. I still don't feel up to returning to work.
c. Place the client in seclusion d. I like looking at his personal items in the closet.
d. Have the client breathe into a paper bag. 23) A nurse is caring for a client who has borderline personality disorder. Which of the following outcomes
14) The nurse is caring for a client following a physical assault. The client states "I don’t remember what should the nurse include in the treatment plan?
happened to me." The nurse should recognize that the client is using which of the following defense a. The client will report a decrease in hallucinations.
mechanisms? b. The client will communicate needs
a. Repression c. The client will verbalize improved mood
b. Displacement d. The client will attend to personal hygiene.
c. Rationalization 24) A nurse is caring for a client who is prescribed massage therapy to treat panic disorder. The client states "I
d. Denial can't stand to be touched by another person." Which of the following responses should the nurse make?
15) A nurse is caring for a client who has anorexia nervosa. Which of the following findings require immediate a. Why don’t you like to be touched by others
intervention by the nurse? b. Don’t worry about it. Your anxiety will lessen once the massage begins.
a. +2 edema of the lower extremities c. I will tell your provider you would like a treatment other than a massage.
b. BUN 21 mg/dL d. I will request that the massage therapist wear gloves during your treatment.
c. Lanugo covering the body 25) A nurse is creating a plan of care for a client who has major depressive disorder. Which of the following
d. Blood pH 7.60 interventions should the nurse include in the plan?
16) A nurse is caring for a client in a mental health facility. The client is agitated and threatens to harm herself a. Encourage physical activity for the client during the day
and others. Which of the following is the priority intervention? b. Discourage the client from expressing feelings of anger
a. Place the client in restraints c. Keep a bright light on in the client's room at night.
b. Administer an anti-anxiety medication to the client d. Identify and schedule alternative group activities for the client.
c. Put the client in seclusion 26) A nurse is providing counseling for a family that consists of two parents and their two adolescent children.
d. Set limits on the client's behavior Which of the following family members should the nurse identify as acting in the role as the monopolizer?
17) Dosage Calculation Question. a. The mother who expresses hostility toward her spouse.
18) A nurse is caring for a client who was involuntarily committed and is scheduled to receive b. The adolescent son who refuses to share personal feelings.
electroconvulsive therapy (ECT). The client refuses the treatment and will not discuss why with the health c. The father who intervenes whenever the siblings argue.
care team. Which of the following actions should the nurse take? d. The adolescent daughter who attempts to dominate the conversation.
a. Ask the clients family to encourage the client to receive ECT
b. Inform the client that ECT does not require a consent.
c. Document the client's refusal of the treatment in the medical record.
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ATI Mental Health A and B
1) A nurse is teaching a client who has schizophrenia about her new prescription for risperidone. Which of
the following statements should the nurse include in the teaching?
a. “You should continue this medication if you develop muscle rigidity”.
b. “You will experience weight loss while taking this medication.”
c. “You will notice your symptoms improve within 24 hours of taking this medication.”
d. “You should increase your consumption of complex carbohydrates.”
2) A nurse is admitting a client who has generalized anxiety disorder. Which of the following actions should
the nurse plan to take first?
a. Provide the client with a quiet environment
b. Determine how the client handles stress.
c. Teach the client to use guided imagery.
d. Ask the client to identify her strengths
3) A nurse is conducting an admission interview with a client who is experiencing mania. Which of the
following should the nurse report to the provider?
a. States that he hasn’t bathed in 2 days
b. Reports eating twice in the past two weeks.
c. Makes inappropriate sexual comments.
d. Speaks in rhyming sentences.
4) A nurse is planning care for a client who has obsessive-compulsive disorder. Which of the following
recommendation should the nurse include in the clients plan of care?
a. Validation therapy
b. Thought stopping
c. Operant conditioning
d. Reality orientation therapy
5) A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode. Which of the
following actions should the nurse take?
a. Encourage the client to join group activities
b. Dim the lights in the clients room
c. Provide detailed explanations to the client
d. Administer methylphenidate
6) A nurse is leading a crisis intervention group for adolescents who witnessed the suicide of a classmate.
Which of the following actions should the nurse take first.
a. Initiate referrals
b. Review community resources
c. Identify prior coping skills
d. Discuss the importance of confidentiality
7) A nurse overhears a client saying, "I am a spy, a spy for the FBI. I am an I, an eye for an eye in the sky. Sky is
up high." The nurse should document the client's statement as which of the following speech alterations?
a. Echolalia
b. Word salad
c. Neologism
d. Clang association
8) An older adult client is brought to the mental health clinic by her daughter. The daughter reports that her
mother is not eating and seems uninterested in routine activities. The daughter states "I'm so worried that
my mother is depressed" which of the following responses should the nurse make?
a. Everyone gets depressed from time to time.
b. You shouldn't worry about this because depressive disorder is easily treated.
c. Older adults are usually diagnosed with depressive disorder as they age.
d. Tell me the reasons you think your mother is depressed.
9) A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following
outcomes should the nurse include in the plan care?
a. Meets own needs without manipulating others.
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, c. Changes behavior as a result of peer pressure. d. Tell the client he cannot refuse the treatment because he was involuntarily committed.
d. Acknowledges his delusions are not real. 19) A nurse in the emergency department is caring for a client who reports feeling sad, worthless, and
10) A nurse is providing behavior therapy for a client who has obsessive-compulsive disorder. The client hopeless 9 months after the death of her son. Which of the following actions should the nurse take first?
repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse a. Request a mental health consult for the client.
give the client when using thought stopping technique? b. Ask the client if she has thought about harming herself.
a. Snap a rubber band on your wrist when you think about checking the locks. c. Encourage the client to attend a grief support group.
b. Ask a family member to check the locks for you at night. d. Discuss the clients coping skills.
c. Focus on abdominal breathing whenever you go to check the locks. 20) A nurse is caring for a client who has borderline personality disorder and has been engaging in self-
d. Keep a journal of how often you check the locks each night. mutilation. The nurse should encourage the client to participate in which of the following groups.
11) A nurse is caring for a client who is starting treatment for substance use disorder. Which of the following a. Dual diagnosis treatment group
actions indicate the nurse is practicing the ethical principle of nonmaleficence? b. Dialectical treatment group
a. Provide the client with quality care regardless of their ability to pay for treatment. c. Desensitization therapy
b. Educating the client about legal rights concerning treatment. d. Co-dependents support group.
c. Withholding the prescribed medication that is causing adverse effects for the client. 21) The nurse is reviewing the medication administration record of a client who has schizophrenia. The nurse
d. Being truthful with the client about the manifestations of withdrawl. should plan to initiate the Abnormal Involuntary Movement Scale to monitor for adverse effects of which
12) A nurse in a group home facility is caring for a client who is developmentally disabled. The client has been of the following medications.?
stealing belongings from other clients. Which of the following techniques should the nurse use? a. Amantadine
a. Crisis intervention to decrease anxiety. b. Diphenhydramine
b. Aversion therapy to provide distraction c. Benztropine
c. Positive reinforcement to increase desired behavior. d. Haloperidol
d. Systematic desensitization to extinguish the behavior. 22) A nurse is counseling a client following the death of a clients partner 8 months ago. Which of the following
13) A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the client statements indicates maladaptive grieving?
nurse take? a. I am so sorry for the times I was angry with my partner.
a. Ask the client to discuss precipitating events b. I find myself thinking about my partner often.
b. Speaks to the client in a high-pitched voice. c. I still don't feel up to returning to work.
c. Place the client in seclusion d. I like looking at his personal items in the closet.
d. Have the client breathe into a paper bag. 23) A nurse is caring for a client who has borderline personality disorder. Which of the following outcomes
14) The nurse is caring for a client following a physical assault. The client states "I don’t remember what should the nurse include in the treatment plan?
happened to me." The nurse should recognize that the client is using which of the following defense a. The client will report a decrease in hallucinations.
mechanisms? b. The client will communicate needs
a. Repression c. The client will verbalize improved mood
b. Displacement d. The client will attend to personal hygiene.
c. Rationalization 24) A nurse is caring for a client who is prescribed massage therapy to treat panic disorder. The client states "I
d. Denial can't stand to be touched by another person." Which of the following responses should the nurse make?
15) A nurse is caring for a client who has anorexia nervosa. Which of the following findings require immediate a. Why don’t you like to be touched by others
intervention by the nurse? b. Don’t worry about it. Your anxiety will lessen once the massage begins.
a. +2 edema of the lower extremities c. I will tell your provider you would like a treatment other than a massage.
b. BUN 21 mg/dL d. I will request that the massage therapist wear gloves during your treatment.
c. Lanugo covering the body 25) A nurse is creating a plan of care for a client who has major depressive disorder. Which of the following
d. Blood pH 7.60 interventions should the nurse include in the plan?
16) A nurse is caring for a client in a mental health facility. The client is agitated and threatens to harm herself a. Encourage physical activity for the client during the day
and others. Which of the following is the priority intervention? b. Discourage the client from expressing feelings of anger
a. Place the client in restraints c. Keep a bright light on in the client's room at night.
b. Administer an anti-anxiety medication to the client d. Identify and schedule alternative group activities for the client.
c. Put the client in seclusion 26) A nurse is providing counseling for a family that consists of two parents and their two adolescent children.
d. Set limits on the client's behavior Which of the following family members should the nurse identify as acting in the role as the monopolizer?
17) Dosage Calculation Question. a. The mother who expresses hostility toward her spouse.
18) A nurse is caring for a client who was involuntarily committed and is scheduled to receive b. The adolescent son who refuses to share personal feelings.
electroconvulsive therapy (ECT). The client refuses the treatment and will not discuss why with the health c. The father who intervenes whenever the siblings argue.
care team. Which of the following actions should the nurse take? d. The adolescent daughter who attempts to dominate the conversation.
a. Ask the clients family to encourage the client to receive ECT
b. Inform the client that ECT does not require a consent.
c. Document the client's refusal of the treatment in the medical record.
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