ATI Mental Health Proctored Exam Review
Study online at https://quizlet.com/_b652ic
1. A charge nurse is discussing mental status exams A. "To assess cognitive
with a newly licensed nurse. Which of the following ability, I should ask the
statements by the newly licensed nurse indicates an client to count backward
understanding of the teaching? (Select all that apply). by sevens."
B. "To assess affect, I
A. "To assess cognitive ability, I should ask the client to should observe the client's
count backward by sevens." facial expression.
B. "To assess affect, I should observe the client's facial C. "To assess language
expression. ability, I should instruct
C. "To assess language ability, I should instruct the the client to write a sen-
client to write a sentence." tence."
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."
2. A nurse is planning care for a client who has a mental D. Monitor the client for
health disorder. Which of the following actions should adverse effects of the
the nurse include as a psychobiological intervention? medications.
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 med-
ications.
3. A nurse in an outpatient mental health clinic is prepar- B. Identify the client's per-
ing to conduct an initial client interview. When con- ception of her mental
ducting the interview, which of the following actions health status.
should the nurse identify as the priority?
, ATI Mental Health Proctored Exam Review
Study online at https://quizlet.com/_b652ic
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.
4. A nurse is told during change of shift report that a A. The client arouses
client is stuporous. When assessing the client, which briefly in response to a
of the following findings should the nurse expect? sternal rub.
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.
5. A nurse is planning a peer group discussion about B. The DSM-5 establish-
the DSM-5. Which of the following information is ap- es diagnostic criteria for
propriate to include in the discussion? (Select all that
individual mental health
apply) disorders.
D. The DSM-5 assists
A. The DSM-5 includes client education handouts for nurses in planning care
mental health disorders. for client's who have men-
B. The DSM-5 establishes diagnostic criteria for indi- tal health disorders.
vidual mental health disorders. E. The DSM-5 indi-
C. The DSM-5 indicates recommended pharmacologi- cates expected assess-
cal treatment for mental health disorders. ment findings of mental
D. The DSM-5 assists nurses in planning care for health disorders.
client's who have mental health disorders.
, ATI Mental Health Proctored Exam Review
Study online at https://quizlet.com/_b652ic
E. The DSM-5 indicates expected assessment findings
of mental health disorders.
6. A nurse in an emergency mental health facility is car- C. A client who has bor-
ing for a group of clients. The nurse should identify derline personality dis-
that which of the following clients requires a tempo- order and assaulted a
rary emergency admission? homeless man with a met-
al rod
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 metal rod
D. A client who has bipolar disorder and paces quickly
around the room while talking to himself
7. A nurse decides to put a client who has a psychot- B. False imprisonment
ic 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
8. A client tells a nurse, "Don't tell anyone but I hid a D. Report the incident to
sharp knife under my mattress in order to protect my- the health care team, but
self from my roommate, who is always yelling at me do not inform the client of
and threatening me." Which of the following actions the intention to do so.
should the nurse take?
, ATI Mental Health Proctored Exam Review
Study online at https://quizlet.com/_b652ic
A. Keep the client's communication confidential, but
talk to the client daily, using therapeutic communica-
tion to convince him to admit to hiding the knife
B. Keep the client's communication confidential, but
watch the client and his roommate closely.
C. 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.
D. Report the incident to the health care team, but do
not inform the client of the intention to do so.
9. A nurse is caring for a client who is in mechanical B. "Client was offered 8 oz
restraints. Which of the following statements should of water every hr."
the nurse include in the documentation? (Select all C. "Client shouted ob-
that apply) scenities at assistive per-
sonnel."
A. "Client ate most of his breakfast." D. "Client received chlor-
B. "Client was offered 8 oz of water every hr." promazine 15 mg by
C. "Client shouted obscenities at assistive personnel." mouth at 1000.
D. "Client received chlorpromazine 15 mg by mouth at
1000."
E. "Client acted out after lunch."
10. A nurse hears a newly licensed nurse discussing a B. Tell the nurse to stop
client's hallucinations in the hallway with another discussing the behavior
nurse. Which of the following actions should the nurse
take first?
A. Notify the nurse manager.
B. Tell the nurse to stop discussing the behavior.
C. Provide an in-service program about confidentiali-
Study online at https://quizlet.com/_b652ic
1. A charge nurse is discussing mental status exams A. "To assess cognitive
with a newly licensed nurse. Which of the following ability, I should ask the
statements by the newly licensed nurse indicates an client to count backward
understanding of the teaching? (Select all that apply). by sevens."
B. "To assess affect, I
A. "To assess cognitive ability, I should ask the client to should observe the client's
count backward by sevens." facial expression.
B. "To assess affect, I should observe the client's facial C. "To assess language
expression. ability, I should instruct
C. "To assess language ability, I should instruct the the client to write a sen-
client to write a sentence." tence."
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."
2. A nurse is planning care for a client who has a mental D. Monitor the client for
health disorder. Which of the following actions should adverse effects of the
the nurse include as a psychobiological intervention? medications.
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 med-
ications.
3. A nurse in an outpatient mental health clinic is prepar- B. Identify the client's per-
ing to conduct an initial client interview. When con- ception of her mental
ducting the interview, which of the following actions health status.
should the nurse identify as the priority?
, ATI Mental Health Proctored Exam Review
Study online at https://quizlet.com/_b652ic
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.
4. A nurse is told during change of shift report that a A. The client arouses
client is stuporous. When assessing the client, which briefly in response to a
of the following findings should the nurse expect? sternal rub.
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.
5. A nurse is planning a peer group discussion about B. The DSM-5 establish-
the DSM-5. Which of the following information is ap- es diagnostic criteria for
propriate to include in the discussion? (Select all that
individual mental health
apply) disorders.
D. The DSM-5 assists
A. The DSM-5 includes client education handouts for nurses in planning care
mental health disorders. for client's who have men-
B. The DSM-5 establishes diagnostic criteria for indi- tal health disorders.
vidual mental health disorders. E. The DSM-5 indi-
C. The DSM-5 indicates recommended pharmacologi- cates expected assess-
cal treatment for mental health disorders. ment findings of mental
D. The DSM-5 assists nurses in planning care for health disorders.
client's who have mental health disorders.
, ATI Mental Health Proctored Exam Review
Study online at https://quizlet.com/_b652ic
E. The DSM-5 indicates expected assessment findings
of mental health disorders.
6. A nurse in an emergency mental health facility is car- C. A client who has bor-
ing for a group of clients. The nurse should identify derline personality dis-
that which of the following clients requires a tempo- order and assaulted a
rary emergency admission? homeless man with a met-
al rod
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 metal rod
D. A client who has bipolar disorder and paces quickly
around the room while talking to himself
7. A nurse decides to put a client who has a psychot- B. False imprisonment
ic 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
8. A client tells a nurse, "Don't tell anyone but I hid a D. Report the incident to
sharp knife under my mattress in order to protect my- the health care team, but
self from my roommate, who is always yelling at me do not inform the client of
and threatening me." Which of the following actions the intention to do so.
should the nurse take?
, ATI Mental Health Proctored Exam Review
Study online at https://quizlet.com/_b652ic
A. Keep the client's communication confidential, but
talk to the client daily, using therapeutic communica-
tion to convince him to admit to hiding the knife
B. Keep the client's communication confidential, but
watch the client and his roommate closely.
C. 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.
D. Report the incident to the health care team, but do
not inform the client of the intention to do so.
9. A nurse is caring for a client who is in mechanical B. "Client was offered 8 oz
restraints. Which of the following statements should of water every hr."
the nurse include in the documentation? (Select all C. "Client shouted ob-
that apply) scenities at assistive per-
sonnel."
A. "Client ate most of his breakfast." D. "Client received chlor-
B. "Client was offered 8 oz of water every hr." promazine 15 mg by
C. "Client shouted obscenities at assistive personnel." mouth at 1000.
D. "Client received chlorpromazine 15 mg by mouth at
1000."
E. "Client acted out after lunch."
10. A nurse hears a newly licensed nurse discussing a B. Tell the nurse to stop
client's hallucinations in the hallway with another discussing the behavior
nurse. Which of the following actions should the nurse
take first?
A. Notify the nurse manager.
B. Tell the nurse to stop discussing the behavior.
C. Provide an in-service program about confidentiali-
