ATI MENTAL HEALTH
PROCTORED EXAM REVIEW
A charge nurse is discussing mental status exams 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). - CORRECT ANSWER --To assess cognitive ability, I should ask
the client to count backward by sevens."
-To assess affect, I should observe the client's facial expression.
-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? - CORRECT ANSWER -
Monitor the client for adverse effects of the medications.
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? - CORRECT ANSWER -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? - CORRECT ANSWER -The
client arouses briefly in response to a sternal rub.
A nurse is planning a peer group discussion about the DSM-5. Which of the following
information is appropriate to include in the discussion? (Select all that apply) - CORRECT
ANSWER -The DSM-5 establishes diagnostic criteria for individual mental health disorders.
-The DSM-5 assists nurses in planning care for client's who have mental health disorders.
-The DSM-5 indicates expected assessment findings of mental health disorders.
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? - CORRECT ANSWER -A client who has borderline personality disorder and
assaulted a homeless man 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? - CORRECT ANSWER -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? - CORRECT ANSWER -Report the incident to
the health care team, but do not inform the client of the intention to do so.
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) - CORRECT
ANSWER --Client was offered 8 oz of water every hr."
-Client shouted obscenities at assistive personnel."
-Client received chlorpromazine 15 mg by mouth at 1000.
A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway with
another nurse. Which of the following actions should the nurse take first? - CORRECT
ANSWER -Tell the nurse to stop discussing the behavior
A nurse is caring for the parents of a child who has demonstrated changes in behavior and
mood. When the mother of the child asks the nurse for reassurance about her son's
condition, which of the following responses should the nurse make? - CORRECT ANSWER -I
understand you're concerned. Let's discuss what concerns you specifically."
A nurse is caring for a client who smokes and has lung cancer. The client reports, "I'm
coughing because I have that cold that everyone has been getting." The nurse should
identify that the client is using which of the following defense mechanisms? - CORRECT
ANSWER -Denial
, A nurse is providing preoperative teaching for a client who was just informed that she
requires emergency surgery. The client has a respiratory rate 30/min and says, "This is
difficult to comprehend. I feel shaky and nervous." The nurse should identify that the client
is experiencing which of the following levels of anxiety? - CORRECT ANSWER -Moderate
A nurse is caring for a client who is experiencing moderate anxiety. Which of the following
actions should the nurse take when trying to give necessary information to the client?
(Select all that apply.) - CORRECT ANSWER --Discuss prior use of coping mechanisms with
the client.
-Demonstrate a calm manner while using simple and clear directions.
A nurse is talking with a client who is at risk for suicide following the death of his spouse.
Which of the following statements should the nurse make? - CORRECT ANSWER --Losing
someone close to you must be very upsetting."
A charge nurse is discussing the characteristics of a nurse-client relationship with a newly
licensed nurse. Which of the following characteristics should the nurse include in the
discussion? (Select all that apply) - CORRECT ANSWER --It is goal-directed.
-Behavioral change is encouraged.
-A termination date is established.
A nurse is in the working phase of a therapeutic relationship with a client who has
methamphetamine use disorder. Which of the following actions indicates transference
behavior? - CORRECT ANSWER -The client accuses the nurses of telling him what to do just
like his ex-girlfriend.
A nurse is planning care for the termination phase of a nurse-client relationship. Which of
the following actions should the nurse include in the plan of care? - CORRECT ANSWER -
Discussing ways to use new behaviors
A nurse is orienting a new client to a mental health unit. When explaining the unit's
community meetings, which of the following statements should the nurse make? - CORRECT
ANSWER -You and the other clients will meet with staff to discuss common problems.
PROCTORED EXAM REVIEW
A charge nurse is discussing mental status exams 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). - CORRECT ANSWER --To assess cognitive ability, I should ask
the client to count backward by sevens."
-To assess affect, I should observe the client's facial expression.
-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? - CORRECT ANSWER -
Monitor the client for adverse effects of the medications.
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? - CORRECT ANSWER -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? - CORRECT ANSWER -The
client arouses briefly in response to a sternal rub.
A nurse is planning a peer group discussion about the DSM-5. Which of the following
information is appropriate to include in the discussion? (Select all that apply) - CORRECT
ANSWER -The DSM-5 establishes diagnostic criteria for individual mental health disorders.
-The DSM-5 assists nurses in planning care for client's who have mental health disorders.
-The DSM-5 indicates expected assessment findings of mental health disorders.
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? - CORRECT ANSWER -A client who has borderline personality disorder and
assaulted a homeless man 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? - CORRECT ANSWER -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? - CORRECT ANSWER -Report the incident to
the health care team, but do not inform the client of the intention to do so.
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) - CORRECT
ANSWER --Client was offered 8 oz of water every hr."
-Client shouted obscenities at assistive personnel."
-Client received chlorpromazine 15 mg by mouth at 1000.
A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway with
another nurse. Which of the following actions should the nurse take first? - CORRECT
ANSWER -Tell the nurse to stop discussing the behavior
A nurse is caring for the parents of a child who has demonstrated changes in behavior and
mood. When the mother of the child asks the nurse for reassurance about her son's
condition, which of the following responses should the nurse make? - CORRECT ANSWER -I
understand you're concerned. Let's discuss what concerns you specifically."
A nurse is caring for a client who smokes and has lung cancer. The client reports, "I'm
coughing because I have that cold that everyone has been getting." The nurse should
identify that the client is using which of the following defense mechanisms? - CORRECT
ANSWER -Denial
, A nurse is providing preoperative teaching for a client who was just informed that she
requires emergency surgery. The client has a respiratory rate 30/min and says, "This is
difficult to comprehend. I feel shaky and nervous." The nurse should identify that the client
is experiencing which of the following levels of anxiety? - CORRECT ANSWER -Moderate
A nurse is caring for a client who is experiencing moderate anxiety. Which of the following
actions should the nurse take when trying to give necessary information to the client?
(Select all that apply.) - CORRECT ANSWER --Discuss prior use of coping mechanisms with
the client.
-Demonstrate a calm manner while using simple and clear directions.
A nurse is talking with a client who is at risk for suicide following the death of his spouse.
Which of the following statements should the nurse make? - CORRECT ANSWER --Losing
someone close to you must be very upsetting."
A charge nurse is discussing the characteristics of a nurse-client relationship with a newly
licensed nurse. Which of the following characteristics should the nurse include in the
discussion? (Select all that apply) - CORRECT ANSWER --It is goal-directed.
-Behavioral change is encouraged.
-A termination date is established.
A nurse is in the working phase of a therapeutic relationship with a client who has
methamphetamine use disorder. Which of the following actions indicates transference
behavior? - CORRECT ANSWER -The client accuses the nurses of telling him what to do just
like his ex-girlfriend.
A nurse is planning care for the termination phase of a nurse-client relationship. Which of
the following actions should the nurse include in the plan of care? - CORRECT ANSWER -
Discussing ways to use new behaviors
A nurse is orienting a new client to a mental health unit. When explaining the unit's
community meetings, which of the following statements should the nurse make? - CORRECT
ANSWER -You and the other clients will meet with staff to discuss common problems.
