ATI Psych Proctored Exam Questions and Correct Answers 2024

A charge nurse is discussing mental status examinations with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? – A) To assess cognitive ability I should ask the client to count backward by sevens B) To assess affect, I should obscure the client's facial expression C) 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. - Monitor the client for adverse effects of medications A nurse in an outpatient mental health clinic is preparing to conduct an initial interview. When conducting the interview, which of the following actions should the nurse identify as the priority? - Identify the client's perception of her mental health status A nurse is planning a peer group discussion about the Diagnostic and Statistical Manual of Mental Disorders, 5th edition. Which of the following information is appropriate to include in the discussion? – A) The DSM-5 establishes diagnostic criteria for individual mental health disorders B) 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? – 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? – False imprisonment ATI Psych Proctored Exam Questions and Correct Answers 2024 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? – Tell the client that this must be reported to the health care team because it concerns the health and safety of the client and others. A nurse is caring for a client who is in mechanical restraints. Which of the following statements should the nurse include in the documentation? – A) "Client was offered 8 oz of water every hr." B) "Client shouted obscenities at assistive personnel." C) "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? - Tell the nurse to stop discussing the behavior A charge nurse is conducting a class on therapeutic communication to a group of newly licensed nurses. Which of the following responses by the newly licensed nurse requires additional teaching regarding nonverbal communication? - Intonation A nurse in an acute mental facility is communicating with a client. The client states, "I can't sleep. I stay up all night." The nurse responds, "You are having difficulty sleeping?" Which of the following therapeutic communication techniques is the nurse demonstrating? - Restating A nurse is communicating with a client who was admitted for treatment of a substance use disorder. Which of the following communication techniques should the nurse identify as a barrier to therapeutic communication? - Offering advice A nurse caring for a client who has anorexia nervosa. Which of the following examples demonstrates the nurse's use of interpersonal communication? - The nurse asks the client about personal body image perception. A nurse is talking with the caregiver of a child who has demonstrated recent changes in behavior and mood. When the caregiver of the child asks the nurse of reassurance about their child's condition, which of the following responses should the nurse make? - "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? - 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 of 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? - 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? - A) Discuss prior use of coping mechanisms with the client. B) 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? - "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 are appropriate to include in the discussion? - A) It is goal-directed. B) Behavioral change is encouraged. C) 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? - The client accuses the nurse of being controlling just like his ex-partner. A nurse is planning care for the termination phase of a nurse-client relationship. Which of the following actions is appropriate to include in the plan of care? - 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? - "You and the other clients will meet with staff to discuss common problems." A nurse is caring for several clients who are attending community-based mental health programs. Which of the following clients should the nurse plan to visit first? - A client who reports hearing a voice saying that life is not worth living anymore A community mental health nurse is planning care to address the issue of depression among older adult clients in the community. Which of the following interventions should the nurse implement as a method of tertiary prevention? - Establishing rehabilitation programs to decrease the effects of depression A nurse is working in a community mental health facility. Which of the following services does this type of program provide? - A) Educational groups B) Medication dispensing programs C) Individual counseling programs D) Family therapy A nurse in an acute mental health facility is assisting with discharge planning for a client who has a severe mental illness and requires supervision. The client's partner works all day but is home by late afternoon. Which of the following strategies should the nurse suggest as appropriate follow-up care? - Attending a partial hospitalization program A nurse is caring for a group of clients. Which of the following clients should the nurse consider for referral to an assertive community treatment (ACT) group? - A client who lives at home and keeps "forgetting" to come in for a scheduled monthly antipsychotic injection for schizophrenia A nurse is teaching a client who has an anxiety disorder and is scheduled to begin classical psychoanalysis. Which of the following client statements indicates an understanding of this form of therapy? - "The therapist will focus on my past relationships during our sessions." A nurse is discussing free association as a therapeutic tool with a client who has major depressive disorder. Which of the following client statements indicates understanding of this technique? - "I should say the first thing that comes to my mind." A nurse is preparing to implement cognitive reframing techniques for a client who has an anxiety disorder. Which of the following techniques should the nurse include in the care plan? - A) Priority restructuring B) Monitoring thoughts D) Journal keeping A nurse is caring for a client who has a new prescription for disulfiram (Antabuse) for treatment of his alcohol use disorder. The nurse informs the client that this medication can cause nausea and vomiting alcohol is consumed. Which of the following types of treatment is this method an example? - Aversion Therapy A nurse is assisting with systematic desensitization for a client who has an extreme fear of elevators. Which of the following actions should the nurse implement with this form of therapy? - Gradually expose the client to an elevator while practicing relaxation techniques. A nurse wants to use democratic leadership with a group whose purpose is to learn appropriate conflict resolution techniques. The nurse is correct in implementing this form of group leadership when demonstrating which of the following actions? - Asks for group suggestions of technique and then supports discussion. A nurse is planning group therapy for clients dealing with bereavement. Which of the following activities should the nurse include in the initial phase? - B) Define the purpose of the group. C) Discuss termination of the group. E) Establish an expectation of confidentiality within the group. A nurse on an acute mental health unit forms a group to focus on self-management of medications. At each of the meetings, two of the members conspire together to exclude the rest of the group. This is an example of which of the following? - Subgroup A nurse is conducting a family therapy session. The younger child tells the nurse about plans to make the older sibling look bad, believing this will earn more privileges. The nurse should identify this dysfunctional behavior as which of the following? - Manipulation A nurse is working with an established group and identifies various member roles. Which of the following should the nurse identify as an individual role? - A member who brags about accomplishments. A nurse is preparing an educational seminar on stress for other nursing staff. Which of the following information should the nurse include in the discussion? - Excessive stressors cause the client to experience distress. A nurse is discussing acute nged stress with a client. Which of the following effects should the nurse identify as an acute stress response? - A) Depressed immune system B) Increased blood pressure C) Unhappiness A nurse is teaching a client about stress-reduction techniques. Which of the following client statements indicates understanding of the teaching? - "Cognitive reframing will help me change my irrational thoughts to something positive." A nurse is talking with a client who reports experiencing increased stress because a new partner is "pressuring me and my kids to go live with him. I love him, but I'm not ready to do that." Which of the following recommendations should the nurse make to promote a change in the client's situation? - Use assertiveness techniques A nurse is caring for a client who states, "I'm so stressed at work because of my coworker. I am expected to finish others' work because of their laziness!" When discussing effective communication, which of the following statements by the client to the coworker indicates client understanding? - "When I have to pick up extra work, I feel very overwhelmed. I need to focus on my own responsibilities." A nurse is providing teaching for a client who is scheduled to receive electroconvulsive therapy (ECT) for the treatment of major depressive disorder. Which of the following client statements indicates understanding of the teaching? - "I will receive a muscle relaxant to protect me from injury during ECT." A charge nurse is discussing transcranial magnetic stimulation (TMS) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching? - "I will schedule the client for TMS treatments 3 to 5 times a week for the first several weeks. A nurse is assessing a client immediately following an electroconvulsive therapy (ECT) procedure. Which of the following are expected findings? - A) Memory loss B) Confusion