Page 1 of 106
ATI CMS MENTAL HEALTH EXAM ALL
QUESTIONS AND CORRECT ANSWERS LATEST
UPDATE THIS YEAR
CMS Mental Health
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 and his 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.
.C. CORRECT: The information presented by the client is a serious safety issue that the nurse
must report to the health care team. Using the ethical principle of veracity, the student tells
the client truthfully what must be done regarding the issue.
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A. The nurse should use therapeutic communication with the client. However, based on the
nature of the information, the nurse cannot keep the information confidential from everyone
despite the client's request.
B. Based on the nature of the information, the nurse cannot keep the information confidential
from everyone despite the client's request
D. The nurse should inform the if the information will be reported to the health care team
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."
B. CORRECT: How much water was offered and how often it was offered is objective data that
the nurse should document when caring for a client in mechanical restraints.
C. CORRECT: A description of the client's verbal communication is objective data that the
nurse should document when caring for a client in mechanical restraints.
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D. CORRECT: The dosage and time of medication administration is objective data that the
nurse should document when caring for a client in mechanical restraints
A. The nurse should document objective information regarding intake in the client's medical
record.
E. The nurse should document objective information regarding the client's behavior in the
client's medical record.
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? (SATA)
A. "To assess cognitive ability; I should ask the client to count backwards 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 abstract thinking, I should ask the pt to identify our most recent presidents"
A, B, C
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?
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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
D. Monitor the client for adverse effects of 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 is the highest priority
action?
A. Coordinate holistic care with social services
B. Identify the client's perception of her of her own mental health status
C. Include the client's family in the interview
D. Teach the client about her current mental health disorder
B. Identify the client's perception of her of her own mental health status
A nurse is planning a peer group discussion about the DSM-5. Which of the following is
appropriate to include in the discussion? (select all that apply)
A. The DSM-5 includes client education handouts for mental health disorders
B. The DSM-5 establishes diagnostic criteria for individual mental health disorders
C. The DSM-5 indicates recommended pharmacological treatment for mental health disorders
4
ATI CMS MENTAL HEALTH EXAM ALL
QUESTIONS AND CORRECT ANSWERS LATEST
UPDATE THIS YEAR
CMS Mental Health
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 and his 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.
.C. CORRECT: The information presented by the client is a serious safety issue that the nurse
must report to the health care team. Using the ethical principle of veracity, the student tells
the client truthfully what must be done regarding the issue.
1
, Page 2 of 106
A. The nurse should use therapeutic communication with the client. However, based on the
nature of the information, the nurse cannot keep the information confidential from everyone
despite the client's request.
B. Based on the nature of the information, the nurse cannot keep the information confidential
from everyone despite the client's request
D. The nurse should inform the if the information will be reported to the health care team
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."
B. CORRECT: How much water was offered and how often it was offered is objective data that
the nurse should document when caring for a client in mechanical restraints.
C. CORRECT: A description of the client's verbal communication is objective data that the
nurse should document when caring for a client in mechanical restraints.
2
, Page 3 of 106
D. CORRECT: The dosage and time of medication administration is objective data that the
nurse should document when caring for a client in mechanical restraints
A. The nurse should document objective information regarding intake in the client's medical
record.
E. The nurse should document objective information regarding the client's behavior in the
client's medical record.
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? (SATA)
A. "To assess cognitive ability; I should ask the client to count backwards 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 abstract thinking, I should ask the pt to identify our most recent presidents"
A, B, C
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?
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, Page 4 of 106
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
D. Monitor the client for adverse effects of 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 is the highest priority
action?
A. Coordinate holistic care with social services
B. Identify the client's perception of her of her own mental health status
C. Include the client's family in the interview
D. Teach the client about her current mental health disorder
B. Identify the client's perception of her of her own mental health status
A nurse is planning a peer group discussion about the DSM-5. Which of the following is
appropriate to include in the discussion? (select all that apply)
A. The DSM-5 includes client education handouts for mental health disorders
B. The DSM-5 establishes diagnostic criteria for individual mental health disorders
C. The DSM-5 indicates recommended pharmacological treatment for mental health disorders
4
