ATI MENTAL HEALTH A 2023/2024 PROCTORED EXAM 70 QUESTIONS
WITH ANSWERS HIGHLITED STUDY GUIDE
1. A nurse is planning overall strategies to address problems for a client who
has borderline personality disorder. Which of the following strategies is the
priority for the nurse to incorporate in the plan of care?
a. discuss the appropriate use of assertive behavior with the client
b. encourage the client to attend weekly support group meetings
c. assist the client to maintain awareness of her thoughts and feelings
d. implement measures to prevent intentional self-inflicted injury
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
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 hasn’t bathed in 2 days
b. Reports eating twice in the past two weeks.
c. Makes inappropriate sexual comments.
d. Speaks in rhyming sentences.
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
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 client’s room
c. Provide detailed explanations to the client
d. Administer methylphenidate
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
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 client’s statement as which of the following speech alterations?
a. Echolalia
b. Word salad
c. Neologism
d. Clang association
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.
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.
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.
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.
WITH ANSWERS HIGHLITED STUDY GUIDE
1. A nurse is planning overall strategies to address problems for a client who
has borderline personality disorder. Which of the following strategies is the
priority for the nurse to incorporate in the plan of care?
a. discuss the appropriate use of assertive behavior with the client
b. encourage the client to attend weekly support group meetings
c. assist the client to maintain awareness of her thoughts and feelings
d. implement measures to prevent intentional self-inflicted injury
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
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 hasn’t bathed in 2 days
b. Reports eating twice in the past two weeks.
c. Makes inappropriate sexual comments.
d. Speaks in rhyming sentences.
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
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 client’s room
c. Provide detailed explanations to the client
d. Administer methylphenidate
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
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 client’s statement as which of the following speech alterations?
a. Echolalia
b. Word salad
c. Neologism
d. Clang association
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.
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.
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.
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.
