NGN ATI MENTAL HEALTH 2023
PROCTORED EXAM 140 QUESTIONS
WITH DETAILED VERIFIED ANSWERS
AND RATIONALES (100% CORRECT)
/A+ GRADE ASSURED
A nurse in a mental health facility is planning discharge for
a client who has a history of alcohol use disorder. Which of
the following post discharge activities should the nurse
plan to include?
A. Taking the oral medication buprenorphine to
prevent alcohol use
B. Attending a relapse prevention group several times
each week
C. Beginning a methadone treatment program at a
local center
D. Living with their parent, who has promised to keep
them away from alcohol - ...ANSWER...B. Attending a
relapse prevention group several times each week
A nurse is caring for a client in a mental health facility. The
nurse overhears another staff member make derogatory
comments to the client. Which of the following actions
should the nurse take?
A. Confront the staff member
B. Encourage the client to report the incident
,C. Document the incident
D. Report the occurrence to the charge nurse -
...ANSWER...D. Report the occurrence to the charge nurse
A nurse is caring for a client who is experiencing a
situational crisis. Which of the following findings should the
nurse expect?
A. The client recently lost a grandparent in a motor
vehicle crash
B. The client's town was hit by a tornado
C. The client's youngest child is leaving for college
D. The client is ambivalent about their upcoming retirement
- ...ANSWER...A. The client recently lost a grandparent in a
motor vehicle crash
A nurse is planning care for a 7yo child who has ADHD.
Which of the following interventions should the nurse
identify as the priority?
A. Decrease distractions during meal times
B. Provide positive feedback when the child completes
a task
C. Clearly identify consequences for unacceptable behavior
D. Remove unnecessary equipment from the child's
surroundings - ...ANSWER...D. Remove
unnecessary equipment from the child's surroundings
The greatest risk to the child who has ADHD is injury
from impulsive behavior and the decreased ability to
perceive self-harm.
,A nurse on a mental health unit is admitting a client who is
anxious and tells the nurse, "I hear voices telling me what to
do" Which of the following actions should the nurse take?
A. Tell the client that the voices do not really exist
B. Touch the client to help reduce feelings of anxiety
C. Instruct the client to go to a quiet room
D. Ask the client what the voices are saying -
...ANSWER...D. Ask the client what the voices are saying
A nurse in a mental health clinic is caring for a client who
has bipolar disorder and reports that they stopped taking
lithium 2 weeks ago. The nurse should recognize which of
the following as an expected adverse effect that might have
caused the client to stop taking the medication?
A. sore throat
B. Photophobia
C. hand tremors
D. constipation - ...ANSWER...C. hand tremors
A nurse in an emergency department is admitting a client
who reports experiencing a headache and heart palpitations
after having a glass of wine 1 hr ago. The client has a history
of depression and a blood pressure of 210/105 mmHg and a
temperature of 39.9 C (103.8 F). Which of the following
actions should the nurse take?
A. Administer phentolamine 5 mg IV to the client
B. Apply a hypothermic blanket to the client
C. Determine the client's prescribed medication regimen
, D. Initiate IV access for the client - ...ANSWER...C.
Determine the client's prescribed medication
regimen
A nurse is caring for a group of clients. Which of the
following findings is the nurse required to report?
A. A client who has bipolar disorder and tested positive
for genital herpes simplex virus reports having multiple
sexual partners
B. A client who has depression reports having a lack of
interest in assisting their partner in the care of their
children
C. A client who has borderline personality
disorder threatened to harm their roomate
D. An adolescent client who has anorexia nervosa has a
BMI of 17 - ...ANSWER...C. A client who has
borderline personality disorder threatened to harm their
roomate
A nurse is establishing a therapeutic relationship with a
client who has antisocial personality disorder. Which of the
following strategies should the nurse use when
communicating with this client?
A. Behave in a friendly manner toward the client
B. Set realistic limits on the client's behavior
C. Show respect for the client's need for isolation
D. Act as a role model for assertiveness - ...ANSWER...B.
Set realistic limits on the client's behavior
A nurse is communicating with a client in an inpatient
mental health facility. Which of the following actions by the
nurse demonstrates the use of active listening?
PROCTORED EXAM 140 QUESTIONS
WITH DETAILED VERIFIED ANSWERS
AND RATIONALES (100% CORRECT)
/A+ GRADE ASSURED
A nurse in a mental health facility is planning discharge for
a client who has a history of alcohol use disorder. Which of
the following post discharge activities should the nurse
plan to include?
A. Taking the oral medication buprenorphine to
prevent alcohol use
B. Attending a relapse prevention group several times
each week
C. Beginning a methadone treatment program at a
local center
D. Living with their parent, who has promised to keep
them away from alcohol - ...ANSWER...B. Attending a
relapse prevention group several times each week
A nurse is caring for a client in a mental health facility. The
nurse overhears another staff member make derogatory
comments to the client. Which of the following actions
should the nurse take?
A. Confront the staff member
B. Encourage the client to report the incident
,C. Document the incident
D. Report the occurrence to the charge nurse -
...ANSWER...D. Report the occurrence to the charge nurse
A nurse is caring for a client who is experiencing a
situational crisis. Which of the following findings should the
nurse expect?
A. The client recently lost a grandparent in a motor
vehicle crash
B. The client's town was hit by a tornado
C. The client's youngest child is leaving for college
D. The client is ambivalent about their upcoming retirement
- ...ANSWER...A. The client recently lost a grandparent in a
motor vehicle crash
A nurse is planning care for a 7yo child who has ADHD.
Which of the following interventions should the nurse
identify as the priority?
A. Decrease distractions during meal times
B. Provide positive feedback when the child completes
a task
C. Clearly identify consequences for unacceptable behavior
D. Remove unnecessary equipment from the child's
surroundings - ...ANSWER...D. Remove
unnecessary equipment from the child's surroundings
The greatest risk to the child who has ADHD is injury
from impulsive behavior and the decreased ability to
perceive self-harm.
,A nurse on a mental health unit is admitting a client who is
anxious and tells the nurse, "I hear voices telling me what to
do" Which of the following actions should the nurse take?
A. Tell the client that the voices do not really exist
B. Touch the client to help reduce feelings of anxiety
C. Instruct the client to go to a quiet room
D. Ask the client what the voices are saying -
...ANSWER...D. Ask the client what the voices are saying
A nurse in a mental health clinic is caring for a client who
has bipolar disorder and reports that they stopped taking
lithium 2 weeks ago. The nurse should recognize which of
the following as an expected adverse effect that might have
caused the client to stop taking the medication?
A. sore throat
B. Photophobia
C. hand tremors
D. constipation - ...ANSWER...C. hand tremors
A nurse in an emergency department is admitting a client
who reports experiencing a headache and heart palpitations
after having a glass of wine 1 hr ago. The client has a history
of depression and a blood pressure of 210/105 mmHg and a
temperature of 39.9 C (103.8 F). Which of the following
actions should the nurse take?
A. Administer phentolamine 5 mg IV to the client
B. Apply a hypothermic blanket to the client
C. Determine the client's prescribed medication regimen
, D. Initiate IV access for the client - ...ANSWER...C.
Determine the client's prescribed medication
regimen
A nurse is caring for a group of clients. Which of the
following findings is the nurse required to report?
A. A client who has bipolar disorder and tested positive
for genital herpes simplex virus reports having multiple
sexual partners
B. A client who has depression reports having a lack of
interest in assisting their partner in the care of their
children
C. A client who has borderline personality
disorder threatened to harm their roomate
D. An adolescent client who has anorexia nervosa has a
BMI of 17 - ...ANSWER...C. A client who has
borderline personality disorder threatened to harm their
roomate
A nurse is establishing a therapeutic relationship with a
client who has antisocial personality disorder. Which of the
following strategies should the nurse use when
communicating with this client?
A. Behave in a friendly manner toward the client
B. Set realistic limits on the client's behavior
C. Show respect for the client's need for isolation
D. Act as a role model for assertiveness - ...ANSWER...B.
Set realistic limits on the client's behavior
A nurse is communicating with a client in an inpatient
mental health facility. Which of the following actions by the
nurse demonstrates the use of active listening?
