ATI RN MENTAL HEALTH EXAM 2023 WITH NGN EXAM QUESTIONS ACCURATE AND VERIFIED ACTUAL EXAM QUESTIONS WITH DETAILED ANSWERS FOR GUARANTEED PASS | ALREADY GRADED A

1. **A nurse is performing a cognitive assessment to distinguish delirium from dementia in a client whose family reports episodes of confusion. Which of the following assessment findings supports the nurse's suspicion of delirium?** - A. Memory loss - B. Easily distracted **(Correct Answer)** - C. Slow speech - D. Long-term memory intact - **Rationale:** Easily distracted is indicative of delirium, which can present as fluctuations in attention and cognition. 2. **A nurse is caring for a client who gave birth to a stillborn baby. Which of the following statements should the nurse make?** - A. "You should be strong for your family." - B. "I'll stay with you just in case you want to talk." **(Correct Answer)** - C. "This will get easier with time." - D. "Let me know if you need anything." - **Rationale:** Staying with the client shows support and allows them to express their feelings about the loss. 3. **A nurse is caring for four clients in an emergency department. The nurse should identify that which of the following clients can give informed consent?** - A. A 12-year-old child - B. A 16-year-old with parental approval - C. A 35-year-old client who has major depressive disorder **(Correct Answer)** - D. An 80-year-old with early stage dementia - **Rationale:** The 35-year-old client is of legal age and, despite having major depressive disorder, can still give informed consent if they are stable at the time. 4. **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. "The plan should only be reviewed once a month." - B. "I will update the plan of care as a client's manifestations of depression change." **(Correct Answer)** - C. "Once the client improves, the plan should remain the same." - D. "We should avoid changing the plan frequently." - **Rationale:** Updating the care plan as manifestations change ensures that it remains relevant and effective for the client's needs. 5. **A nurse on a medical-surgical unit is assessing a client who sustained injuries 12 hr ago following a motor-vehicle crash. The client's admission blood alcohol level was 325 mg/dL. Which of the following findings should indicate to the nurse that the client is experiencing alcohol withdrawal?** - A. Blood pressure 120/80 mm Hg - B. Blood pressure 154/96 mm Hg **(Correct Answer)** - C. Heart rate 60 bpm - D. Respiratory rate 14 breaths/min - **Rationale:** Increased blood pressure is a common sign of alcohol withdrawal. 6. **A nurse is planning care for a client who has made repeated physical threats toward others on the unit. Which of the following ethical principles should the nurse apply in this situation?** - A. Autonomy - B. Justice - C. Beneficence - D. Nonmaleficence **(Correct Answer)** - **Rationale:** Nonmaleficence refers to the principle of "do no harm," which in this case involves protecting both the client and others in the unit. 7. **A nurse is discussing a 12-step program with a client who has alcohol use disorder and is in an acute care facility undergoing detoxification. Which of the following information should the nurse include in the teaching?** - A. "You can quit drinking whenever you want." - B. "You should obtain a sponsor before discharge for an increased chance of recovery." **(Correct Answer)** - C. "The program is most effective if done alone." - D. "Once you finish the program, you won’t need to return." - **Rationale:** Having a sponsor is crucial for ongoing support in recovery. 8. **A nurse is creating a plan of care for a client who has been placed in seclusion after threatening to harm others on the unit. Which of the following interventions should the nurse include in the plan?** - A. Monitor the client for 6 hours continuously - B. Renew the prescription for the client every 4 hr. **(Correct Answer)** - C. Allow the client to exit seclusion after 24 hours - D. Observe the client every 15 minutes - **Rationale:** Regularly renewing the prescription ensures that the client receives continued support while in seclusion. 9. **A nurse is performing an admission assessment on a client and notices that the client appears withdrawn and fearful. To establish a trusting nurse-client relationship, which of the following actions should the nurse take first?** - A. Encourage the client to talk about their fears. - B. Inform the client that this admission is confidential. **(Correct Answer)** - C. Introduce the treatment team to the client. - D. Explain the rules of the unit. - **Rationale:** Establishing confidentiality helps build trust, which is foundational for a therapeutic relationship. 10. **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. Conventional therapy - B. Assertive community treatment **(Correct Answer)** - C. Outpatient therapy - D. Private therapy sessions - **Rationale:** Assertive community treatment provides comprehensive, integrated support to meet the diverse needs of the client in their community. 11. **A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode. Which of the following is the priority nursing intervention?** - A. Encourage the client to engage in group activities. - B. Provide the client with a high-calorie diet. - C. Ensure the client’s safety. **(Correct Answer)** - D. Offer the client a quiet place to rest. - **Rationale:** Ensuring the client's safety is the priority intervention during a manic episode due to the potential for dangerous or impulsive behavior. 12. **A nurse is teaching a group of clients about the effects of a sedative-hypnotic medication. Which of the following findings should the nurse include as a potential adverse effect?** - A. Diarrhea - B. Insomnia - C. Decreased respiratory rate **(Correct Answer)** - D. Increased alertness - **Rationale:** Sedative-hypnotic medications can lead to respiratory depression as an adverse effect. 13. **A nurse is caring for a client with a diagnosis of major depressive disorder. The client states, “I don’t know why I bother getting out of bed each day.” Which of the following responses by the nurse is appropriate?** - A. "Try to think positively about your situation." - B. "You are feeling very hopeless right now." **(Correct Answer)** - C. "Let's focus on the things you used to enjoy." - D. "It's important to get out of bed every day." - **Rationale:** Acknowledging the client's feelings of hopelessness shows empathy and encourages further exploration of their feelings. 14. **A nurse is preparing to administer a newly prescribed medication for a client with obsessive-compulsive disorder (OCD). The nurse should evaluate the effectiveness of the medication by assessing which of the following?** - A. The client’s level of anxiety - B. The degree of compulsive behavior **(Correct Answer)** - C. The client's weight - D. The length of time spent in therapy - **Rationale:** The effectiveness of medication for OCD is primarily assessed by observing the reduction in compulsive behaviors. 15. **A nurse is reviewing the chart of a client diagnosed with paranoid personality disorder. Which of the following characteristics should the nurse expect to find?** - A. Lack of remorse for wrongdoing - B. Excessive need for approval - C. Distrust of others **(Correct Answer)** - D. Fear of abandonment - **Rationale:** A key characteristic of paranoid personality disorder is a pervasive distrust and suspicion of others. 16. **A nurse is assessing a client who is experiencing a panic attack. Which of the following findings should the nurse expect?** - A. Client reports feeling tired - B. Client exhibits an increase in appetite - C. Client demonstrates chest pain or discomfort **(Correct Answer)** - D. Client has a calm demeanor - **Rationale:** Panic attacks can manifest with symptoms such as chest pain, which mimics a cardiac issue and adds to the distress.