ATI Mental Health LATEST
ASESSMENT 2025/26.
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). - ANSWERS--To assess cognitive ability, I should ask the client to count backward by sevens."
-To assess affect, I should observe the client's facial expression.
-To assess language ability, I should instruct the client to write a sentence."
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? - ANSWERS-Monitor the client for adverse
effects of the 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 actions should the nurse identify as the priority? -
ANSWERS-Identify the client's perception of her mental health status.
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? - ANSWERS-The client arouses briefly in response to a
sternal rub.
A nurse is planning a peer group discussion about the DSM-5. Which of the following information is
appropriate to include in the discussion? (Select all that apply) - ANSWERS-The DSM-5 establishes
diagnostic criteria for individual mental health disorders.
-The DSM-5 assists nurses in planning care for client's who have mental health disorders.
,-The DSM-5 indicates expected assessment findings of mental health disorders.
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? - ANSWERS-A client who
has borderline personality disorder and assaulted a homeless man with a metal rod
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? - ANSWERS-False imprisonment
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? - ANSWERS-Report the incident to the health care team, but do not
inform the client of the intention to do so.
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) - ANSWERS--Client was offered 8 oz of
water every hr."
-Client shouted obscenities at assistive personnel."
-Client received chlorpromazine 15 mg by mouth at 1000.
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? - ANSWERS-Tell the nurse to stop
discussing the behavior
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? - ANSWERS-I understand you're concerned. Let's discuss what
concerns you specifically."
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? - ANSWERS-Denial
, 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? - ANSWERS-Moderate
A nurse is caring for a client who is experiencing moderate anxiety. Which of the following actions
should the nurse take when trying to give necessary information to the client? (Select all that apply.) -
ANSWERS--Discuss prior use of coping mechanisms with the client.
-Demonstrate a calm manner while using simple and clear directions.
A nurse is talking with a client who is at risk for suicide following the death of his spouse. Which of the
following statements should the nurse make? - ANSWERS--Losing someone close to you must be very
upsetting."
A charge nurse is discussing the characteristics of a nurse-client relationship with a newly licensed nurse.
Which of the following characteristics should the nurse include in the discussion? (Select all that apply) -
ANSWERS--It is goal-directed.
-Behavioral change is encouraged.
-A termination date is established.
A nurse is in the working phase of a therapeutic relationship with a client who has methamphetamine
use disorder. Which of the following actions indicates transference behavior? - ANSWERS-The client
accuses the nurses of telling him what to do just like his ex-girlfriend.
A nurse is planning care for the termination phase of a nurse-client relationship. Which of the following
actions should the nurse include in the plan of care? - ANSWERS-Discussing ways to use new behaviors
A nurse is orienting a new client to a mental health unit. When explaining the unit's community
meetings, which of the following statements should the nurse make? - ANSWERS-You and the other
clients will meet with staff to discuss common problems.
A nurse is caring several clients who are attending community-based mental health programs. Which of
the following clients should the nurse plan to visit first? - ANSWERS-A client who says he is hearing a
voice that tells him he is not worth living anymore.
ASESSMENT 2025/26.
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). - ANSWERS--To assess cognitive ability, I should ask the client to count backward by sevens."
-To assess affect, I should observe the client's facial expression.
-To assess language ability, I should instruct the client to write a sentence."
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? - ANSWERS-Monitor the client for adverse
effects of the 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 actions should the nurse identify as the priority? -
ANSWERS-Identify the client's perception of her mental health status.
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? - ANSWERS-The client arouses briefly in response to a
sternal rub.
A nurse is planning a peer group discussion about the DSM-5. Which of the following information is
appropriate to include in the discussion? (Select all that apply) - ANSWERS-The DSM-5 establishes
diagnostic criteria for individual mental health disorders.
-The DSM-5 assists nurses in planning care for client's who have mental health disorders.
,-The DSM-5 indicates expected assessment findings of mental health disorders.
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? - ANSWERS-A client who
has borderline personality disorder and assaulted a homeless man with a metal rod
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? - ANSWERS-False imprisonment
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? - ANSWERS-Report the incident to the health care team, but do not
inform the client of the intention to do so.
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) - ANSWERS--Client was offered 8 oz of
water every hr."
-Client shouted obscenities at assistive personnel."
-Client received chlorpromazine 15 mg by mouth at 1000.
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? - ANSWERS-Tell the nurse to stop
discussing the behavior
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? - ANSWERS-I understand you're concerned. Let's discuss what
concerns you specifically."
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? - ANSWERS-Denial
, 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? - ANSWERS-Moderate
A nurse is caring for a client who is experiencing moderate anxiety. Which of the following actions
should the nurse take when trying to give necessary information to the client? (Select all that apply.) -
ANSWERS--Discuss prior use of coping mechanisms with the client.
-Demonstrate a calm manner while using simple and clear directions.
A nurse is talking with a client who is at risk for suicide following the death of his spouse. Which of the
following statements should the nurse make? - ANSWERS--Losing someone close to you must be very
upsetting."
A charge nurse is discussing the characteristics of a nurse-client relationship with a newly licensed nurse.
Which of the following characteristics should the nurse include in the discussion? (Select all that apply) -
ANSWERS--It is goal-directed.
-Behavioral change is encouraged.
-A termination date is established.
A nurse is in the working phase of a therapeutic relationship with a client who has methamphetamine
use disorder. Which of the following actions indicates transference behavior? - ANSWERS-The client
accuses the nurses of telling him what to do just like his ex-girlfriend.
A nurse is planning care for the termination phase of a nurse-client relationship. Which of the following
actions should the nurse include in the plan of care? - ANSWERS-Discussing ways to use new behaviors
A nurse is orienting a new client to a mental health unit. When explaining the unit's community
meetings, which of the following statements should the nurse make? - ANSWERS-You and the other
clients will meet with staff to discuss common problems.
A nurse is caring several clients who are attending community-based mental health programs. Which of
the following clients should the nurse plan to visit first? - ANSWERS-A client who says he is hearing a
voice that tells him he is not worth living anymore.
