ATI MENTAL HEALTH PROCTORED
EXAM REVIEW QUESTIONS AND
ANSWERS
A17charge17nurse17is17discussing17mental17status17exams17with17a17newly17licensed17
nurse.17Which17of17the17following17statements17by17the17newly17licensed17nurse17indic
ates17an17understanding17of17the17teaching?17(Select17all17that17apply).17
A.17"To17assess17cognitive17ability,17I17should17ask17the17client17to17count17backward1
7by17sevens."
B.17"To17assess17affect,17I17should17observe17the17client's17facial17expression.
C.17"To17assess17language17ability,17I17should17instruct17the17client17to17write17a17sent
ence."
D.17"To17assess17remote17memory,17I17should17have17the17client17repeat17a17list17of17
objects."
E.17"To17assess17the17client's17abstract17thinking,17I17should17ask17the17client17to17ide
ntify17our17most17recent17presidents."17-17ans-
A.17"To17assess17cognitive17ability,17I17should17ask17the17client17to17count17backward1
7by17sevens."
B.17"To17assess17affect,17I17should17observe17the17client's17facial17expression.
C.17"To17assess17language17ability,17I17should17instruct17the17client17to17write17a17sent
ence."
A17nurse17is17planning17care17for17a17client17who17has17a17mental17health17disorder.17
Which17of17the17following17actions17should17the17nurse17include17as17a17psychobiologi
cal17intervention?
A.17Assist17the17client17with17systematic17desensitization17therapy.
B.17Teach17the17client17appropriate17coping17mechanisms
C.17Assess17the17client17for17comorbid17health17conditions.
D.17Monitor17the17client17for17adverse17effects17of17the17medications.17-17ans-
D.17Monitor17the17client17for17adverse17effects17of17the17medications.
A17nurse17in17an17outpatient17mental17health17clinic17is17preparing17to17conduct17an17i
nitial17client17interview.17When17conducting17the17interview,17which17of17the17following
17actions17should17the17nurse17identify17as17the17priority?
A.17Coordinate17holistic17care17with17social17services
B.17Identify17the17client's17perception17of17her17mental17health17status.
C.17Include17the17client's17family17in17the17interview.
,D.17Teach17the17client17about17her17current17mental17health17disorder.17-17ans-
B.17Identify17the17client's17perception17of17her17mental17health17status.
A17nurse17is17told17during17change17of17shift17report17that17a17client17is17stuporous.17
When17assessing17the17client,17which17of17the17following17findings17should17the17nurs
e17expect?
A.17The17client17arouses17briefly17in17response17to17a17sternal17rub.
B.17The17client17has17a17glasgow17coma17scale17score17less17than177.
C.17The17client17exhibits17decorticate17rigidity.
D.17The17client17is17alert17but17disoriented17to17time17and17place.17-17ans-
A.17The17client17arouses17briefly17in17response17to17a17sternal17rub.
A17nurse17is17planning17a17peer17group17discussion17about17the17DSM-
5.17Which17of17the17following17information17is17appropriate17to17include17in17the17discu
ssion?17(Select17all17that17apply)
A.17The17DSM-
517includes17client17education17handouts17for17mental17health17disorders.
B.17The17DSM-
517establishes17diagnostic17criteria17for17individual17mental17health17disorders.
C.17The17DSM-
517indicates17recommended17pharmacological17treatment17for17mental17health17disord
ers.
D.17The17DSM-
517assists17nurses17in17planning17care17for17client's17who17have17mental17health17diso
rders.
E.17The17DSM-
517indicates17expected17assessment17findings17of17mental17health17disorders.17-17ans-
B.17The17DSM-
517establishes17diagnostic17criteria17for17individual17mental17health17disorders.
D.17The17DSM-
517assists17nurses17in17planning17care17for17client's17who17have17mental17health17diso
rders.
E.17The17DSM-
517indicates17expected17assessment17findings17of17mental17health17disorders.
A17nurse17in17an17emergency17mental17health17facility17is17caring17for17a17group17of17
clients.17The17nurse17should17identify17that17which17of17the17following17clients17require
s17a17temporary17emergency17admission?
A.17A17client17who17has17schizophrenia17with17delusions17of17grandeur
B.17A17client17who17has17manifestations17of17depression17and17attempted17suicide17a1
7year17ago
C.17A17client17who17has17borderline17personality17disorder17and17assaulted17a17homel
ess17man17with17a17metal17rod
,D.17A17client17who17has17bipolar17disorder17and17paces17quickly17around17the17room1
7while17talking17to17himself17-17ans-
C.17A17client17who17has17borderline17personality17disorder17and17assaulted17a17homel
ess17man17with17a17metal17rod
A17nurse17decides17to17put17a17client17who17has17a17psychotic17disorder17in17seclusio
n17overnight17because17the17unit17is17very17short-
staffed,17and17the17client17frequently17fights17with17other17clients.17The17nurse's17actio
ns17are17an17example17of17which17of17the17following17torts?
A.17Invasion17of17privacy
B.17False17imprisonment
C.17Assault
D.17Battery17-17ans-B.17False17imprisonment
A17client17tells17a17nurse,17"Don't17tell17anyone17but17I17hid17a17sharp17knife17under17
my17mattress17in17order17to17protect17myself17from17my17roommate,17who17is17always
17yelling17at17me17and17threatening17me."17Which17of17the17following17actions17should
17the17nurse17take?
A.17Keep17the17client's17communication17confidential,17but17talk17to17the17client17daily,
17using17therapeutic17communication17to17convince17him17to17admit17to17hiding17the17
knife
B.17Keep17the17client's17communication17confidential,17but17watch17the17client17and17h
is17roommate17closely.
C.17Tell17the17client17that17this17must17be17reported17to17the17health17care17team17bec
ause17it17concerns17the17health17and17safety17of17the17client17and17others.
D.17Report17the17incident17to17the17health17care17team,17but17do17not17inform17the17cli
ent17of17the17intention17to17do17so.17-17ans-
D.17Report17the17incident17to17the17health17care17team,17but17do17not17inform17the17cli
ent17of17the17intention17to17do17so.
A17nurse17is17caring17for17a17client17who17is17in17mechanical17restraints.17Which17of17
the17following17statements17should17the17nurse17include17in17the17documentation?
17(Select17all17that17apply)
A.17"Client17ate17most17of17his17breakfast."
B.17"Client17was17offered17817oz17of17water17every17hr."
C.17"Client17shouted17obscenities17at17assistive17personnel."
D.17"Client17received17chlorpromazine171517mg17by17mouth17at171000."
E.17"Client17acted17out17after17lunch."17-17ans-
B.17"Client17was17offered17817oz17of17water17every17hr."
C.17"Client17shouted17obscenities17at17assistive17personnel."
D.17"Client17received17chlorpromazine171517mg17by17mouth17at171000.
, A17nurse17hears17a17newly17licensed17nurse17discussing17a17client's17hallucinations17i
n17the17hallway17with17another17nurse.17Which17of17the17following17actions17should17t
he17nurse17take17first?
A.17Notify17the17nurse17manager.
B.17Tell17the17nurse17to17stop17discussing17the17behavior.
C.17Provide17an17in-service17program17about17confidentiality.
D.17Complete17an17incident17report.17-17ans-
B.17Tell17the17nurse17to17stop17discussing17the17behavior
A17nurse17is17caring17for17the17parents17of17a17child17who17has17demonstrated17chan
ges17in17behavior17and17mood.17When17the17mother17of17the17child17asks17the17nurse
17for17reassurance17about17her17son's17condition,17which17of17the17following17respons
es17should17the17nurse17make?
A.17"I17think17your17son17is17getting17better.17What17have17you17noticed."
B.17"I'm17sure17everything17will17be17okay.17It17just17takes17time17to17heal."
C.17"I'm17not17sure17whats17wrong.17Have17you17asked17the17doctor17about17your17co
ncerns?"
D.17"I17understand17you're17concerned.17Let's17discuss17what17concerns17you17specifi
cally."17-17ans-
D.17"I17understand17you're17concerned.17Let's17discuss17what17concerns17you17specifi
cally."
A17nurse17is17caring17for17a17client17who17smokes17and17has17lung17cancer.17The17cli
ent17reports,17"I'm17coughing17because17I17have17that17cold17that17everyone17has17be
en17getting."17The17nurse17should17identify17that17the17client17is17using17which17of17th
e17following17defense17mechanisms?
A.17Reaction17formation
B.17Denial
C.17Displacement
D.17Sublimation17-17ans-B.17Denial
A17nurse17is17providing17preoperative17teaching17for17a17client17who17was17just17infor
med17that17she17requires17emergency17surgery.17The17client17has17a17respiratory17rat
e1730/
min17and17says,17"This17is17difficult17to17comprehend.17I17feel17shaky17and17nervous."
17The17nurse17should17identify17that17the17client17is17experiencing17which17of17the17fol
lowing17levels17of17anxiety?
A.17Mild
B.17Moderate
C.17Severe
D.17Panic17-17ans-B.17Moderate
EXAM REVIEW QUESTIONS AND
ANSWERS
A17charge17nurse17is17discussing17mental17status17exams17with17a17newly17licensed17
nurse.17Which17of17the17following17statements17by17the17newly17licensed17nurse17indic
ates17an17understanding17of17the17teaching?17(Select17all17that17apply).17
A.17"To17assess17cognitive17ability,17I17should17ask17the17client17to17count17backward1
7by17sevens."
B.17"To17assess17affect,17I17should17observe17the17client's17facial17expression.
C.17"To17assess17language17ability,17I17should17instruct17the17client17to17write17a17sent
ence."
D.17"To17assess17remote17memory,17I17should17have17the17client17repeat17a17list17of17
objects."
E.17"To17assess17the17client's17abstract17thinking,17I17should17ask17the17client17to17ide
ntify17our17most17recent17presidents."17-17ans-
A.17"To17assess17cognitive17ability,17I17should17ask17the17client17to17count17backward1
7by17sevens."
B.17"To17assess17affect,17I17should17observe17the17client's17facial17expression.
C.17"To17assess17language17ability,17I17should17instruct17the17client17to17write17a17sent
ence."
A17nurse17is17planning17care17for17a17client17who17has17a17mental17health17disorder.17
Which17of17the17following17actions17should17the17nurse17include17as17a17psychobiologi
cal17intervention?
A.17Assist17the17client17with17systematic17desensitization17therapy.
B.17Teach17the17client17appropriate17coping17mechanisms
C.17Assess17the17client17for17comorbid17health17conditions.
D.17Monitor17the17client17for17adverse17effects17of17the17medications.17-17ans-
D.17Monitor17the17client17for17adverse17effects17of17the17medications.
A17nurse17in17an17outpatient17mental17health17clinic17is17preparing17to17conduct17an17i
nitial17client17interview.17When17conducting17the17interview,17which17of17the17following
17actions17should17the17nurse17identify17as17the17priority?
A.17Coordinate17holistic17care17with17social17services
B.17Identify17the17client's17perception17of17her17mental17health17status.
C.17Include17the17client's17family17in17the17interview.
,D.17Teach17the17client17about17her17current17mental17health17disorder.17-17ans-
B.17Identify17the17client's17perception17of17her17mental17health17status.
A17nurse17is17told17during17change17of17shift17report17that17a17client17is17stuporous.17
When17assessing17the17client,17which17of17the17following17findings17should17the17nurs
e17expect?
A.17The17client17arouses17briefly17in17response17to17a17sternal17rub.
B.17The17client17has17a17glasgow17coma17scale17score17less17than177.
C.17The17client17exhibits17decorticate17rigidity.
D.17The17client17is17alert17but17disoriented17to17time17and17place.17-17ans-
A.17The17client17arouses17briefly17in17response17to17a17sternal17rub.
A17nurse17is17planning17a17peer17group17discussion17about17the17DSM-
5.17Which17of17the17following17information17is17appropriate17to17include17in17the17discu
ssion?17(Select17all17that17apply)
A.17The17DSM-
517includes17client17education17handouts17for17mental17health17disorders.
B.17The17DSM-
517establishes17diagnostic17criteria17for17individual17mental17health17disorders.
C.17The17DSM-
517indicates17recommended17pharmacological17treatment17for17mental17health17disord
ers.
D.17The17DSM-
517assists17nurses17in17planning17care17for17client's17who17have17mental17health17diso
rders.
E.17The17DSM-
517indicates17expected17assessment17findings17of17mental17health17disorders.17-17ans-
B.17The17DSM-
517establishes17diagnostic17criteria17for17individual17mental17health17disorders.
D.17The17DSM-
517assists17nurses17in17planning17care17for17client's17who17have17mental17health17diso
rders.
E.17The17DSM-
517indicates17expected17assessment17findings17of17mental17health17disorders.
A17nurse17in17an17emergency17mental17health17facility17is17caring17for17a17group17of17
clients.17The17nurse17should17identify17that17which17of17the17following17clients17require
s17a17temporary17emergency17admission?
A.17A17client17who17has17schizophrenia17with17delusions17of17grandeur
B.17A17client17who17has17manifestations17of17depression17and17attempted17suicide17a1
7year17ago
C.17A17client17who17has17borderline17personality17disorder17and17assaulted17a17homel
ess17man17with17a17metal17rod
,D.17A17client17who17has17bipolar17disorder17and17paces17quickly17around17the17room1
7while17talking17to17himself17-17ans-
C.17A17client17who17has17borderline17personality17disorder17and17assaulted17a17homel
ess17man17with17a17metal17rod
A17nurse17decides17to17put17a17client17who17has17a17psychotic17disorder17in17seclusio
n17overnight17because17the17unit17is17very17short-
staffed,17and17the17client17frequently17fights17with17other17clients.17The17nurse's17actio
ns17are17an17example17of17which17of17the17following17torts?
A.17Invasion17of17privacy
B.17False17imprisonment
C.17Assault
D.17Battery17-17ans-B.17False17imprisonment
A17client17tells17a17nurse,17"Don't17tell17anyone17but17I17hid17a17sharp17knife17under17
my17mattress17in17order17to17protect17myself17from17my17roommate,17who17is17always
17yelling17at17me17and17threatening17me."17Which17of17the17following17actions17should
17the17nurse17take?
A.17Keep17the17client's17communication17confidential,17but17talk17to17the17client17daily,
17using17therapeutic17communication17to17convince17him17to17admit17to17hiding17the17
knife
B.17Keep17the17client's17communication17confidential,17but17watch17the17client17and17h
is17roommate17closely.
C.17Tell17the17client17that17this17must17be17reported17to17the17health17care17team17bec
ause17it17concerns17the17health17and17safety17of17the17client17and17others.
D.17Report17the17incident17to17the17health17care17team,17but17do17not17inform17the17cli
ent17of17the17intention17to17do17so.17-17ans-
D.17Report17the17incident17to17the17health17care17team,17but17do17not17inform17the17cli
ent17of17the17intention17to17do17so.
A17nurse17is17caring17for17a17client17who17is17in17mechanical17restraints.17Which17of17
the17following17statements17should17the17nurse17include17in17the17documentation?
17(Select17all17that17apply)
A.17"Client17ate17most17of17his17breakfast."
B.17"Client17was17offered17817oz17of17water17every17hr."
C.17"Client17shouted17obscenities17at17assistive17personnel."
D.17"Client17received17chlorpromazine171517mg17by17mouth17at171000."
E.17"Client17acted17out17after17lunch."17-17ans-
B.17"Client17was17offered17817oz17of17water17every17hr."
C.17"Client17shouted17obscenities17at17assistive17personnel."
D.17"Client17received17chlorpromazine171517mg17by17mouth17at171000.
, A17nurse17hears17a17newly17licensed17nurse17discussing17a17client's17hallucinations17i
n17the17hallway17with17another17nurse.17Which17of17the17following17actions17should17t
he17nurse17take17first?
A.17Notify17the17nurse17manager.
B.17Tell17the17nurse17to17stop17discussing17the17behavior.
C.17Provide17an17in-service17program17about17confidentiality.
D.17Complete17an17incident17report.17-17ans-
B.17Tell17the17nurse17to17stop17discussing17the17behavior
A17nurse17is17caring17for17the17parents17of17a17child17who17has17demonstrated17chan
ges17in17behavior17and17mood.17When17the17mother17of17the17child17asks17the17nurse
17for17reassurance17about17her17son's17condition,17which17of17the17following17respons
es17should17the17nurse17make?
A.17"I17think17your17son17is17getting17better.17What17have17you17noticed."
B.17"I'm17sure17everything17will17be17okay.17It17just17takes17time17to17heal."
C.17"I'm17not17sure17whats17wrong.17Have17you17asked17the17doctor17about17your17co
ncerns?"
D.17"I17understand17you're17concerned.17Let's17discuss17what17concerns17you17specifi
cally."17-17ans-
D.17"I17understand17you're17concerned.17Let's17discuss17what17concerns17you17specifi
cally."
A17nurse17is17caring17for17a17client17who17smokes17and17has17lung17cancer.17The17cli
ent17reports,17"I'm17coughing17because17I17have17that17cold17that17everyone17has17be
en17getting."17The17nurse17should17identify17that17the17client17is17using17which17of17th
e17following17defense17mechanisms?
A.17Reaction17formation
B.17Denial
C.17Displacement
D.17Sublimation17-17ans-B.17Denial
A17nurse17is17providing17preoperative17teaching17for17a17client17who17was17just17infor
med17that17she17requires17emergency17surgery.17The17client17has17a17respiratory17rat
e1730/
min17and17says,17"This17is17difficult17to17comprehend.17I17feel17shaky17and17nervous."
17The17nurse17should17identify17that17the17client17is17experiencing17which17of17the17fol
lowing17levels17of17anxiety?
A.17Mild
B.17Moderate
C.17Severe
D.17Panic17-17ans-B.17Moderate
