ATI MENTAL HEALTH PROCTORED
EXAM
Actual Questions and Answers
Expert-Verified Explanation
This Exam contains:
✪ 40 Questions and Answers
✪ Multiple-choice and True/False Format
✪ Expert-Verified Explanations
✪ Verified with Trusted Textbooks
1. A nurse is planning overall strategies to address problems for a client who has a borderline
personality disorder. Which of the following strategies is the priority for the nurse to incorporate
into the plan of care?
A. Discuss the appropriate use of assertive behavior
B. Encourage the client to attend weekly support group meetings
C. Assist the client to maintain awareness of thoughts and feelings
D. Implement measures to prevent intentional self-inflicted injury
Answer: D
EXPLANATION: Preventing self-harm is the priority for clients with borderline personality
disorder due to their impulsivity and emotional instability.
2. A nurse is admitting a client with generalized anxiety disorder. What is the first action the
nurse should take?
A. Provide a quiet environment
B. Determine how the client handles stress
C. Teach guided imagery
D. Ask the client to identify her strengths
Answer: A
EXPLANATION: A quiet environment helps reduce anxiety and is the first step before
engaging in therapeutic communication or interventions.
3. A nurse is conducting an admission interview with a client experiencing mania. What should
be reported to the provider?
A. States he hasn't bathed in 2 days
B. Reports eating twice in 2 weeks
C. Makes inappropriate sexual comments
D. Speaks in rhyming sentences
Answer: B
, EXPLANATION: Poor nutritional intake can lead to medical instability and needs immediate
attention.
4. A nurse is planning care for a client with obsessive-compulsive disorder. Which
recommendation should be included?
A. Validation therapy
B. Thought stopping
C. Operant conditioning
D. Reality orientation therapy
Answer: B
EXPLANATION: Thought stopping helps interrupt obsessive thoughts and is effective for
OCD.
5. A nurse is caring for a manic client. Which action is appropriate?
A. Encourage group activities
B. Dim the room lights
C. Provide detailed explanations
D. Administer methylphenidate
Answer: B
EXPLANATION: Dim lighting can help calm overstimulation during manic episodes.
6. A nurse is leading a crisis group for teens who witnessed a suicide. What is the first action?
A. Initiate referrals
B. Review community resources
C. Identify prior coping skills
D. Discuss confidentiality
Answer: C
EXPLANATION: Understanding past coping helps tailor the intervention for future success.
7. Client says, “I’m a spy, eye in the sky, why cry.” How should the nurse document this?
A. Echolalia
B. Word salad
C. Neologism
D. Clang association
Answer: D
EXPLANATION: Clang association is rhyming without logical meaning, seen in mania and
schizophrenia.
EXAM
Actual Questions and Answers
Expert-Verified Explanation
This Exam contains:
✪ 40 Questions and Answers
✪ Multiple-choice and True/False Format
✪ Expert-Verified Explanations
✪ Verified with Trusted Textbooks
1. A nurse is planning overall strategies to address problems for a client who has a borderline
personality disorder. Which of the following strategies is the priority for the nurse to incorporate
into the plan of care?
A. Discuss the appropriate use of assertive behavior
B. Encourage the client to attend weekly support group meetings
C. Assist the client to maintain awareness of thoughts and feelings
D. Implement measures to prevent intentional self-inflicted injury
Answer: D
EXPLANATION: Preventing self-harm is the priority for clients with borderline personality
disorder due to their impulsivity and emotional instability.
2. A nurse is admitting a client with generalized anxiety disorder. What is the first action the
nurse should take?
A. Provide a quiet environment
B. Determine how the client handles stress
C. Teach guided imagery
D. Ask the client to identify her strengths
Answer: A
EXPLANATION: A quiet environment helps reduce anxiety and is the first step before
engaging in therapeutic communication or interventions.
3. A nurse is conducting an admission interview with a client experiencing mania. What should
be reported to the provider?
A. States he hasn't bathed in 2 days
B. Reports eating twice in 2 weeks
C. Makes inappropriate sexual comments
D. Speaks in rhyming sentences
Answer: B
, EXPLANATION: Poor nutritional intake can lead to medical instability and needs immediate
attention.
4. A nurse is planning care for a client with obsessive-compulsive disorder. Which
recommendation should be included?
A. Validation therapy
B. Thought stopping
C. Operant conditioning
D. Reality orientation therapy
Answer: B
EXPLANATION: Thought stopping helps interrupt obsessive thoughts and is effective for
OCD.
5. A nurse is caring for a manic client. Which action is appropriate?
A. Encourage group activities
B. Dim the room lights
C. Provide detailed explanations
D. Administer methylphenidate
Answer: B
EXPLANATION: Dim lighting can help calm overstimulation during manic episodes.
6. A nurse is leading a crisis group for teens who witnessed a suicide. What is the first action?
A. Initiate referrals
B. Review community resources
C. Identify prior coping skills
D. Discuss confidentiality
Answer: C
EXPLANATION: Understanding past coping helps tailor the intervention for future success.
7. Client says, “I’m a spy, eye in the sky, why cry.” How should the nurse document this?
A. Echolalia
B. Word salad
C. Neologism
D. Clang association
Answer: D
EXPLANATION: Clang association is rhyming without logical meaning, seen in mania and
schizophrenia.
