ATI MENTAL HEALTH PROCTORED EXAM REVIEW
WITH CORRECT SOLUTION 2025
A charge nurse is discussing mental status exams with a newly licensed nurse. Which of the following statem
ents by the newly licensed nurse indicates an understandingJof the teaching? (Select all that apply). -
correct answer--To assess cognitive ability, I should askJthe clientJto 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 writeJa sentence."
A nurse is planningJcare for a client who has a mental health disorder. Which of the followingJactions should
theJnurse include as aJpsychobiological intervention? - correct answer-
Monitor the client for adverse effects of the medications.
A nurse inJan outpatient mental health clinic is preparing to conductJan initial client interview. WhenJconduct
ing theJinterview, which of the following actions shouldJthe nurse identify as the priority? - correct answer-
Identify the client's perception of herJmental health status.
A nurse is told during change of shiftJreport that a clientJis stuporous. WhenJassessing the client, which of the
following findings should theJnurse expect? - correct answer-
The clientJarouses briefly in response to a sternal rub.
A nurse is planningJa peer group discussion about theJDSM-
5. Which of the following information is appropriate toJinclude inJthe discussion? (Select all thatJapply) -
correct answer-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 theJfollowing clients requires a temporary emergency admission? - correct answer-
A client who has borderline personality disorder and assaulted a homeless man with a metal rod
A nurse decides to put a clientJwho has a psychotic disorder inJseclusion overnightJbecause the unit is very sh
ort-
staffed, and the client frequently fights with other clients. The nurse's actions areJan example of which of theJ
following torts? - correct answer-False imprisonment
,A client tells aJnurse, "Don't tell anyone but I hid a sharp knife under my mattress in orderJto protect myself fr
om my roommate, who is always yelling at me and threatening me." Which of the following actionsJshould t
heJnurse take? - correctJanswer-
Report theJincident to the healthJcare team, but do not inform the client of the intention to doJso.
A nurse is caring for a clientJwho is in mechanical restraints. Which of the following statements should the n
urseJinclude in the documentation? (Select all that apply) - correct answer--
Client was offeredJ8 ozJof water every hr."
-Client shouted obscenities at assistive personnel."
-Client received chlorpromazine 15 mg by mouth at 1000.
A nurse hears a newly licensed nurseJdiscussing a client's hallucinations in the hallway with another nurse.
Which of the following actions should the nurse takeJfirst? - correct answer-
Tell theJnurse to stop discussing the behavior
A nurse is caring for the parents of a child who has demonstrated changes in behavior and mood. When theJm
other of the child asks theJnurse for reassurance about her son's condition, which of the following responses s
hould theJnurse make? - correct answer-
I understand you're concerned. Let's discussJwhat concerns you specifically."
A nurse is caring for a clientJwho smokes and has lungJcancer. The client reports, "I'mJcoughingJbecause I ha
veJthat cold that everyoneJhas been getting." The nurseJshould identify thatJthe client isJusing which of the fol
lowing defense mechanisms? - correctJanswer-Denial
A nurse is providing preoperative teaching for a client who was just informed thatJshe requires emergency su
rgery. The clientJhas a respiratory rate 30/min and says, "This is difficult to comprehend. I feel shaky and ner
vous." The nurse should identify that the client is experiencing which of the following levels of anxiety? -
correct answer-Moderate
A nurse is caring forJa client who is experiencingJmoderate anxiety. Which of the following actions should th
e nurse take when trying toJgiveJnecessary information to the client? (Select all that apply.) - correct answer--
Discuss prior use of coping mechanisms with the client.
-Demonstrate a calm manner while using simpleJand clear directions.
A nurse is talking with a client who is atJrisk for suicide followingJthe death of his spouse. WhichJof the follo
wing statementsJshould the nurse make? - correct answer--
Losing someone close to you must be very upsetting."
, A charge nurse is discussing the characteristics of a nurse-
client relationshipJwith a newly licensedJnurse. Which of the followingJcharacteristics should the nurse inclu
deJin the discussion? (Select all that apply) - correct answer--It is goal-directed.
-Behavioral change is encouraged.
-A terminationJdate is established.
A nurse is in the working phase of a therapeutic relationship with a client who has methamphetamine useJdis
order. Which of the following actions indicates transference behavior? - correct answer-
The client accuses theJnurses of telling him what to do just like his ex-girlfriend.
A nurse is planningJcare for the termination phase of a nurse-
client relationship. Which of the following actions should theJnurse includeJin theJplan of care? -
correct answer-DiscussingJways toJuse new behaviors
A nurse is orienting a new client to a mental health unit. When explaining the unit'sJcommunity meetings, wh
ichJof the following statements shouldJthe nurse make? - correctJanswer-
You and the other clients will meet with staff to discuss common problems.
A nurse is caring several clients who are attendingJcommunity-
based mental health programs. Which of the following clients should the nurse planJto visit first? -
correct answer-A client who says he is hearing a voice that tells him heJis not worth living anymore.
A community mental health nurse is planningJcare to address theJissue of depressionJamongJolder adult clien
ts in the community. Which of the following interventions should the nurse plan as a method of tertiary preve
ntion? - correct answer-Establishing rehabilitation programs to decrease theJeffects of depression
A nurse is working in a community mental health facility. Which of the following services does this type of p
rogram provide? (Select all that apply) - correct answer--Educational groups
-Medication dispensing programs
-Individual counseling programs
-Family therapy
A nurse inJan acute mental health facility is assisting with discharge planning for aJclient whoJhas a severe m
ental illness and requires supervision much of the time. TheJclient's wife worksJall day but is home by late aft
WITH CORRECT SOLUTION 2025
A charge nurse is discussing mental status exams with a newly licensed nurse. Which of the following statem
ents by the newly licensed nurse indicates an understandingJof the teaching? (Select all that apply). -
correct answer--To assess cognitive ability, I should askJthe clientJto 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 writeJa sentence."
A nurse is planningJcare for a client who has a mental health disorder. Which of the followingJactions should
theJnurse include as aJpsychobiological intervention? - correct answer-
Monitor the client for adverse effects of the medications.
A nurse inJan outpatient mental health clinic is preparing to conductJan initial client interview. WhenJconduct
ing theJinterview, which of the following actions shouldJthe nurse identify as the priority? - correct answer-
Identify the client's perception of herJmental health status.
A nurse is told during change of shiftJreport that a clientJis stuporous. WhenJassessing the client, which of the
following findings should theJnurse expect? - correct answer-
The clientJarouses briefly in response to a sternal rub.
A nurse is planningJa peer group discussion about theJDSM-
5. Which of the following information is appropriate toJinclude inJthe discussion? (Select all thatJapply) -
correct answer-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 theJfollowing clients requires a temporary emergency admission? - correct answer-
A client who has borderline personality disorder and assaulted a homeless man with a metal rod
A nurse decides to put a clientJwho has a psychotic disorder inJseclusion overnightJbecause the unit is very sh
ort-
staffed, and the client frequently fights with other clients. The nurse's actions areJan example of which of theJ
following torts? - correct answer-False imprisonment
,A client tells aJnurse, "Don't tell anyone but I hid a sharp knife under my mattress in orderJto protect myself fr
om my roommate, who is always yelling at me and threatening me." Which of the following actionsJshould t
heJnurse take? - correctJanswer-
Report theJincident to the healthJcare team, but do not inform the client of the intention to doJso.
A nurse is caring for a clientJwho is in mechanical restraints. Which of the following statements should the n
urseJinclude in the documentation? (Select all that apply) - correct answer--
Client was offeredJ8 ozJof water every hr."
-Client shouted obscenities at assistive personnel."
-Client received chlorpromazine 15 mg by mouth at 1000.
A nurse hears a newly licensed nurseJdiscussing a client's hallucinations in the hallway with another nurse.
Which of the following actions should the nurse takeJfirst? - correct answer-
Tell theJnurse to stop discussing the behavior
A nurse is caring for the parents of a child who has demonstrated changes in behavior and mood. When theJm
other of the child asks theJnurse for reassurance about her son's condition, which of the following responses s
hould theJnurse make? - correct answer-
I understand you're concerned. Let's discussJwhat concerns you specifically."
A nurse is caring for a clientJwho smokes and has lungJcancer. The client reports, "I'mJcoughingJbecause I ha
veJthat cold that everyoneJhas been getting." The nurseJshould identify thatJthe client isJusing which of the fol
lowing defense mechanisms? - correctJanswer-Denial
A nurse is providing preoperative teaching for a client who was just informed thatJshe requires emergency su
rgery. The clientJhas a respiratory rate 30/min and says, "This is difficult to comprehend. I feel shaky and ner
vous." The nurse should identify that the client is experiencing which of the following levels of anxiety? -
correct answer-Moderate
A nurse is caring forJa client who is experiencingJmoderate anxiety. Which of the following actions should th
e nurse take when trying toJgiveJnecessary information to the client? (Select all that apply.) - correct answer--
Discuss prior use of coping mechanisms with the client.
-Demonstrate a calm manner while using simpleJand clear directions.
A nurse is talking with a client who is atJrisk for suicide followingJthe death of his spouse. WhichJof the follo
wing statementsJshould the nurse make? - correct answer--
Losing someone close to you must be very upsetting."
, A charge nurse is discussing the characteristics of a nurse-
client relationshipJwith a newly licensedJnurse. Which of the followingJcharacteristics should the nurse inclu
deJin the discussion? (Select all that apply) - correct answer--It is goal-directed.
-Behavioral change is encouraged.
-A terminationJdate is established.
A nurse is in the working phase of a therapeutic relationship with a client who has methamphetamine useJdis
order. Which of the following actions indicates transference behavior? - correct answer-
The client accuses theJnurses of telling him what to do just like his ex-girlfriend.
A nurse is planningJcare for the termination phase of a nurse-
client relationship. Which of the following actions should theJnurse includeJin theJplan of care? -
correct answer-DiscussingJways toJuse new behaviors
A nurse is orienting a new client to a mental health unit. When explaining the unit'sJcommunity meetings, wh
ichJof the following statements shouldJthe nurse make? - correctJanswer-
You and the other clients will meet with staff to discuss common problems.
A nurse is caring several clients who are attendingJcommunity-
based mental health programs. Which of the following clients should the nurse planJto visit first? -
correct answer-A client who says he is hearing a voice that tells him heJis not worth living anymore.
A community mental health nurse is planningJcare to address theJissue of depressionJamongJolder adult clien
ts in the community. Which of the following interventions should the nurse plan as a method of tertiary preve
ntion? - correct answer-Establishing rehabilitation programs to decrease theJeffects of depression
A nurse is working in a community mental health facility. Which of the following services does this type of p
rogram provide? (Select all that apply) - correct answer--Educational groups
-Medication dispensing programs
-Individual counseling programs
-Family therapy
A nurse inJan acute mental health facility is assisting with discharge planning for aJclient whoJhas a severe m
ental illness and requires supervision much of the time. TheJclient's wife worksJall day but is home by late aft
