2025 ATI MENTAL HEALTH PROCTORED EXAM |
MENTAL HEALTH ATI EXAM SELF-ASSESSMENT
QUESTIONS AND 100% CORRECT ANSWERS 2025
GUIDE |GRADED A
1. A charge nurse (RN), following hospital policy, reports an incident of suspected child abuse.
The parent of the child becomes upset and demands to know the reason for the nurse’s action. The
appropriate response to the parent should be which of the following? CORRECT ANSWER--
As a nurse, I am required by law to report incidents of suspected child abuse
2. A nurse is discussing comorbidities associated with eating disorders with a newly licensed
nurse. Which of the following should the nurse include in the discussion? CORRECT
ANSWER-- (Select all that apply)
Anxiety
Obsessive compulsive disorder
Depression
3. The nurse is leading a group of clients who have returned from fighting in Iraq. Which of the
following statements indicates the need for further assessment and potential intervention?
CORRECT ANSWER--
I know I’m not in danger now, but certain sounds make me remember the war
4. During a group therapy session a nurse notes a client (client) using multiple defense mechanism.
Which of the following client (client) statements demonstrates rationalization? CORRECT
ANSWER--
I don’t care about work anymore since I was not given a promotion
5. A nurse is conducting a group therapy meeting and is sharing a humorous story. When the group
laughs at the story, a client (client) who has schizophrenia jumps up and runs out while yelling
“You are all making fun of me” Which of the following behaviors is the client (client) displaying?
CORRECT ANSWER--
Ideas of reference
6. A male nurse is assigned to care for a female client (client) who was admitted to the hospital following
a domestic abuse incident. The client (client) states she does not want a male nurse as her caregiver.
Which of the following nursing responses is appropriate? CORRECT ANSWER--
Would you like me to review the assignment and assign a female nurse to care for you? CORRECT
ANSWER--
7. A nurse is caring for a client (client) diagnosed with depression. The client (client)’s spouse asks
the nurse about possible side effects of electroconvulsive therapy (ECT). After an explanation of the
procedure, what additional information should the nurse offer? CORRECT ANSWER--
Recent research has shown that the main side effects are usually temporary, but may
include confusion, headache, and memory loss.
8. A nurse manager is preparing to report evidence of substance diversion or being under the influence
on duty concerning a RN who she is responsible for in the organization. Which of the following has the
authority to institute a diversion program or disciplinary nurse’s license? CORRECT ANSWER--
State board of registered nursing
9. A nurse is consulting about addiction on a webinar with nursing staff. Which of the following
,are etiological risk factors of addictive disorders? CORRECT ANSWER-- Select all that apply
Low self-esteem
Family history of addiction
Personality disorder
American Native or Alaskan ethnicity
,10. You are a nurse assigned to care for a client (client) who is experiencing acute alcohol withdrawal
(delirium tremors). Which of the following are potential expected findings during assessment?
CORRECT ANSWER--
Altered level of consciousness, anxiety, tremors, shaking
Hallucinations, delusions
The answer is #1 and #3
11. A nurse is facilitating a community education class about substance use disorders. Which of
the following should the nurse identify as a primary risk factors of developing pancreatitis and
cirrhosis? CORRECT ANSWER--
Alcohol
12. A nurse is assessing a client (client) who has post-traumatic stress disorder (PTSD) following a
sexual assault. Which of the following is an expected finding? CORRECT ANSWER-- Increasing
feelings of anger
13. A nurse in acute mental health unit is admitting a client (client) who has bipolar disorder.
Which of the following findings supports the admitting diagnosis of acute mania. Select all that
apply
The client (client) responds to questions with disorganized speech and tangential though processes
14. A client (client) who has moderate anxiety is pacing the hall and mumbling. As the nurse on the
inclient mental health unit approaches the client (client), he states “I am at the end of my rope. I
don’t think I can take any more bad news” Which of the following statements is an appropriate
nursing response? CORRECT ANSWER--
Would it help to go to a private area where we can talk without interruption? CORRECT ANSWER--
15. A nurse is caring for a client (client) who is experiencing a crisis related to anxiety. Which of the
following interventions are appropriate? CORRECT ANSWER-- Select all that apply
Establish rapport with the client (client)
Identify the cause of the anxiety Validate
the client (client)’s feelings
16. A nurse is caring for a client (client) who requires intervention for acute suicidal ideation.
Which of the following is the highest priority intervention? CORRECT ANSWER--
Protecting the client (client) from injury
17. A client (client) has started to take lithium carbonate (Eskalith) to treat bipolar disorder. The
nurse should make sure the client (client) understands that he must maintain consistency in his intake
of which of the following dietary elements? CORRECT ANSWER--
Sodium
18. A nurse in mental health clinic is caring for a client (client) who had a lithium (Lithane) level of 1/5
mEq/L. The nurse should expect to observe which of the following? CORRECT ANSWER-- Adverse
effects related to a mildly elevated lithium level
19. A nurse is communicating with a newly admitted client. Which of the following is a barrier to
therapeutic communication? CORRECT ANSWER--
Giving the client alternate coping skills
20. A nurse is communicating with a client (client) in an acute mental health facility. The client
(client) states, “I can’t sleep, I stay up all night” The nurse responds, “You are having difficulty
sleeping? CORRECT ANSWER--” Which of the following therapeutic communication techniques
is the nurse demonstrating? CORRECT ANSWER--
Restating
, 21. Which of the following children should the nurse identify as a potential victim of a
abuse? CORRECT ANSWER-- A child whose parents try to help by answering
questions for the child
22. A nurse is making a home visit for an adolescent who attempted suicide. Which of the
following should alert the nurse that the adolescent still has suicidal ideation? CORRECT
ANSWER--
Planning to give his CD collection to his girlfriend
23. A nurse is planning care for a client (client) following a suicide attempt. Which of the following
interventions is appropriate when implementing suicide precautions? CORRECT ANSWER--
Inspect the client (client)’s personal belongings
24. A nurse in dialysis center is caring for a client (client) who has a new diagnosis of end stage renal
disease. Upon arrival for his first dialysis treatment he states to the nurse, “I decided to come today, but
I am not sure if I will need to come back again this week. I am feeling much better since my discharge
from the hospital and I think my kidneys are working again” This client id demonstrating which stage
of Kubler- Ross’s Stage of Grieving? CORRECT ANSWER--
Denial
25. A nurse is planning care for a client (client) who has a personality disorder and demonstrates
manipulative behavior. Which of the following interventions is appropriate in the plan of care?
CORRECT ANSWER--
Institute consequences for manipulative behavior
26. The nurse learns that a client (client) experiencing extended grieving after the death of his
mother has returned to work, is caring for his family, and spends quiet time reflecting on his life and
future. The nurses realizes that this client (client) is demonstrating? CORRECT ANSWER--
The ability to work through the grief process
27. Which intervention will the nurse implement when planning care for a client (client) with
acute grief implement? CORRECT ANSWER--
Teaching the client about the grief process
28. A college student attends a seminar on alcohol use disorder. Which statement would alert the
nurse that the student needs more education? CORRECT ANSWER--
The children of alcoholics are less likely to become alcoholics
29. The client (client) with a history of alcohol use disorder is being discharged for a treatment
facility. Which prescription does the nurse anticipate for this client (client)? CORRECT
ANSWER--
Disulfiram (Antabuse)
30. A nurse is caring for an adolescent client (client) who has pelvic inflammatory disease as a
consequence of a sexually transmitted infection, and will need intravenous antibiotic therapy. The client
(client) tells the nurse, “MY parents think I am a virgin. I don’t think I can tell them I have this kind of
an infection” Which of the following responses should the nurse make? CORRECT ANSWER--
You seem scared to talk to your parents
31. A nurse is caring for a client (client) who was involved in heavy combat and observed war
casualties. The nurse should suspect that the client (client) is suffering from posttraumatic stress
disorder (PTSD) if the client (client) makes which of the following statements? CORRECT
ANSWER--
In my dreams, all I can see are the wounded reaching out and trying to grab me
MENTAL HEALTH ATI EXAM SELF-ASSESSMENT
QUESTIONS AND 100% CORRECT ANSWERS 2025
GUIDE |GRADED A
1. A charge nurse (RN), following hospital policy, reports an incident of suspected child abuse.
The parent of the child becomes upset and demands to know the reason for the nurse’s action. The
appropriate response to the parent should be which of the following? CORRECT ANSWER--
As a nurse, I am required by law to report incidents of suspected child abuse
2. A nurse is discussing comorbidities associated with eating disorders with a newly licensed
nurse. Which of the following should the nurse include in the discussion? CORRECT
ANSWER-- (Select all that apply)
Anxiety
Obsessive compulsive disorder
Depression
3. The nurse is leading a group of clients who have returned from fighting in Iraq. Which of the
following statements indicates the need for further assessment and potential intervention?
CORRECT ANSWER--
I know I’m not in danger now, but certain sounds make me remember the war
4. During a group therapy session a nurse notes a client (client) using multiple defense mechanism.
Which of the following client (client) statements demonstrates rationalization? CORRECT
ANSWER--
I don’t care about work anymore since I was not given a promotion
5. A nurse is conducting a group therapy meeting and is sharing a humorous story. When the group
laughs at the story, a client (client) who has schizophrenia jumps up and runs out while yelling
“You are all making fun of me” Which of the following behaviors is the client (client) displaying?
CORRECT ANSWER--
Ideas of reference
6. A male nurse is assigned to care for a female client (client) who was admitted to the hospital following
a domestic abuse incident. The client (client) states she does not want a male nurse as her caregiver.
Which of the following nursing responses is appropriate? CORRECT ANSWER--
Would you like me to review the assignment and assign a female nurse to care for you? CORRECT
ANSWER--
7. A nurse is caring for a client (client) diagnosed with depression. The client (client)’s spouse asks
the nurse about possible side effects of electroconvulsive therapy (ECT). After an explanation of the
procedure, what additional information should the nurse offer? CORRECT ANSWER--
Recent research has shown that the main side effects are usually temporary, but may
include confusion, headache, and memory loss.
8. A nurse manager is preparing to report evidence of substance diversion or being under the influence
on duty concerning a RN who she is responsible for in the organization. Which of the following has the
authority to institute a diversion program or disciplinary nurse’s license? CORRECT ANSWER--
State board of registered nursing
9. A nurse is consulting about addiction on a webinar with nursing staff. Which of the following
,are etiological risk factors of addictive disorders? CORRECT ANSWER-- Select all that apply
Low self-esteem
Family history of addiction
Personality disorder
American Native or Alaskan ethnicity
,10. You are a nurse assigned to care for a client (client) who is experiencing acute alcohol withdrawal
(delirium tremors). Which of the following are potential expected findings during assessment?
CORRECT ANSWER--
Altered level of consciousness, anxiety, tremors, shaking
Hallucinations, delusions
The answer is #1 and #3
11. A nurse is facilitating a community education class about substance use disorders. Which of
the following should the nurse identify as a primary risk factors of developing pancreatitis and
cirrhosis? CORRECT ANSWER--
Alcohol
12. A nurse is assessing a client (client) who has post-traumatic stress disorder (PTSD) following a
sexual assault. Which of the following is an expected finding? CORRECT ANSWER-- Increasing
feelings of anger
13. A nurse in acute mental health unit is admitting a client (client) who has bipolar disorder.
Which of the following findings supports the admitting diagnosis of acute mania. Select all that
apply
The client (client) responds to questions with disorganized speech and tangential though processes
14. A client (client) who has moderate anxiety is pacing the hall and mumbling. As the nurse on the
inclient mental health unit approaches the client (client), he states “I am at the end of my rope. I
don’t think I can take any more bad news” Which of the following statements is an appropriate
nursing response? CORRECT ANSWER--
Would it help to go to a private area where we can talk without interruption? CORRECT ANSWER--
15. A nurse is caring for a client (client) who is experiencing a crisis related to anxiety. Which of the
following interventions are appropriate? CORRECT ANSWER-- Select all that apply
Establish rapport with the client (client)
Identify the cause of the anxiety Validate
the client (client)’s feelings
16. A nurse is caring for a client (client) who requires intervention for acute suicidal ideation.
Which of the following is the highest priority intervention? CORRECT ANSWER--
Protecting the client (client) from injury
17. A client (client) has started to take lithium carbonate (Eskalith) to treat bipolar disorder. The
nurse should make sure the client (client) understands that he must maintain consistency in his intake
of which of the following dietary elements? CORRECT ANSWER--
Sodium
18. A nurse in mental health clinic is caring for a client (client) who had a lithium (Lithane) level of 1/5
mEq/L. The nurse should expect to observe which of the following? CORRECT ANSWER-- Adverse
effects related to a mildly elevated lithium level
19. A nurse is communicating with a newly admitted client. Which of the following is a barrier to
therapeutic communication? CORRECT ANSWER--
Giving the client alternate coping skills
20. A nurse is communicating with a client (client) in an acute mental health facility. The client
(client) states, “I can’t sleep, I stay up all night” The nurse responds, “You are having difficulty
sleeping? CORRECT ANSWER--” Which of the following therapeutic communication techniques
is the nurse demonstrating? CORRECT ANSWER--
Restating
, 21. Which of the following children should the nurse identify as a potential victim of a
abuse? CORRECT ANSWER-- A child whose parents try to help by answering
questions for the child
22. A nurse is making a home visit for an adolescent who attempted suicide. Which of the
following should alert the nurse that the adolescent still has suicidal ideation? CORRECT
ANSWER--
Planning to give his CD collection to his girlfriend
23. A nurse is planning care for a client (client) following a suicide attempt. Which of the following
interventions is appropriate when implementing suicide precautions? CORRECT ANSWER--
Inspect the client (client)’s personal belongings
24. A nurse in dialysis center is caring for a client (client) who has a new diagnosis of end stage renal
disease. Upon arrival for his first dialysis treatment he states to the nurse, “I decided to come today, but
I am not sure if I will need to come back again this week. I am feeling much better since my discharge
from the hospital and I think my kidneys are working again” This client id demonstrating which stage
of Kubler- Ross’s Stage of Grieving? CORRECT ANSWER--
Denial
25. A nurse is planning care for a client (client) who has a personality disorder and demonstrates
manipulative behavior. Which of the following interventions is appropriate in the plan of care?
CORRECT ANSWER--
Institute consequences for manipulative behavior
26. The nurse learns that a client (client) experiencing extended grieving after the death of his
mother has returned to work, is caring for his family, and spends quiet time reflecting on his life and
future. The nurses realizes that this client (client) is demonstrating? CORRECT ANSWER--
The ability to work through the grief process
27. Which intervention will the nurse implement when planning care for a client (client) with
acute grief implement? CORRECT ANSWER--
Teaching the client about the grief process
28. A college student attends a seminar on alcohol use disorder. Which statement would alert the
nurse that the student needs more education? CORRECT ANSWER--
The children of alcoholics are less likely to become alcoholics
29. The client (client) with a history of alcohol use disorder is being discharged for a treatment
facility. Which prescription does the nurse anticipate for this client (client)? CORRECT
ANSWER--
Disulfiram (Antabuse)
30. A nurse is caring for an adolescent client (client) who has pelvic inflammatory disease as a
consequence of a sexually transmitted infection, and will need intravenous antibiotic therapy. The client
(client) tells the nurse, “MY parents think I am a virgin. I don’t think I can tell them I have this kind of
an infection” Which of the following responses should the nurse make? CORRECT ANSWER--
You seem scared to talk to your parents
31. A nurse is caring for a client (client) who was involved in heavy combat and observed war
casualties. The nurse should suspect that the client (client) is suffering from posttraumatic stress
disorder (PTSD) if the client (client) makes which of the following statements? CORRECT
ANSWER--
In my dreams, all I can see are the wounded reaching out and trying to grab me
