ATI Mental Health Proctored Exam 2022
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)
A. "To assess cognitive ability, I should ask the client to count backward by sevens."B. "To
assess affect, I should observe the client's facial expression."
C. "To assess language ability, I should instruct the client to write a sentence."
D. "To assess remote memory, I should have the client repeat a list of objects."
E. "To assess the client's abstract thinking, I should ask the client to identify our most recent
presidents."
A nurse is planning care for a client who has a mental health disorder. Which of the followingactions
should the nurse include as a psychobiological intervention?
A. Assist the client with systematic desensitization therapy.
B. Teach the client appropriate coping mechanisms.
C. Assess the client for comorbid health conditions.
D. 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 thepriority?
A. Coordinate holistic care with social services.
B. Identify the client's perception of her mental health status.
C. Include the client's family in the interview.
D. Teach the client about her current mental health disorder.
,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?
A. The client arouses briefly in response to a sternal rub.
B. The client has a glasgow coma scale score less than 7.
C. The client exhibits decorticate rigidity.
D. The client is alert but disoriented to time and place.
A nurse is planning a peer group discussion about the DSM-5. Which of the following informationis
appropriate to include in the discussion? (Select all that apply)
A. The DSM-5 includes client education handouts for mental health disorders.
B. The DSM-5 establishes diagnostic criteria for individual mental health disorders.
C. The DSM-5 indicates recommended pharmacological treatment for mental health disorders.D. The
DSM-5 assists nurses in planning care for client's who have mental health disorders. E. 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 shouldidentify
that which of the following clients requires a temporary emergency admission?
A. A client who has schizophrenia with delusions of grandeur
B. A client who has manifestations of depression and attempted suicide a year ago
C. A client who has borderline personality disorder and assaulted a homeless man with a metalrod
D. A client who has bipolar disorder and paces quickly around the room while talking to himself
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?
A. Invasion of privacy
B. False imprisonment
,C. Assault
D. Battery
1. A nurse is caring for a client whose child has a terminal illness. The client requests information
about
how to deal with the upcoming loss. Which of the following statements should the nurse make:
a. "It will be better for you to keep busy to avoid thinking about your child's death."
Encouraging the client to avoid thinking about the child's death will not allow the client to begin
anticipatory grieving.
b. "You will complete the grieving process about a year after your child's death."
The grief process has no timeline. It varies for each individual.
c. "The grief process will start once your child actually dies."
The client can begin anticipatory grieving during the child's illness.
d. "It is not uncommon to feel angry toward yourself or others."
Feelings of blame and anger towards oneself or others are an expected reaction when a client is
experiencing a loss.
2. A nurse is teaching a client who has bipolar disorder and a prescription for lithium. Which of the
following instructions should the nurse include in the teaching?
a. "Take this medication with food."
Lithium can cause gastrointestinal distress. Therefore, this medication should be taken with food.
b."Reduce sodium intake to 1,000 milligrams each day."
The client should maintain an adequate and consistent sodium intake to decrease the risk for lithium
toxicity. The recommended sodium intake for adults is 1,500 mg/day.
c."Limit fluid intake to 1,200 milliliters each day."
The client should consume 2,000 to 3,000 mL/day of fluids during initial treatment with lithium. d."Be
aware that this medication can be addictive."
Lithium is not classified as an addictive medication.
3. A nurse is planning care for four clients in a mental health facility. Which of the following clients is
at the greatest risk for injury when performing ADLs
a.A client who has severe Alzheimer's disease
The greatest risk to this client is injury from performing ADLs. Clients who have severe
Alzheimer's disease are typically confused, have memory difficulties, tend to wander, and need
assistance to perform ADLs.
b.A client who is in the maintenance phase of schizophrenia
, Clients who are in the maintenance phase of schizophrenia are calm and able to provide self-care with
minimal risk for injury. Therefore, another client is at a greater risk for injury.
C.A client who has obsessive-compulsive disorder
A client who has obsessive-compulsive disorder typically performs ADLs repetitively and precisely.
The client should be able to provide self-care with minimal risk for injury. Therefore, another client is
at agreater risk for injury.
d.A client who has dysthymic disorder
Clients who have dysthymic disorder may have low energy or chronic fatigue, but they should be able to
provide self-care with minimal risk for injury. Therefore, another client is at a greater risk for injury..
4. A nurse who works with newborns is assessing the potential for abuse or neglect. Which of the
following family groups should the nurse identify as the highest potential for future child abuse
a. A family in which both parents are adolescents
A family in which both parents are adolescents indicates a risk for the parents to become abusive
toward the newborn due to lack of experience and knowledge regarding parenting. However,
another family group is at a higher risk for potential abuse.
b. A family in which the parents respond indifferently toward their newborn
A family in which the parents act indifferently about their newborn indicates a risk for the
parents to become abusive toward the newborn due to impaired bonding. However, another family
group is at a higher risk for potential abuse.
c. A family where one or both parents witnessed intimate partner violence in the home as children
Parents who witnessed intimate partner violence as children are more likely to become abusive
themselves. Therefore, this is the family group with the greatest potential for future child abuse.
d. A family in which one or both parents has a developmental disability
A family in which one or both parents have a developmental disability indicates a risk for the
parents to become abusive toward the newborn due to difficulty learning new skills. However,
another family group is at a higher risk for potential abuse.
5. 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. Inform the client that her admission is confidential.
According to evidence-based practice, the nurse should first inform the client about
confidentiality during the orientation phase of the nurse-client relationship
b. Introduce the client to other clients in the day room.
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)
A. "To assess cognitive ability, I should ask the client to count backward by sevens."B. "To
assess affect, I should observe the client's facial expression."
C. "To assess language ability, I should instruct the client to write a sentence."
D. "To assess remote memory, I should have the client repeat a list of objects."
E. "To assess the client's abstract thinking, I should ask the client to identify our most recent
presidents."
A nurse is planning care for a client who has a mental health disorder. Which of the followingactions
should the nurse include as a psychobiological intervention?
A. Assist the client with systematic desensitization therapy.
B. Teach the client appropriate coping mechanisms.
C. Assess the client for comorbid health conditions.
D. 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 thepriority?
A. Coordinate holistic care with social services.
B. Identify the client's perception of her mental health status.
C. Include the client's family in the interview.
D. Teach the client about her current mental health disorder.
,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?
A. The client arouses briefly in response to a sternal rub.
B. The client has a glasgow coma scale score less than 7.
C. The client exhibits decorticate rigidity.
D. The client is alert but disoriented to time and place.
A nurse is planning a peer group discussion about the DSM-5. Which of the following informationis
appropriate to include in the discussion? (Select all that apply)
A. The DSM-5 includes client education handouts for mental health disorders.
B. The DSM-5 establishes diagnostic criteria for individual mental health disorders.
C. The DSM-5 indicates recommended pharmacological treatment for mental health disorders.D. The
DSM-5 assists nurses in planning care for client's who have mental health disorders. E. 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 shouldidentify
that which of the following clients requires a temporary emergency admission?
A. A client who has schizophrenia with delusions of grandeur
B. A client who has manifestations of depression and attempted suicide a year ago
C. A client who has borderline personality disorder and assaulted a homeless man with a metalrod
D. A client who has bipolar disorder and paces quickly around the room while talking to himself
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?
A. Invasion of privacy
B. False imprisonment
,C. Assault
D. Battery
1. A nurse is caring for a client whose child has a terminal illness. The client requests information
about
how to deal with the upcoming loss. Which of the following statements should the nurse make:
a. "It will be better for you to keep busy to avoid thinking about your child's death."
Encouraging the client to avoid thinking about the child's death will not allow the client to begin
anticipatory grieving.
b. "You will complete the grieving process about a year after your child's death."
The grief process has no timeline. It varies for each individual.
c. "The grief process will start once your child actually dies."
The client can begin anticipatory grieving during the child's illness.
d. "It is not uncommon to feel angry toward yourself or others."
Feelings of blame and anger towards oneself or others are an expected reaction when a client is
experiencing a loss.
2. A nurse is teaching a client who has bipolar disorder and a prescription for lithium. Which of the
following instructions should the nurse include in the teaching?
a. "Take this medication with food."
Lithium can cause gastrointestinal distress. Therefore, this medication should be taken with food.
b."Reduce sodium intake to 1,000 milligrams each day."
The client should maintain an adequate and consistent sodium intake to decrease the risk for lithium
toxicity. The recommended sodium intake for adults is 1,500 mg/day.
c."Limit fluid intake to 1,200 milliliters each day."
The client should consume 2,000 to 3,000 mL/day of fluids during initial treatment with lithium. d."Be
aware that this medication can be addictive."
Lithium is not classified as an addictive medication.
3. A nurse is planning care for four clients in a mental health facility. Which of the following clients is
at the greatest risk for injury when performing ADLs
a.A client who has severe Alzheimer's disease
The greatest risk to this client is injury from performing ADLs. Clients who have severe
Alzheimer's disease are typically confused, have memory difficulties, tend to wander, and need
assistance to perform ADLs.
b.A client who is in the maintenance phase of schizophrenia
, Clients who are in the maintenance phase of schizophrenia are calm and able to provide self-care with
minimal risk for injury. Therefore, another client is at a greater risk for injury.
C.A client who has obsessive-compulsive disorder
A client who has obsessive-compulsive disorder typically performs ADLs repetitively and precisely.
The client should be able to provide self-care with minimal risk for injury. Therefore, another client is
at agreater risk for injury.
d.A client who has dysthymic disorder
Clients who have dysthymic disorder may have low energy or chronic fatigue, but they should be able to
provide self-care with minimal risk for injury. Therefore, another client is at a greater risk for injury..
4. A nurse who works with newborns is assessing the potential for abuse or neglect. Which of the
following family groups should the nurse identify as the highest potential for future child abuse
a. A family in which both parents are adolescents
A family in which both parents are adolescents indicates a risk for the parents to become abusive
toward the newborn due to lack of experience and knowledge regarding parenting. However,
another family group is at a higher risk for potential abuse.
b. A family in which the parents respond indifferently toward their newborn
A family in which the parents act indifferently about their newborn indicates a risk for the
parents to become abusive toward the newborn due to impaired bonding. However, another family
group is at a higher risk for potential abuse.
c. A family where one or both parents witnessed intimate partner violence in the home as children
Parents who witnessed intimate partner violence as children are more likely to become abusive
themselves. Therefore, this is the family group with the greatest potential for future child abuse.
d. A family in which one or both parents has a developmental disability
A family in which one or both parents have a developmental disability indicates a risk for the
parents to become abusive toward the newborn due to difficulty learning new skills. However,
another family group is at a higher risk for potential abuse.
5. 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. Inform the client that her admission is confidential.
According to evidence-based practice, the nurse should first inform the client about
confidentiality during the orientation phase of the nurse-client relationship
b. Introduce the client to other clients in the day room.
