NGN ATI MENTAL HEALTH PROCTORED EXAM
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◉ 2) A nurse is admitting a client who has generalized anxiety
disorder. Which of the following actions should the nurse plan to
take first?
a. Provide the client with a quiet environment
b. Determine how the client handles stress.
c. Teach the client to use guided imagery.
d. Ask the client to identify her strengths Answer: a
◉ 3) A nurse is conducting an admission interview with a client who
is experiencing mania. Which of the following should the nurse
report to the provider?
a. States that he hasnt bathed in 2 days
b. Reports eating twice in the past two weeks.
c. Makes inappropriate sexual comments.
d. Speaks in rhyming sentences. Answer: b
,◉ 4) A nurse is planning care for a client who has obsessive-
compulsive disorder. Which of the following recommendation
should the nurse include in the clients plan of care?
a. Validation therapy
b. Thought stopping
c. Operant conditioning
d. Reality orientation therapy Answer: b
◉ 5) A nurse is caring for a client who has bipolar disorder and is
experiencing a manic episode. Which of the following actions should
the nurse take?
a. Encourage the client to join group activities
b. Dim the lights in the clients room
c. Provide detailed explanations to the client
d. Administer methylphenidate Answer: b
◉ 6. 6) A nurse is leading a crisis intervention group for adolescents
who witnessed the suicide of a classmate. Which of the following
actions should the nurse take first.
a. Initiate referrals
b. Review community resources
c. Identify prior coping skills
d. Discuss the importance of confidentiality Answer: c
,◉ 7. 7) A nurse overhears a client saying"I am a spy, a spy for the FBI
.I am an I,an eye for an eye in the sky. Sky is up high." The nurse
should document the clients statement as which of the following
speech alterations?
a. Echolalia
b. Word salad
c. Neologism
d. Clang association Answer: d
◉ 8) An older adult client is brought to the mental health clinic by
her daughter. The daughter reports that her mother is not eating and
seems uninterested in routine activities. The daughter states "Im so
worried that my mother is depressed" which of the following
responses should the nurse make?
a. Everyone gets depressed from time to time.
b. You shouldnt worry about this because depressive disorder is
easily treated.
c. Older adults are usually diagnosed with depressive disorder as
they age.
d. Tell me the reasons you think your mother is depressed. Answer:
d
◉ 9. 9) A nurse is planning care for an adolescent who has autism
spectrum disorder. Which of the following
, outcomes should the nurse include in the plan care?
a. Meets own needs without manipulating others.
b. Initiates social interactions with caregivers.
c. Changes behavior as a result of peer pressure.
d. Acknowledges his delusions are not real. Answer: b
◉ 10) A nurse is providing behavior therapy for a client who has
obsessive-compulsive disorder. The client repeatedly checks that the
doors are locked at night. Which of the following instructions should
the nurse give the client when using thought stopping technique?
a. Snap a rubber band on your wrist when you think about checking
the locks.
b. Ask a family member to check the locks for you at night.
c. Focus on abdominal breathing whenever you go to check the locks.
d. Keep a journal of how often you check the locks each night.
Answer: a
◉ 11) A nurse is caring for a client who is starting treatment for
substance use disorder. Which of the following actions indicate the
nurse is practicing the ethical principle of nonmaleficence?
a. Provide the client with quality care regardless of their ability to
pay for treatment.
b. Educating the client about legal rights concerning treatment.
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◉ 2) A nurse is admitting a client who has generalized anxiety
disorder. Which of the following actions should the nurse plan to
take first?
a. Provide the client with a quiet environment
b. Determine how the client handles stress.
c. Teach the client to use guided imagery.
d. Ask the client to identify her strengths Answer: a
◉ 3) A nurse is conducting an admission interview with a client who
is experiencing mania. Which of the following should the nurse
report to the provider?
a. States that he hasnt bathed in 2 days
b. Reports eating twice in the past two weeks.
c. Makes inappropriate sexual comments.
d. Speaks in rhyming sentences. Answer: b
,◉ 4) A nurse is planning care for a client who has obsessive-
compulsive disorder. Which of the following recommendation
should the nurse include in the clients plan of care?
a. Validation therapy
b. Thought stopping
c. Operant conditioning
d. Reality orientation therapy Answer: b
◉ 5) A nurse is caring for a client who has bipolar disorder and is
experiencing a manic episode. Which of the following actions should
the nurse take?
a. Encourage the client to join group activities
b. Dim the lights in the clients room
c. Provide detailed explanations to the client
d. Administer methylphenidate Answer: b
◉ 6. 6) A nurse is leading a crisis intervention group for adolescents
who witnessed the suicide of a classmate. Which of the following
actions should the nurse take first.
a. Initiate referrals
b. Review community resources
c. Identify prior coping skills
d. Discuss the importance of confidentiality Answer: c
,◉ 7. 7) A nurse overhears a client saying"I am a spy, a spy for the FBI
.I am an I,an eye for an eye in the sky. Sky is up high." The nurse
should document the clients statement as which of the following
speech alterations?
a. Echolalia
b. Word salad
c. Neologism
d. Clang association Answer: d
◉ 8) An older adult client is brought to the mental health clinic by
her daughter. The daughter reports that her mother is not eating and
seems uninterested in routine activities. The daughter states "Im so
worried that my mother is depressed" which of the following
responses should the nurse make?
a. Everyone gets depressed from time to time.
b. You shouldnt worry about this because depressive disorder is
easily treated.
c. Older adults are usually diagnosed with depressive disorder as
they age.
d. Tell me the reasons you think your mother is depressed. Answer:
d
◉ 9. 9) A nurse is planning care for an adolescent who has autism
spectrum disorder. Which of the following
, outcomes should the nurse include in the plan care?
a. Meets own needs without manipulating others.
b. Initiates social interactions with caregivers.
c. Changes behavior as a result of peer pressure.
d. Acknowledges his delusions are not real. Answer: b
◉ 10) A nurse is providing behavior therapy for a client who has
obsessive-compulsive disorder. The client repeatedly checks that the
doors are locked at night. Which of the following instructions should
the nurse give the client when using thought stopping technique?
a. Snap a rubber band on your wrist when you think about checking
the locks.
b. Ask a family member to check the locks for you at night.
c. Focus on abdominal breathing whenever you go to check the locks.
d. Keep a journal of how often you check the locks each night.
Answer: a
◉ 11) A nurse is caring for a client who is starting treatment for
substance use disorder. Which of the following actions indicate the
nurse is practicing the ethical principle of nonmaleficence?
a. Provide the client with quality care regardless of their ability to
pay for treatment.
b. Educating the client about legal rights concerning treatment.
