ATI MENTAL HEALTH PROCTOREDEXAM
2019
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 patient to count backward by
sevens."B. "To assess affect, I should observe the patient's facial expression."
• "To assess language ability, I should instruct the patient to write a sentence."
• "To assess remote memory, I should have the patient repeat a list of objects."
• "To assess the patient's abstract thinking, I should ask the patient to identify our most
recent presidents."
A nurse is planning care for a patient who has a mental health disorder. Which of the
followingactions should the nurse include as a psychobiological intervention?
• Assist the patient with systematic desensitization therapy.
• Teach the patient appropriate coping mechanisms.
• Assess the patient for comorbid health conditions.
• Monitor the patient for adverse effects of the medications.
A nurse in an outpatient mental health clinic is preparing to conduct an initial patient interview.
When conducting the interview, which of the following actions should the nurse identify as the
priority?
• Coordinate holistic care with social services.
• Identify the patient's perception of her mental health status.
• Include the patient's family in the interview.
• Teach the patient about her current mental health disorder.
A nurse is told during change of shift report that a patient is stuporous. When assessing the
patient, which of the following findings should the nurse expect?
• The patient arouses briefly in response to a sternal rub.
• The patient has a glasgow coma scale score less than 7.
• The patient exhibits decorticate rigidity.
• The patient is alert but disoriented to time and place.
,A nurse is planning a peer group discussion about the DSM-5. Which of the
following information is appropriate to include in the discussion? (Select all that
apply)
• The DSM-5 includes patient education handouts for mental health disorders.
• The DSM-5 establishes diagnostic criteria for individual mental health disorders.
• The DSM-5 indicates recommended pharmacological treatment for mental health
disorders. D. The DSM-5 assists nurses in planning care for patient'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 patients. The nurse
should identify that which of the following patients requires a temporary emergency
admission?
• A patient who has schizophrenia with delusions of grandeur
• A patient who has manifestations of depression and attempted suicide a year ago
• A patient who has borderline personality disorder and assaulted a homeless man
with a metal rod
• A patient who has bipolar disorder and paces quickly around the room while talking to
himself
A nurse decides to put a patient who has a psychotic disorder in seclusion overnight
because the unit is very short-staffed, and the patient frequently fights with other patients.
The nurse's actions are an example of which of the following torts?
A. Invasion of
privacyB. False
imprisonment
C. Assault
D. Battery
A patient 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 ofthe following actions should the nurse take?
• Keep the patient's communication confidential, but talk to the patient daily, using
therapeuticcommunication to convince him to admit to hiding the knife.
• Keep the patient's communication confidential, but watch the patient and his roommate
closely.
• Tell the patient that this must be reported to the health care team because it concerns the
healthand safety of the patient and others.
• Report the incident to the health care team, but do not inform the patient of the
intention to do so.
,A nurse is caring for a patient who is in mechanical restraints. Which of the following
statementsshould the nurse include in the documentation? (Select all that apply)
• "patient ate most of his breakfast."
• "patient was offered 8 oz of water every hr."
• "patient shouted obscenities at assistive personnel."
• "patient received chlorpromazine 15 mg by mouth at 1000."
• "patient acted out after lunch."
A nurse hears a newly licensed nurse discussing a patient's hallucinations in the hallway
withanother nurse. Which of the following actions should the nurse take first?
• Notify the nurse manager.
• Tell the nurse to stop discussing the behavior.
• Provide an in-service program about confidentiality.
• Complete an incident report.
A nurse is caring for the parents of a child who has demonstrated changes in behavior and
mood. When the mother of the child asks the nurse for reassurance about her son's condition,
which of the following responses should the nurse make?
• "I think your son is getting better. What have you noticed."
• "I'm sure everything will be okay. It just takes time to heal."
• "I'm not sure whats wrong. Have you asked the doctor about your
concerns?" D. "I understand you're concerned. Let's discuss what concerns you
specifically."
A nurse is caring for a patient who smokes and has lung cancer. The patient reports, "I'm
coughing because I have that cold that everyone has been getting." The nurse should identify
that the patient is using which of the following defense mechanisms?
A. Reaction
formationB. Denial
C. Displacement
D. Sublimation
A nurse is providing preoperative teaching for a patient who was just informed that she
requires emergency surgery. The patient has a respiratory rate 30/min and says, "This is
difficult to comprehend. I feel shaky and nervous." The nurse should identify that the patient
is experiencingwhich of the following levels of anxiety?
• Mild
, • Moderate
• Severe
• Panic
A nurse is caring for a patient who is experiencing moderate anxiety. Which of the following
actions should the nurse take when trying to give necessary information to the patient?
(Select allthat apply.)
• Reassure the patient that everything will be okay.
• Discuss prior use of coping mechanisms with the patient.
• Ignore the patient's anxiety so that she will not be embarrassed.
• Demonstrate a calm manner while using simple and clear directions.
• Gather information from the patient using closed-ended questions.
A nurse is talking with a patient who is at risk for suicide following the death of his
spouse. Which of the following statements should the nurse make?
• "I feel very sorry for the loneliness you must be experiencing."
• "Suicide is not the appropriate way to cope with
loss."C. "Losing someone close to you must be very
upsetting."
D. "I know how difficult it is to lose a loved one."
A charge nurse is discussing the characteristics of a nurse-patient relationship with a newly
licensed nurse. Which of the following characteristics should the nurse include in the
discussion?(Select all that apply)
• The needs of both participants are met.
• An emotional commitment exists between
theparticipants. C. It is goal-directed.
D. Behavioral change is
encouraged. E. A termination date
is established.
A nurse is in the working phase of a therapeutic relationship with a patient who has
methamphetamine use disorder. Which of the following actions indicates transference behavior?
• The patient asks the nurse whether she will go out to dinner with him.
• The patient accuses the nurses of telling him what to do just like his ex-girlfriend.
• The patient reminds the nurse of a friend who died from a substance overdose.
• The patient becomes angry and threatens to harm himself.
A nurse is planning care for the termination phase of a nurse-patient relationship. Which of
thefollowing actions should the nurse include in the plan of care?
2019
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 patient to count backward by
sevens."B. "To assess affect, I should observe the patient's facial expression."
• "To assess language ability, I should instruct the patient to write a sentence."
• "To assess remote memory, I should have the patient repeat a list of objects."
• "To assess the patient's abstract thinking, I should ask the patient to identify our most
recent presidents."
A nurse is planning care for a patient who has a mental health disorder. Which of the
followingactions should the nurse include as a psychobiological intervention?
• Assist the patient with systematic desensitization therapy.
• Teach the patient appropriate coping mechanisms.
• Assess the patient for comorbid health conditions.
• Monitor the patient for adverse effects of the medications.
A nurse in an outpatient mental health clinic is preparing to conduct an initial patient interview.
When conducting the interview, which of the following actions should the nurse identify as the
priority?
• Coordinate holistic care with social services.
• Identify the patient's perception of her mental health status.
• Include the patient's family in the interview.
• Teach the patient about her current mental health disorder.
A nurse is told during change of shift report that a patient is stuporous. When assessing the
patient, which of the following findings should the nurse expect?
• The patient arouses briefly in response to a sternal rub.
• The patient has a glasgow coma scale score less than 7.
• The patient exhibits decorticate rigidity.
• The patient is alert but disoriented to time and place.
,A nurse is planning a peer group discussion about the DSM-5. Which of the
following information is appropriate to include in the discussion? (Select all that
apply)
• The DSM-5 includes patient education handouts for mental health disorders.
• The DSM-5 establishes diagnostic criteria for individual mental health disorders.
• The DSM-5 indicates recommended pharmacological treatment for mental health
disorders. D. The DSM-5 assists nurses in planning care for patient'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 patients. The nurse
should identify that which of the following patients requires a temporary emergency
admission?
• A patient who has schizophrenia with delusions of grandeur
• A patient who has manifestations of depression and attempted suicide a year ago
• A patient who has borderline personality disorder and assaulted a homeless man
with a metal rod
• A patient who has bipolar disorder and paces quickly around the room while talking to
himself
A nurse decides to put a patient who has a psychotic disorder in seclusion overnight
because the unit is very short-staffed, and the patient frequently fights with other patients.
The nurse's actions are an example of which of the following torts?
A. Invasion of
privacyB. False
imprisonment
C. Assault
D. Battery
A patient 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 ofthe following actions should the nurse take?
• Keep the patient's communication confidential, but talk to the patient daily, using
therapeuticcommunication to convince him to admit to hiding the knife.
• Keep the patient's communication confidential, but watch the patient and his roommate
closely.
• Tell the patient that this must be reported to the health care team because it concerns the
healthand safety of the patient and others.
• Report the incident to the health care team, but do not inform the patient of the
intention to do so.
,A nurse is caring for a patient who is in mechanical restraints. Which of the following
statementsshould the nurse include in the documentation? (Select all that apply)
• "patient ate most of his breakfast."
• "patient was offered 8 oz of water every hr."
• "patient shouted obscenities at assistive personnel."
• "patient received chlorpromazine 15 mg by mouth at 1000."
• "patient acted out after lunch."
A nurse hears a newly licensed nurse discussing a patient's hallucinations in the hallway
withanother nurse. Which of the following actions should the nurse take first?
• Notify the nurse manager.
• Tell the nurse to stop discussing the behavior.
• Provide an in-service program about confidentiality.
• Complete an incident report.
A nurse is caring for the parents of a child who has demonstrated changes in behavior and
mood. When the mother of the child asks the nurse for reassurance about her son's condition,
which of the following responses should the nurse make?
• "I think your son is getting better. What have you noticed."
• "I'm sure everything will be okay. It just takes time to heal."
• "I'm not sure whats wrong. Have you asked the doctor about your
concerns?" D. "I understand you're concerned. Let's discuss what concerns you
specifically."
A nurse is caring for a patient who smokes and has lung cancer. The patient reports, "I'm
coughing because I have that cold that everyone has been getting." The nurse should identify
that the patient is using which of the following defense mechanisms?
A. Reaction
formationB. Denial
C. Displacement
D. Sublimation
A nurse is providing preoperative teaching for a patient who was just informed that she
requires emergency surgery. The patient has a respiratory rate 30/min and says, "This is
difficult to comprehend. I feel shaky and nervous." The nurse should identify that the patient
is experiencingwhich of the following levels of anxiety?
• Mild
, • Moderate
• Severe
• Panic
A nurse is caring for a patient who is experiencing moderate anxiety. Which of the following
actions should the nurse take when trying to give necessary information to the patient?
(Select allthat apply.)
• Reassure the patient that everything will be okay.
• Discuss prior use of coping mechanisms with the patient.
• Ignore the patient's anxiety so that she will not be embarrassed.
• Demonstrate a calm manner while using simple and clear directions.
• Gather information from the patient using closed-ended questions.
A nurse is talking with a patient who is at risk for suicide following the death of his
spouse. Which of the following statements should the nurse make?
• "I feel very sorry for the loneliness you must be experiencing."
• "Suicide is not the appropriate way to cope with
loss."C. "Losing someone close to you must be very
upsetting."
D. "I know how difficult it is to lose a loved one."
A charge nurse is discussing the characteristics of a nurse-patient relationship with a newly
licensed nurse. Which of the following characteristics should the nurse include in the
discussion?(Select all that apply)
• The needs of both participants are met.
• An emotional commitment exists between
theparticipants. C. It is goal-directed.
D. Behavioral change is
encouraged. E. A termination date
is established.
A nurse is in the working phase of a therapeutic relationship with a patient who has
methamphetamine use disorder. Which of the following actions indicates transference behavior?
• The patient asks the nurse whether she will go out to dinner with him.
• The patient accuses the nurses of telling him what to do just like his ex-girlfriend.
• The patient reminds the nurse of a friend who died from a substance overdose.
• The patient becomes angry and threatens to harm himself.
A nurse is planning care for the termination phase of a nurse-patient relationship. Which of
thefollowing actions should the nurse include in the plan of care?
