MENTAL HEALTH NURSING- ATI QUESTIONS
AND ANSWERS 100% CORRECT!!
,A charge nurse is discussing mental status examinations 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.)
A. "to assess cognitive ability,i should ask the client to count backward by sevens."
B. "to assess affect, i should observe the client's facial expression."
C. "to assess language ability, i should instruct the client to write a sentence."
D. "to assess remote memory, i should have the client repeat a list of objects."
E. "to assess the client's abstract thinking, i should ask the client to identify our most
recent presidents." - ANSWER A. "to assess cognitive ability,i should ask the client to
count backward by sevens."
B. "to assess affect, i should observe the client's facial expression."
C. "to assess language ability, i should instruct the client to write a sentence."
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?
A. assist the client with systematic desensitization therapy.
B. teach the client appropriate coping mechanisms.
C. assess the client for comorbid health conditions.
D. Monitor the client for adverse effects of medications. - ANSWER D. Monitor the client
for adverse effects of medications.
(Not C bc assessing for comorbid health conditions is health promotion and
maintenance, rather than a psychobiological, intervention)
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?
a. coordinate holistic care with social services.
B. identify the client's perception of her mental health status.
c. include the client's family in the interview.
D. teach the client about her current mental health disorder. - ANSWER B. identify the
client's perception of her mental health status.
,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?
a. the client arouses briefly in response to a sternal rub.
B. the client has a glasgow coma scale score less than 7.
c. the client exhibits decorticate rigidity.
D. the client is alert but disoriented to time and place. - ANSWER a. the client arouses
briefly in response to a sternal rub.
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. a client who has schizophrenia with delusions of grandeur
B. a client who has manifestations of depression and attempted suicide a year ago
c. a client who has borderline personality disorder and assaulted a homelessman with a
metal rod
d. a client who has bipolar disorder and paces quickly around the room while talking to
himself - ANSWER c. a client who has borderline personality disorder and assaulted a
homelessman with a metal rod
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?
A. invasion of privacy
B. False imprisonment
C. assault
D. Battery - ANSWER B. False imprisonment
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?
a. Keep the client's communication confidential, but talk to the client daily, using
therapeutic communication to convince him to admit to hiding the knife.
B. Keep the client's communication confidential, but watch the client andhis roommate
closely.
c. Tell the client that this must be reported to the health care team because it concerns
the health and safety of the client and others.
, d. Report the incident to the health care team, but do not inform the client of the
intention to do so. - ANSWER c. Tell the client that this must be reported to the health
care team because it concerns the health and safety of the client and others.
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.)
A. "Client ate most of his breakfast."
B. "Client was offered 8 oz of water every hr."
C. "Client shouted obscenities at assistive personnel."
D. "Client received chlorpromazine 15 mg by mouth at 1000."
E. "Client acted out after lunch." - ANSWER B. "Client was offered 8 oz of water every
hr."
C. "Client shouted obscenities at assistive personnel."
D. "Client received chlorpromazine 15 mg by mouth at 1000."
A nurse hears a newly licensed nurse discussing a client's hallucinationsin the hallway
with another nurse. Which of the following actions should the nurse take first?
A. Notify the nurse manager.
B. Tell the nurse to stop discussing the behavior.
C. Provide an in‐service program about confidentiality.
D. Complete an incident report. - ANSWER B. Tell the nurse to stop discussing the
behavior.
A charge nurse is conducting a class on therapeutic communication toa group of newly
licensed nurses. Which of the following aspects
of communication should the nurse identify as a component of verbal communication?
a. Personal space
B. Posture
C. Eye contact
D. intonation - ANSWER D. intonation
A nurse in an acute mental health facility is communicating with a client. the client
states, "I can't sleep. I stay up all night." the nurse responds, "You are having difficulty
sleeping?" Which of the following therapeutic communication techniques is the nurse
demonstrating?
a. Offering general leads
AND ANSWERS 100% CORRECT!!
,A charge nurse is discussing mental status examinations 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.)
A. "to assess cognitive ability,i should ask the client to count backward by sevens."
B. "to assess affect, i should observe the client's facial expression."
C. "to assess language ability, i should instruct the client to write a sentence."
D. "to assess remote memory, i should have the client repeat a list of objects."
E. "to assess the client's abstract thinking, i should ask the client to identify our most
recent presidents." - ANSWER A. "to assess cognitive ability,i should ask the client to
count backward by sevens."
B. "to assess affect, i should observe the client's facial expression."
C. "to assess language ability, i should instruct the client to write a sentence."
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?
A. assist the client with systematic desensitization therapy.
B. teach the client appropriate coping mechanisms.
C. assess the client for comorbid health conditions.
D. Monitor the client for adverse effects of medications. - ANSWER D. Monitor the client
for adverse effects of medications.
(Not C bc assessing for comorbid health conditions is health promotion and
maintenance, rather than a psychobiological, intervention)
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?
a. coordinate holistic care with social services.
B. identify the client's perception of her mental health status.
c. include the client's family in the interview.
D. teach the client about her current mental health disorder. - ANSWER B. identify the
client's perception of her mental health status.
,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?
a. the client arouses briefly in response to a sternal rub.
B. the client has a glasgow coma scale score less than 7.
c. the client exhibits decorticate rigidity.
D. the client is alert but disoriented to time and place. - ANSWER a. the client arouses
briefly in response to a sternal rub.
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. a client who has schizophrenia with delusions of grandeur
B. a client who has manifestations of depression and attempted suicide a year ago
c. a client who has borderline personality disorder and assaulted a homelessman with a
metal rod
d. a client who has bipolar disorder and paces quickly around the room while talking to
himself - ANSWER c. a client who has borderline personality disorder and assaulted a
homelessman with a metal rod
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?
A. invasion of privacy
B. False imprisonment
C. assault
D. Battery - ANSWER B. False imprisonment
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?
a. Keep the client's communication confidential, but talk to the client daily, using
therapeutic communication to convince him to admit to hiding the knife.
B. Keep the client's communication confidential, but watch the client andhis roommate
closely.
c. Tell the client that this must be reported to the health care team because it concerns
the health and safety of the client and others.
, d. Report the incident to the health care team, but do not inform the client of the
intention to do so. - ANSWER c. Tell the client that this must be reported to the health
care team because it concerns the health and safety of the client and others.
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.)
A. "Client ate most of his breakfast."
B. "Client was offered 8 oz of water every hr."
C. "Client shouted obscenities at assistive personnel."
D. "Client received chlorpromazine 15 mg by mouth at 1000."
E. "Client acted out after lunch." - ANSWER B. "Client was offered 8 oz of water every
hr."
C. "Client shouted obscenities at assistive personnel."
D. "Client received chlorpromazine 15 mg by mouth at 1000."
A nurse hears a newly licensed nurse discussing a client's hallucinationsin the hallway
with another nurse. Which of the following actions should the nurse take first?
A. Notify the nurse manager.
B. Tell the nurse to stop discussing the behavior.
C. Provide an in‐service program about confidentiality.
D. Complete an incident report. - ANSWER B. Tell the nurse to stop discussing the
behavior.
A charge nurse is conducting a class on therapeutic communication toa group of newly
licensed nurses. Which of the following aspects
of communication should the nurse identify as a component of verbal communication?
a. Personal space
B. Posture
C. Eye contact
D. intonation - ANSWER D. intonation
A nurse in an acute mental health facility is communicating with a client. the client
states, "I can't sleep. I stay up all night." the nurse responds, "You are having difficulty
sleeping?" Which of the following therapeutic communication techniques is the nurse
demonstrating?
a. Offering general leads
