NGN ATI MENTAL HEALTH PROCTORED EXAM
2023-2024 GRADED A
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 client to count backward by sevens."
B. "To assess affect, I should observe the client's facial expression."
C. "To assess language ability, I should instruct the client to write a sentence."
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." - ✔✔A. Counting backward by sevens is an appropriate technique
to assess a client's cognitive ability.
B. Observing a client's facial expression is appropriate when assessing affect.
C. Writing a sentence is an indication of language ability.
Remote language is tested by asking the client to state a fact from his past that his
verifiable (date of birth). Abstract thinking is tested by asking the client to interpret
something.
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?
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 medications. - ✔✔D. Monitoring for
adverse effects of medications is an example of a psychobiological intervention.
Systematic desensitization is cognitive and behavioral. Teaching coping mechanisms is
a counseling or health teaching. Assessing for comorbid conditions is health promotion
and maintenance.
A nurse in an outpatient mental health clinic is preparing to conduct an initial client
interview. When conducting the interview, which of the following actions should the
nurse identify as the priority?
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. - ✔✔B. Assessment is the
priority action. Identifying the client's perception of her mental health status provides
important information about the client's psychosocial history.
A nurse is told during change of shift report that a client is stuporous. When assessing
the client, which of the following findings should the nurse expect?
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. - ✔✔A. A client who is
stuporous requires vigorous or painful stimuli to elicit a response.
B & C occur with comatose patients.
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)
A. The DSM-5 includes client education handouts for mental health disorders.
B. The DSM-5 establishes diagnostic criteria for individual mental health disorders.
C. The DSM-5 indicates recommended pharmacological treatment for mental health
disorders.
D. The DSM-5 assists nurses in planning care for client's who have mental health
disorders.
E. The DSM-5 indicates expected assessment findings of mental health disorders. - ✔
✔B, D, & E. The DSM-5 establishes diagnostic criteria, assists nurses in planning care,
and identifies expected findings for mental health disorders.
The DSM-5 does not contain client education handouts or recommended
pharmacological treatment.
Beneficence - ✔✔The quality of doing good, can be described as charity
Autonomy - ✔✔The client's right to make their own decisions
Justice - ✔✔Fair and equal treatment for all
Fidelity - ✔✔Loyalty and faithfulness to the client and to one's duty
Veracity - ✔✔Honesty when dealing with a client
Requirements for restraining a patient - ✔✔Provider must prescribe the restraint in
writing; time limits are based on age, 4 hr for adults, 2 hr for ages 9-17, 1 hr for age 8
,and younger; must be reviewed every 24 hr; documentation must be done every 15-30
min
False imprisonment - ✔✔Confining a client to a specific area if the reason for such
confinement is for the convenience of the staff
Assault - ✔✔Making a threat to a client's person
Battery - ✔✔Touching a client in a harmful or offensive way
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. 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 - ✔✔C. A client who is a current danger to self or others is a candidate for a
temporary emergency admission.
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?
A. Invasion of privacy
B. False imprisonment
C. Assault
D. Battery - ✔✔B. Secluding a client for the convenience of the staff is false
imprisonment.
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?
A. Keep the client's communication confidential, but talk to the client daily, using
therapeutic communication 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. - ✔✔C. The information presented by the client is a serious safety
issue that the nurse must report to the health care team, using the ethical principle of
veracity.
, A nurse is caring for a client who is in mechanical restraints. Which of the following
statements should the nurse include in the documentation? (Select all that apply)
A. "Client ate most of his breakfast."
B. "Client was offered 8 oz of water every hr."
C. "Client shouted obscenities at assistive personnel."
D. "Client received chlorpromazine 15 mg by mouth at 1000."
E. "Client acted out after lunch." - ✔✔B, C, & D. Documentation must include how
much water was offered and how often, a description of the client's verbal
communication, and the dosage and time of medication administration.
Intake and behavior should be documented in the client's medical record.
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?
A. Notify the nurse manager.
B. Tell the nurse to stop discussing the behavior.
C. Provide an in-service program about confidentiality.
D. Complete an incident report. - ✔✔B. The greatest risk to this client is invasion of
privacy through the sharing of confidential information in a public place. The first action
the nurse should take is to tell the newly licensed nurse to stop discussing the client's
hallucinations in a public location.
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?
A. "I think your son is getting better. What have you noticed."
B. "I'm sure everything will be okay. It just takes time to heal."
C. "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." - ✔✔
D. This reflects upon and accepts the parents' feelings and allows them to clarify what
they are feeling.
A interjects the nurse's opinion. B provides false reassurance. C avoids addressing the
parent's concerns directly and indicates disinterest.
Altruism - ✔✔Dealing with anxiety by reaching out to others
Sublimation - ✔✔Dealing with unacceptable feelings or impulses by unconsciously
substituting acceptable forms of expression
2023-2024 GRADED A
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 client to count backward by sevens."
B. "To assess affect, I should observe the client's facial expression."
C. "To assess language ability, I should instruct the client to write a sentence."
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." - ✔✔A. Counting backward by sevens is an appropriate technique
to assess a client's cognitive ability.
B. Observing a client's facial expression is appropriate when assessing affect.
C. Writing a sentence is an indication of language ability.
Remote language is tested by asking the client to state a fact from his past that his
verifiable (date of birth). Abstract thinking is tested by asking the client to interpret
something.
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?
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 medications. - ✔✔D. Monitoring for
adverse effects of medications is an example of a psychobiological intervention.
Systematic desensitization is cognitive and behavioral. Teaching coping mechanisms is
a counseling or health teaching. Assessing for comorbid conditions is health promotion
and maintenance.
A nurse in an outpatient mental health clinic is preparing to conduct an initial client
interview. When conducting the interview, which of the following actions should the
nurse identify as the priority?
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. - ✔✔B. Assessment is the
priority action. Identifying the client's perception of her mental health status provides
important information about the client's psychosocial history.
A nurse is told during change of shift report that a client is stuporous. When assessing
the client, which of the following findings should the nurse expect?
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. - ✔✔A. A client who is
stuporous requires vigorous or painful stimuli to elicit a response.
B & C occur with comatose patients.
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)
A. The DSM-5 includes client education handouts for mental health disorders.
B. The DSM-5 establishes diagnostic criteria for individual mental health disorders.
C. The DSM-5 indicates recommended pharmacological treatment for mental health
disorders.
D. The DSM-5 assists nurses in planning care for client's who have mental health
disorders.
E. The DSM-5 indicates expected assessment findings of mental health disorders. - ✔
✔B, D, & E. The DSM-5 establishes diagnostic criteria, assists nurses in planning care,
and identifies expected findings for mental health disorders.
The DSM-5 does not contain client education handouts or recommended
pharmacological treatment.
Beneficence - ✔✔The quality of doing good, can be described as charity
Autonomy - ✔✔The client's right to make their own decisions
Justice - ✔✔Fair and equal treatment for all
Fidelity - ✔✔Loyalty and faithfulness to the client and to one's duty
Veracity - ✔✔Honesty when dealing with a client
Requirements for restraining a patient - ✔✔Provider must prescribe the restraint in
writing; time limits are based on age, 4 hr for adults, 2 hr for ages 9-17, 1 hr for age 8
,and younger; must be reviewed every 24 hr; documentation must be done every 15-30
min
False imprisonment - ✔✔Confining a client to a specific area if the reason for such
confinement is for the convenience of the staff
Assault - ✔✔Making a threat to a client's person
Battery - ✔✔Touching a client in a harmful or offensive way
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. 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 - ✔✔C. A client who is a current danger to self or others is a candidate for a
temporary emergency admission.
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?
A. Invasion of privacy
B. False imprisonment
C. Assault
D. Battery - ✔✔B. Secluding a client for the convenience of the staff is false
imprisonment.
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?
A. Keep the client's communication confidential, but talk to the client daily, using
therapeutic communication 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. - ✔✔C. The information presented by the client is a serious safety
issue that the nurse must report to the health care team, using the ethical principle of
veracity.
, A nurse is caring for a client who is in mechanical restraints. Which of the following
statements should the nurse include in the documentation? (Select all that apply)
A. "Client ate most of his breakfast."
B. "Client was offered 8 oz of water every hr."
C. "Client shouted obscenities at assistive personnel."
D. "Client received chlorpromazine 15 mg by mouth at 1000."
E. "Client acted out after lunch." - ✔✔B, C, & D. Documentation must include how
much water was offered and how often, a description of the client's verbal
communication, and the dosage and time of medication administration.
Intake and behavior should be documented in the client's medical record.
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?
A. Notify the nurse manager.
B. Tell the nurse to stop discussing the behavior.
C. Provide an in-service program about confidentiality.
D. Complete an incident report. - ✔✔B. The greatest risk to this client is invasion of
privacy through the sharing of confidential information in a public place. The first action
the nurse should take is to tell the newly licensed nurse to stop discussing the client's
hallucinations in a public location.
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?
A. "I think your son is getting better. What have you noticed."
B. "I'm sure everything will be okay. It just takes time to heal."
C. "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." - ✔✔
D. This reflects upon and accepts the parents' feelings and allows them to clarify what
they are feeling.
A interjects the nurse's opinion. B provides false reassurance. C avoids addressing the
parent's concerns directly and indicates disinterest.
Altruism - ✔✔Dealing with anxiety by reaching out to others
Sublimation - ✔✔Dealing with unacceptable feelings or impulses by unconsciously
substituting acceptable forms of expression
