ATI Mental Health A
EXAM LATEST
UPDATE 2024
8) An older adult client is brought to the mental health clinic by her daughter. The
daughter reports that her mother is not eating and seems uninterested in routine
activities. The daughter states "Im so worried that my mother is depressed" which of the
following responses should the nurse make?
a. Everyone gets depressed from time to time.
b. You shouldnt worry about this because depressive disorder is easily treated.
c. Older adults are usually diagnosed with depressive disorder as they age.
d. Tell me the reasons you think your mother is depressed. - d
9. 9) A nurse is planning care for an adolescent who has autism spectrum disorder.
Which of the following
outcomes should the nurse include in the plan care?
a. Meets own needs without manipulating others.
b. Initiates social interactions with caregivers.
c. Changes behavior as a result of peer pressure.
d. Acknowledges his delusions are not real. - b
10) A nurse is providing behavior therapy for a client who has obsessive-compulsive
disorder. The client repeatedly checks that the doors are locked at night. Which of the
following instructions should the nurse give the client when using thought stopping
technique?
a. Snap a rubber band on your wrist when you think about checking the locks.
b. Ask a family member to check the locks for you at night.
c. Focus on abdominal breathing whenever you go to check the locks.
d. Keep a journal of how often you check the locks each night. - a
,11) A nurse is caring for a client who is starting treatment for substance use disorder.
Which of the following actions indicate the nurse is practicing the ethical principle of
nonmaleficence?
a. Provide the client with quality care regardless of their ability to pay for treatment.
b. Educating the client about legal rights concerning treatment.
c. Withholding the prescribed medication that is causing adverse effects for the client.
d. Being truthful with the client about the manifestations of withdrawl. - c
12. 12) A nurse in a group home facility is caring for a client who is developmentally
disabled. The client has been stealing belongings from other clients. Which of the
following techniques should the nurse use?
a. Crisis intervention to decrease anxiety.
b. Aversion therapy to provide distraction
c. Positive reinforcement to increase desired behavior.
d. Systematic desensitization to extinguish the behavior. – c
1. A nurse is teaching a client who has schizophrenia about her new prescription for
risperidone. Which of the following statements should the nurse include in the teaching?
a. "You should continue this medication if you develop muscle rigidity".
b. "You will experience weight loss while taking this medication."
c. "You will notice your symptoms improve within 24 hours of taking this medication."
d. "You should increase your consumption of complex carbohydrates." - a
2) A nurse is admitting a client who has generalized anxiety disorder. Which of the
following actions should the nurse plan to take first?
a. Provide the client with a quiet environment
b. Determine how the client handles stress.
c. Teach the client to use guided imagery.
d. Ask the client to identify her strengths - a
3) A nurse is conducting an admission interview with a client who is experiencing
mania. Which of the following should the nurse report to the provider?
a. States that he hasnt bathed in 2 days
b. Reports eating twice in the past two weeks.
c. Makes inappropriate sexual comments.
d. Speaks in rhyming sentences. - b
4) A nurse is planning care for a client who has obsessive-compulsive disorder. Which
of the following recommendation should the nurse include in the clients plan of care?
a. Validation therapy
b. Thought stopping
c. Operant conditioning
d. Reality orientation therapy - b
5) A nurse is caring for a client who has bipolar disorder and is experiencing a manic
episode. Which of the following actions should the nurse take?
,a. Encourage the client to join group activities
b. Dim the lights in the clients room
c. Provide detailed explanations to the client
d. Administer methylphenidate - b
6. 6) A nurse is leading a crisis intervention group for adolescents who witnessed the
suicide of a classmate. Which of the following actions should the nurse take first.
a. Initiate referrals
b. Review community resources
c. Identify prior coping skills
d. Discuss the importance of confidentiality - c
7. 7) A nurse overhears a client saying"I am a spy, a spy for the FBI .I am an I,an eye
for an eye in the sky. Sky is up high." The nurse should document the clients statement
as which of the following speech alterations?
a. Echolalia
b. Word salad
c. Neologism
d. Clang association - d
13. 13) A nurse is caring for a client who is experiencing a panic attack. Which of the
following actions should the nurse take?
a. Ask the client to discuss precipitating events
b. Speaks to the client in a high-pitched voice.
c. Place the client in seclusion
d. Have the client breathe into a paper bag. - d
14. 14) The nurse is caring for a client following a physical assault. The client states "I
don't remember what happened to me." The nurse should recognize that the client is
using which of the following defense mechanisms?
a. Repression
b. Displacement c. Rationalization d. Denial - a
15. 15) A nurse is caring for a client who has anorexia nervosa. Which of the following
findings require immediate intervention by the nurse?
a. +2 edema of the lower extremities
b. BUN 21 mg dL
c. Lanugo covering the body
d. Blood pH 7.60 - d
16. 16) A nurse is caring for a client in a mental health facility. The client is agitated and
threatens to harm herself and others. Which of the following is the priority intervention?
a. Place the client in restraints
b. Administer an anti-anxiety medication to the client
c. Put the client in seclusion
, d. Set limits on the clients behavior - d
17) Dosage Calculation Question. - dosage calc
18) A nurse is caring for a client who was involuntarily committed and is scheduled to
receive electroconvulsive therapy (ECT). The client refuses the treatment and will not
discuss why with the health care team. Which of the following actions should the nurse
take?
a. Ask the clients family to encourage the client to receive ECT
b. Inform the client that ECT does not require a consent.
c. Document the clients refusal of the treatment in the medical record.
d. Tell the client he cannot refuse the treatment because he was involuntarily
committed. - c
19) A nurse in the emergency department is caring for a client who reports feeling sad,
worthless, and hopeless 9 months after the death of her son. Which of the following
actions should the nurse take first?
a. Request a mental health consult for the client.
b. Ask the client if she has thought about harming herself.
c. Encourage the client to attend a grief support group.
d. Discuss the clients coping skills. - d
20) A nurse is caring for a client who has borderline personality disorder and has been
engaging in self- mutilation. The nurse should encourage the client to participate in
which of the following groups.
a. Dual diagnosis treatment group
b. Dialectical treatment group
c. Desensitization therapy
d. Co-dependents support group. - b
21) The nurse is reviewing the medication administration record of a client who has
schizophrenia. The nurse should plan to initiate the Abnormal Involuntary Movement
Scale to monitor for adverse effects of which of the following medications.?
a. Amantadine
b. Diphenhydramine
c. Benztropine
d. Haloperidol - d
22) A nurse is counseling a client following the death of a clients partner 8 months ago.
Which of the following client statements indicates maladaptive grieving?
a. I am so sorry for the times I was angry with my partner.
b. I find myself thinking about my partner often.
c. I still dont feel up to returning to work.
d. I like looking at his personal items in the closet. - c
EXAM LATEST
UPDATE 2024
8) An older adult client is brought to the mental health clinic by her daughter. The
daughter reports that her mother is not eating and seems uninterested in routine
activities. The daughter states "Im so worried that my mother is depressed" which of the
following responses should the nurse make?
a. Everyone gets depressed from time to time.
b. You shouldnt worry about this because depressive disorder is easily treated.
c. Older adults are usually diagnosed with depressive disorder as they age.
d. Tell me the reasons you think your mother is depressed. - d
9. 9) A nurse is planning care for an adolescent who has autism spectrum disorder.
Which of the following
outcomes should the nurse include in the plan care?
a. Meets own needs without manipulating others.
b. Initiates social interactions with caregivers.
c. Changes behavior as a result of peer pressure.
d. Acknowledges his delusions are not real. - b
10) A nurse is providing behavior therapy for a client who has obsessive-compulsive
disorder. The client repeatedly checks that the doors are locked at night. Which of the
following instructions should the nurse give the client when using thought stopping
technique?
a. Snap a rubber band on your wrist when you think about checking the locks.
b. Ask a family member to check the locks for you at night.
c. Focus on abdominal breathing whenever you go to check the locks.
d. Keep a journal of how often you check the locks each night. - a
,11) A nurse is caring for a client who is starting treatment for substance use disorder.
Which of the following actions indicate the nurse is practicing the ethical principle of
nonmaleficence?
a. Provide the client with quality care regardless of their ability to pay for treatment.
b. Educating the client about legal rights concerning treatment.
c. Withholding the prescribed medication that is causing adverse effects for the client.
d. Being truthful with the client about the manifestations of withdrawl. - c
12. 12) A nurse in a group home facility is caring for a client who is developmentally
disabled. The client has been stealing belongings from other clients. Which of the
following techniques should the nurse use?
a. Crisis intervention to decrease anxiety.
b. Aversion therapy to provide distraction
c. Positive reinforcement to increase desired behavior.
d. Systematic desensitization to extinguish the behavior. – c
1. A nurse is teaching a client who has schizophrenia about her new prescription for
risperidone. Which of the following statements should the nurse include in the teaching?
a. "You should continue this medication if you develop muscle rigidity".
b. "You will experience weight loss while taking this medication."
c. "You will notice your symptoms improve within 24 hours of taking this medication."
d. "You should increase your consumption of complex carbohydrates." - a
2) A nurse is admitting a client who has generalized anxiety disorder. Which of the
following actions should the nurse plan to take first?
a. Provide the client with a quiet environment
b. Determine how the client handles stress.
c. Teach the client to use guided imagery.
d. Ask the client to identify her strengths - a
3) A nurse is conducting an admission interview with a client who is experiencing
mania. Which of the following should the nurse report to the provider?
a. States that he hasnt bathed in 2 days
b. Reports eating twice in the past two weeks.
c. Makes inappropriate sexual comments.
d. Speaks in rhyming sentences. - b
4) A nurse is planning care for a client who has obsessive-compulsive disorder. Which
of the following recommendation should the nurse include in the clients plan of care?
a. Validation therapy
b. Thought stopping
c. Operant conditioning
d. Reality orientation therapy - b
5) A nurse is caring for a client who has bipolar disorder and is experiencing a manic
episode. Which of the following actions should the nurse take?
,a. Encourage the client to join group activities
b. Dim the lights in the clients room
c. Provide detailed explanations to the client
d. Administer methylphenidate - b
6. 6) A nurse is leading a crisis intervention group for adolescents who witnessed the
suicide of a classmate. Which of the following actions should the nurse take first.
a. Initiate referrals
b. Review community resources
c. Identify prior coping skills
d. Discuss the importance of confidentiality - c
7. 7) A nurse overhears a client saying"I am a spy, a spy for the FBI .I am an I,an eye
for an eye in the sky. Sky is up high." The nurse should document the clients statement
as which of the following speech alterations?
a. Echolalia
b. Word salad
c. Neologism
d. Clang association - d
13. 13) A nurse is caring for a client who is experiencing a panic attack. Which of the
following actions should the nurse take?
a. Ask the client to discuss precipitating events
b. Speaks to the client in a high-pitched voice.
c. Place the client in seclusion
d. Have the client breathe into a paper bag. - d
14. 14) The nurse is caring for a client following a physical assault. The client states "I
don't remember what happened to me." The nurse should recognize that the client is
using which of the following defense mechanisms?
a. Repression
b. Displacement c. Rationalization d. Denial - a
15. 15) A nurse is caring for a client who has anorexia nervosa. Which of the following
findings require immediate intervention by the nurse?
a. +2 edema of the lower extremities
b. BUN 21 mg dL
c. Lanugo covering the body
d. Blood pH 7.60 - d
16. 16) A nurse is caring for a client in a mental health facility. The client is agitated and
threatens to harm herself and others. Which of the following is the priority intervention?
a. Place the client in restraints
b. Administer an anti-anxiety medication to the client
c. Put the client in seclusion
, d. Set limits on the clients behavior - d
17) Dosage Calculation Question. - dosage calc
18) A nurse is caring for a client who was involuntarily committed and is scheduled to
receive electroconvulsive therapy (ECT). The client refuses the treatment and will not
discuss why with the health care team. Which of the following actions should the nurse
take?
a. Ask the clients family to encourage the client to receive ECT
b. Inform the client that ECT does not require a consent.
c. Document the clients refusal of the treatment in the medical record.
d. Tell the client he cannot refuse the treatment because he was involuntarily
committed. - c
19) A nurse in the emergency department is caring for a client who reports feeling sad,
worthless, and hopeless 9 months after the death of her son. Which of the following
actions should the nurse take first?
a. Request a mental health consult for the client.
b. Ask the client if she has thought about harming herself.
c. Encourage the client to attend a grief support group.
d. Discuss the clients coping skills. - d
20) A nurse is caring for a client who has borderline personality disorder and has been
engaging in self- mutilation. The nurse should encourage the client to participate in
which of the following groups.
a. Dual diagnosis treatment group
b. Dialectical treatment group
c. Desensitization therapy
d. Co-dependents support group. - b
21) The nurse is reviewing the medication administration record of a client who has
schizophrenia. The nurse should plan to initiate the Abnormal Involuntary Movement
Scale to monitor for adverse effects of which of the following medications.?
a. Amantadine
b. Diphenhydramine
c. Benztropine
d. Haloperidol - d
22) A nurse is counseling a client following the death of a clients partner 8 months ago.
Which of the following client statements indicates maladaptive grieving?
a. I am so sorry for the times I was angry with my partner.
b. I find myself thinking about my partner often.
c. I still dont feel up to returning to work.
d. I like looking at his personal items in the closet. - c
