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ATI Mental Health Nursing (RN) NGN Exam Prep | Comprehensive 2025–2026 Study Guide with Q&A + Detailed Explanations

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This ATI RN Mental Health NGN study guide provides a complete, updated review for the 2025–2026 exam cycle. It includes practice-style questions, NGN case studies, and detailed rationales that strengthen clinical reasoning and prepare nursing students for the NGN format. Content covers psychopharmacology, therapeutic communication, anxiety disorders, crisis intervention, and priority patient care. The layout is structured for quick comprehension and thorough review, making it ideal for both beginning and last-minute study. This resource helps students build confidence and improve performance on ATI Mental Health NGN assessments.

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Uploaded on
December 4, 2025
Number of pages
54
Written in
2025/2026
Type
Exam (elaborations)
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Questions & answers

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ATI RN Mental Health with ngn (NEW UPDATED VERSION) LATEST ACTUAL
EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND
ANSWERS) | GUARANTEED PASS A+ [2027]




A nurse is admitting a client who has major depressive disorder and a new prescription for
tranylcypromine. Which of the following over-the-counter medications that the client reports
taking should alert the nurse to a potential adverse reaction?




A. Lansoprazole

B. Naproxen

C. Magnesium hydroxide

D. Phenylephrine - CORRECT ANSWER D. Phenyleprine




Clients who are taking tranylcypromine, an MAOI antidepressant, should not take phenylephrine
and other over-the-counter medications for sinus congestion, colds, or allergies due to their
actions on the sympathetic nervous system, which can result in severe hypertension




QUESTION :A nurse on a mental health unit observes a client who has acute mania hit another
client. Which of the following actions should the nurse take first?




A. Call the provider to obtain an immediate prescription for restraint.

B. Prepare to administer benzodiazepine IM.

C. Call for a team of staff members to help with the situation.

D. Check the client who was hit for injuries. - CORRECT ANSWER C. Call for a team of staff
members to help with the situation




The greatest risk is injury to the client and others. Therefore, the first action the nurse should take
is to call for assistance to prevent further injury to themselves or others.




2026 2027 GRADED A+

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QUESTION :A nurse is assessing a family's dynamics during a counseling session. The nurse
should recognize which of the following findings as an indication of a boundary issue?




A. An adolescent family member who questions parental authority

B. A family with three generations in the same household

C. Older children who are responsible for their younger siblings

D. Two adults and their children from prior relationships in the same household - CORRECT
ANSWER C. Older children who are responsible for their younger siblings




This is an example of enmeshed boundaries in which there are no distinctions between the roles
of family members




QUESTION :A nurse is assessing a client who had major depressive disorder and has been
receiving amitriptyline for 1 week. Which of the following outcomes should the nurse expect?




A. Rapid improvement in affect within 30 to 60 min after taking the medication

B. Greater risk of attempting suicide as affect and energy improve

C. Onset of frequent, loose stools

D. Development of physiologic dependence on the medication - CORRECT ANSWER B.
Greater risk of attempting suicide as affect and energy improve




The nurse shoud identify that an initial response to amitriptyline can develop in 1 week. For a
client who has major depressive disorder with suicidal ideation, the energy to carry out a plan is
increased after 1 week of treatment.




QUESTION :A nurse is teaching a newly licensed nurse about nursing care plans for clients who
have depressive disorders. Which of the following statements by the newly licensed nurse
indicates an understanding of the teaching?




A. "I will use the same plan of care and interventions for each client who has depression."




2026 2027 GRADED A+

,3|Page


B. "Each nurse will develop a separate plan of care for each client who has depression."

C. "I will update the plan of care as a client's manifestations of depression change."

D. "An assisstive personnel can use the plan of care for client teaching." - CORRECT ANSWER
C. "I will update the plan of care as a client's manifestations of depression change."




The nurse should update the plan of care as a client's status and needs change.




QUESTION :A nurse in the emergency department is caring for four clients. Which of the
following clients is the nurse required to report as a potential victim of abuse?




A. A school-age child who has bruises on the knee

B. An older adult client who is bedbound and has a stage IV pressure ulcer

C. An adolescent who has a vaginal candida infection

D. A young adult who is pregnant and has a sprained ankle - CORRECT ANSWER B. An older
adult client who is bedbound and has a stage IV pressure ulcer




A stage IV pressure ulcer on an older adult client who is bedbound can indicate physical neglect
and warrants mandatory reporting




QUESTION :A nurse is planning discharge teaching for a client who has severe schizoaffective
disorder. The nurse should identify that which of the following treatment options can offer
interdisciplinary services for the client at home?




A. Community mental health center

B. Mental health day program

C. Partial hospitalization program

D. Assertive community treatment - CORRECT ANSWER D. Assertive community treatment




2026 2027 GRADED A+

, 4|Page


Assertive community treatment provides comprehensive, community-based services to clients
who have severe mental illness based upon individualized needs. Services are available in any
setting, including the client's home, 24 hr per day and provide crisis intervention, medication
services, and advocacy.




QUESTION :A nurse at a provder's office is interviewing an older adult client. Which of the
following actions should the nurse plan to take?




A. Use a screening tool to evaluate the client for depression

B. Ask the provider to decrease the dosage of the client's blood pressure medication

C. Instruct the client to decrease intake of vitamin B12

D. Suggest the client go for a brisk walk 20 min just before bedtime - CORRECT ANSWER A.
Use a screening tool to evaluate the client for depression




Depression can be underdiagnosed among older adult clients. The nurse should identify several
risk factors for depression from the client's data, including having Alzheimer's disease, anxiety,
and the loss of a loved one. Manifestations of depression can also be nonspecific for older adult
clients and can include weight loss, decreased energy levels, and difficulty sleeping.




QUESTION :A nurse observes a client on a mental health unit pushing on the locked unit door.
Which of the following statements should the nurse make?




A. "It appears as though you would like to open the door."

B. "You will feel more comfortable after you've been here for a while."

C. "It is okay to not want to be here."

D. "You really shouldn't be pushing on the door." - CORRECT ANSWER A. "It appears as
though you would like to open the door."




This statement is an example of the therapeutic technique of making observations. This technique
encourages the client to notice the behavior so that they can describe thoughts and feelings
related to that behavior.




2026 2027 GRADED A+

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