ATI MENTAL HEALTH 2023.pdfhttps://online2pdf.com/remove-pdf-header-footer
Page 1 of 17https://online2pdf.com/remove-pdf-header-footer
1https://online2pdf.com/remove-pdf-header-footer
A, B, C
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)
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.
D
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
the medications.
B
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
A
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.
ATI MENTAL HEALTH 2023.pdfhttps://online2pdf.com/remove-pdf-header-footer
1 of 17https://online2pdf.com/remove-pdf-header-footer
ATI MENTAL HEALTH 20239https://online2pdf.com/remove-pdf-header-footer
,ATI MENTAL HEALTH 2023.pdfhttps://online2pdf.com/remove-pdf-header-footer
Page 2 of 17https://online2pdf.com/remove-pdf-header-footer
2https://online2pdf.com/remove-pdf-header-footer
B, D, E
A nurse is planning a peer group about the
DSM-5. Which of the following information 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.
D) The DSM-5 assists nurses in planning
care for client's who have mental health
disorders.
E) The DSM-5 indicates expected
assessment findings of mental health
disorders.
C
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 homeless man with
a metal rod.
D) A client who has bipolar disorder and
paces quickly around the room while talking
to himself.
B
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
D
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 healthcare 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.
ATI MENTAL HEALTH 2023.pdfhttps://online2pdf.com/remove-pdf-header-footer
2 of 17https://online2pdf.com/remove-pdf-header-footer
ATI MENTAL HEALTH 20239https://online2pdf.com/remove-pdf-header-footer
, ATI MENTAL HEALTH 2023.pdfhttps://online2pdf.com/remove-pdf-header-footer
Page 3 of 17https://online2pdf.com/remove-pdf-header-footer
3https://online2pdf.com/remove-pdf-header-footer
B, C, D
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
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?
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
D
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?
A) I think your son is getting better. What
have you noticed
B) I'm sure everything will be okay. It just
takes time to heal
C) I'm not sure what's wrong. Have you
asked the doctor about your concerns?
D) I understand you're concerned. Let's
discuss what concerns you specifically
B
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?
A) Reaction formation
B) Denial
C) Displacement
D) Sublimation
B
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?
A) Mild
B) Moderate
C) Severe
D) Panic
ATI MENTAL HEALTH 2023.pdfhttps://online2pdf.com/remove-pdf-header-footer
3 of 17https://online2pdf.com/remove-pdf-header-footer
ATI MENTAL HEALTH 20239https://online2pdf.com/remove-pdf-header-footer
Page 1 of 17https://online2pdf.com/remove-pdf-header-footer
1https://online2pdf.com/remove-pdf-header-footer
A, B, C
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)
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.
D
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
the medications.
B
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
A
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.
ATI MENTAL HEALTH 2023.pdfhttps://online2pdf.com/remove-pdf-header-footer
1 of 17https://online2pdf.com/remove-pdf-header-footer
ATI MENTAL HEALTH 20239https://online2pdf.com/remove-pdf-header-footer
,ATI MENTAL HEALTH 2023.pdfhttps://online2pdf.com/remove-pdf-header-footer
Page 2 of 17https://online2pdf.com/remove-pdf-header-footer
2https://online2pdf.com/remove-pdf-header-footer
B, D, E
A nurse is planning a peer group about the
DSM-5. Which of the following information 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.
D) The DSM-5 assists nurses in planning
care for client's who have mental health
disorders.
E) The DSM-5 indicates expected
assessment findings of mental health
disorders.
C
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 homeless man with
a metal rod.
D) A client who has bipolar disorder and
paces quickly around the room while talking
to himself.
B
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
D
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 healthcare 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.
ATI MENTAL HEALTH 2023.pdfhttps://online2pdf.com/remove-pdf-header-footer
2 of 17https://online2pdf.com/remove-pdf-header-footer
ATI MENTAL HEALTH 20239https://online2pdf.com/remove-pdf-header-footer
, ATI MENTAL HEALTH 2023.pdfhttps://online2pdf.com/remove-pdf-header-footer
Page 3 of 17https://online2pdf.com/remove-pdf-header-footer
3https://online2pdf.com/remove-pdf-header-footer
B, C, D
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
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?
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
D
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?
A) I think your son is getting better. What
have you noticed
B) I'm sure everything will be okay. It just
takes time to heal
C) I'm not sure what's wrong. Have you
asked the doctor about your concerns?
D) I understand you're concerned. Let's
discuss what concerns you specifically
B
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?
A) Reaction formation
B) Denial
C) Displacement
D) Sublimation
B
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?
A) Mild
B) Moderate
C) Severe
D) Panic
ATI MENTAL HEALTH 2023.pdfhttps://online2pdf.com/remove-pdf-header-footer
3 of 17https://online2pdf.com/remove-pdf-header-footer
ATI MENTAL HEALTH 20239https://online2pdf.com/remove-pdf-header-footer
