ATI Mental Health Proctored EXAM
QUESTIONS AND CORRECT ANSWERS
A nurse in the emergency room is collecting data from a client who has heroin intoxication.
Which of the following findings should the nurse expect?
A. Seizure activity
B. Respiratory depression
C. Hypersensitivity to pain
D. Increased mental alertness
Respiratory depression
*Heroin is an opioid; therefore, the nurse should expect this client who has heroin intoxication to
exhibit respiratory depression.
A nurse on a mental health unit is caring for a client who is displaying signs of anger. Which of
the following pieces of information about the client is the strongest indicator that the client might
become aggressive?
A. The client has marginal coping skills
B. The client has a history of violence
C. The client feels powerless after being hospitalized
D. The client blames others for her problems
The client has a history of violence
,*The client's history of violence is the most important indicator that this client might become
violent; therefore, this is the strongest indicator of potential aggressiveness.
A nurse is reinforcing teaching with the caregiver of a client who has dementia. Which of the
following instructions should the nurse include in the teaching?
A. Offer the client a list of activities to choose from
B. Offer finger foods to the client
C. Discourage naps throughout the day
D. Turn on the television when the client is in the room
Offer finger foods to the client
*The caregiver should offer finger foods that the client can eat without sitting down. Clients who
have dementia often like to wander and walk off nervous energy, which can decrease anxiety and
calm the client.
A nurse is contributing to the plan of care for a client with bipolar disorder who has acute mania.
Which of the following interventions should the nurse recommend including in the plan?
A. Provide the client with a low-calorie, low-fat diet
B. Encourage the client to have frequent rest periods
C. Escort the client to daily group therapy
D. Limit the client's intake of caffeinated beverages to 12 oz per day
Encourage the client to have frequent rest periods
*The nurse should recommend encouraging frequent rest periods throughout the day to decrease
the client's risk of exhaustion from the constant activity associated with acute mania.
,A nurse is reviewing the plan of care for a client who has bipolar disorder. Which of the
following is an effect of using cognitive behavioral therapy (CBT) for a client who has bipolar
disorder?
A. Prevents the need for mood-stabilizing medications
B. Helps the client deal with distorted thought processes
C. Aids in communication among family members
D. Replaces the need for lifestyle interventions
Helps the client deal with distorted thought processes
*CBT assists the client with recognizing distorted thought processes that are maladaptive with
regards to recovery. When experiencing mania, the client tends to view the future unrealistically
as highly favorable. CBT assists the client in recognizing and challenging such unrealistic or
"automatic" thoughts and can help the client and the health care team recognize early trends
toward mania
A nurse is caring for a client in a mental health facility and overhears the client discussing plans
to harm her father-in-law physically when she is discharged. Which of the following
interventions should the nurse take?
A. Ask the client to sign a contract agreeing not to harm others
B. Notify the provider of the client's threat
C. Keep the client's discussion confidential
D. Place the client in individual observation
Notify the provider of the client's threat
, *It is the nurse's duty to notify the provider of the client's threat. It will then be the provider's
responsibility to warn the the intended victim or the police of the client's threat
A nurse is preparing to meet with a client who has borderline personality disorder. Which of the
following actions should the nurse plan to take during the working phase of the therapeutic
relationship?
A. Introduce the concept of client confidentiality
B. Establish goals with the client
C. Define the roles of the nurse and the client
D. Facilitate change in the client's behavior
Facilitate change in the client's behavior
*The nurse should facilitate change in the client's behavior during the working phase of the
therapeutic relationship.
A nurse is contributing to the plan of care for a client who has suicidal ideation and is being
transferred to the mental health unit. Which of the following interventions should the nurse
recommend?
A. Search the client and his belongings upon arrival
B. Assign the client to a private room near the nurse's station
C. Instruct assistive personnel to check on the client every 15 m in
D. Keep the door to the client's room closed
Search the client and his belongings upon arrival
QUESTIONS AND CORRECT ANSWERS
A nurse in the emergency room is collecting data from a client who has heroin intoxication.
Which of the following findings should the nurse expect?
A. Seizure activity
B. Respiratory depression
C. Hypersensitivity to pain
D. Increased mental alertness
Respiratory depression
*Heroin is an opioid; therefore, the nurse should expect this client who has heroin intoxication to
exhibit respiratory depression.
A nurse on a mental health unit is caring for a client who is displaying signs of anger. Which of
the following pieces of information about the client is the strongest indicator that the client might
become aggressive?
A. The client has marginal coping skills
B. The client has a history of violence
C. The client feels powerless after being hospitalized
D. The client blames others for her problems
The client has a history of violence
,*The client's history of violence is the most important indicator that this client might become
violent; therefore, this is the strongest indicator of potential aggressiveness.
A nurse is reinforcing teaching with the caregiver of a client who has dementia. Which of the
following instructions should the nurse include in the teaching?
A. Offer the client a list of activities to choose from
B. Offer finger foods to the client
C. Discourage naps throughout the day
D. Turn on the television when the client is in the room
Offer finger foods to the client
*The caregiver should offer finger foods that the client can eat without sitting down. Clients who
have dementia often like to wander and walk off nervous energy, which can decrease anxiety and
calm the client.
A nurse is contributing to the plan of care for a client with bipolar disorder who has acute mania.
Which of the following interventions should the nurse recommend including in the plan?
A. Provide the client with a low-calorie, low-fat diet
B. Encourage the client to have frequent rest periods
C. Escort the client to daily group therapy
D. Limit the client's intake of caffeinated beverages to 12 oz per day
Encourage the client to have frequent rest periods
*The nurse should recommend encouraging frequent rest periods throughout the day to decrease
the client's risk of exhaustion from the constant activity associated with acute mania.
,A nurse is reviewing the plan of care for a client who has bipolar disorder. Which of the
following is an effect of using cognitive behavioral therapy (CBT) for a client who has bipolar
disorder?
A. Prevents the need for mood-stabilizing medications
B. Helps the client deal with distorted thought processes
C. Aids in communication among family members
D. Replaces the need for lifestyle interventions
Helps the client deal with distorted thought processes
*CBT assists the client with recognizing distorted thought processes that are maladaptive with
regards to recovery. When experiencing mania, the client tends to view the future unrealistically
as highly favorable. CBT assists the client in recognizing and challenging such unrealistic or
"automatic" thoughts and can help the client and the health care team recognize early trends
toward mania
A nurse is caring for a client in a mental health facility and overhears the client discussing plans
to harm her father-in-law physically when she is discharged. Which of the following
interventions should the nurse take?
A. Ask the client to sign a contract agreeing not to harm others
B. Notify the provider of the client's threat
C. Keep the client's discussion confidential
D. Place the client in individual observation
Notify the provider of the client's threat
, *It is the nurse's duty to notify the provider of the client's threat. It will then be the provider's
responsibility to warn the the intended victim or the police of the client's threat
A nurse is preparing to meet with a client who has borderline personality disorder. Which of the
following actions should the nurse plan to take during the working phase of the therapeutic
relationship?
A. Introduce the concept of client confidentiality
B. Establish goals with the client
C. Define the roles of the nurse and the client
D. Facilitate change in the client's behavior
Facilitate change in the client's behavior
*The nurse should facilitate change in the client's behavior during the working phase of the
therapeutic relationship.
A nurse is contributing to the plan of care for a client who has suicidal ideation and is being
transferred to the mental health unit. Which of the following interventions should the nurse
recommend?
A. Search the client and his belongings upon arrival
B. Assign the client to a private room near the nurse's station
C. Instruct assistive personnel to check on the client every 15 m in
D. Keep the door to the client's room closed
Search the client and his belongings upon arrival
