ATI Mental Health Proctored Exam TEST
QUESTIONS AND ANSWERS (2023/2024)
(VERIFIED ANSWERS)WITH NGN
The client is responsive and able to fully respond by opening their
eyes and attending to a normal tone of voice and speech. What is
the level of consciousness? - CORRECT ANSWER Alert
A nurse is caring for a client who is screaming at staff members
and other clients. Which of the following is a therapeutic response
by the nurse to the client?
A. "Stop screaming, and walk with me outside."
B. "Why are you so angry and screaming at everyone?"
C. "You will not get your way by screaming."
D. "What was going through your mind when you started
screaming?" - CORRECT ANSWER A. This sets limits and the
use of physical activity, such as walking, to deescalate anger.
B is a "why" question. C is a close-ended statement, which is
nontherapeutic. The client is not ready to discuss this issue.
Characteristics of abusers - CORRECT ANSWER Possible use
of threats and intimidation to control the vulnerable person,
usually an extreme disciplinarian who believes in physical
punishment, poor impulse control, perceives the child as bad,
violent outbursts, poor coping skills, low self-esteem, feelings of
worthlessness, possible of history of substance use disorder,
,difficulty assuming typical adult roles, likely to have experienced
family violence as a child
A charge nurse is leading a peer group discussion about family
and community violence. Which of the following statements by a
member of the group indicates an understanding of the teaching?
A. "Children older than 3 are at greater risk for abuse."
B. "Substance use disorder does not increase the risk for
violence."
C. "Entering an intimate relationship increases the risk for
violence."
D. "Pregnancy increases the risk for violence toward the intimate
partner." - CORRECT ANSWER D. Pregnancy tends to
increase the likelihood of violence toward the intimate partner.
Children younger than 3 are at an increased risk for abuse.
Substance use disorder increases the risk for violence.
Vulnerable persons are at an increased risk for violence when
they try to leave the relationship.
A nurse is preparing to assess an infant who has shaken baby
syndrome. Which of the following is an expected finding? (Select
all that apply)
A. Sunken fontanels
B. Respiratory distress
C. Retinal hemorrhage
D. Altered LOC
E. Increase in head circumference - CORRECT ANSWER B, C,
D, & E. Respiratory distress, retinal hemorrhage, altered LOS,
and increased head circumference are expected findings of
shaken baby syndrome.
,Bulging, rather than sunken, fontanels are an expected finding of
shaken baby syndrome.
A nurse working in an emergency department is assessing a
preschool-age child who reports abdominal pain. When
conducting a head-to-toe assessment, which of the following
findings should alert the nurse to possible abuse?
A. Abrasions on knees
B. Round burn marks on forearms
C. Mismatched clothing
D. Abdominal rebound tenderness
E. Areas of ecchymosis on torso - CORRECT ANSWER B & E.
Round burn marks anywhere on the child's body can indicate
cigarette burns and should alert the nurse to possible abuse.
Areas of ecchymosis on the torso, back, or buttocks should alert
the nurse to possible abuse.
Minor injuries on the arms and legs and mismatched clothing are
common in this age group. Abdominal rebound tenderness is a
possible indication or appendicitis rather than abuse.
A nurse is preparing a community education seminar about family
violence. When discussing types of violence, the nurse should
include which of the following?
A. Refusing to pay bills for a dependent, even when funds are
available, is neglect.
B. Intentionally causing an older adult to fall is an example of
physical violence.
C. Striking an intimate partner is an example of sexual violence.
D. Failure to provide a stimulating environment for normal
development is emotional abuse. - CORRECT ANSWER B.
, Physical violence occurs when physical pain or harm is directed
toward another individual.
A is economic maltreatment. C is physical violence. D is neglect.
A nurse is caring for an adult client who has injuries resulting from
intimate partner abuse. The client does not wish to report the
violence to law enforcement authorities. Which of the following
nursing actions is the highest priority?
A. Advise the client about the location of women's shelters
B. Encourage the client to participate in a support group for
survivors of abuse
C. Implement case management to coordinate community and
social services
D. Educate the client about the use of stress management
techniques - CORRECT ANSWER A. The greatest risk to this
client is injury from intimate partner abuse. Therefore, the priority
action the nurse should take is to assist the client with the
development of a safety plan that includes the identification of
safe places to live.
Rape trauma syndrome - CORRECT ANSWER Sustained and
maladaptive response to a forced, violent sexual penetration
against the individual's will and consent, similar to PTSD;
expressed reaction is overt and consists of emotional outbursts
(crying, laughing, hysteria, anger, incoherence); controlled
reaction is ambiguous; somatic reaction can occur later
Compound rape reaction - CORRECT ANSWER Some
survivors of rape can experience additional disorders as a result
of the sexual assault; mental health disorders (depression,
substance use); physical disorders (manifestations of a prior
physical illness)
QUESTIONS AND ANSWERS (2023/2024)
(VERIFIED ANSWERS)WITH NGN
The client is responsive and able to fully respond by opening their
eyes and attending to a normal tone of voice and speech. What is
the level of consciousness? - CORRECT ANSWER Alert
A nurse is caring for a client who is screaming at staff members
and other clients. Which of the following is a therapeutic response
by the nurse to the client?
A. "Stop screaming, and walk with me outside."
B. "Why are you so angry and screaming at everyone?"
C. "You will not get your way by screaming."
D. "What was going through your mind when you started
screaming?" - CORRECT ANSWER A. This sets limits and the
use of physical activity, such as walking, to deescalate anger.
B is a "why" question. C is a close-ended statement, which is
nontherapeutic. The client is not ready to discuss this issue.
Characteristics of abusers - CORRECT ANSWER Possible use
of threats and intimidation to control the vulnerable person,
usually an extreme disciplinarian who believes in physical
punishment, poor impulse control, perceives the child as bad,
violent outbursts, poor coping skills, low self-esteem, feelings of
worthlessness, possible of history of substance use disorder,
,difficulty assuming typical adult roles, likely to have experienced
family violence as a child
A charge nurse is leading a peer group discussion about family
and community violence. Which of the following statements by a
member of the group indicates an understanding of the teaching?
A. "Children older than 3 are at greater risk for abuse."
B. "Substance use disorder does not increase the risk for
violence."
C. "Entering an intimate relationship increases the risk for
violence."
D. "Pregnancy increases the risk for violence toward the intimate
partner." - CORRECT ANSWER D. Pregnancy tends to
increase the likelihood of violence toward the intimate partner.
Children younger than 3 are at an increased risk for abuse.
Substance use disorder increases the risk for violence.
Vulnerable persons are at an increased risk for violence when
they try to leave the relationship.
A nurse is preparing to assess an infant who has shaken baby
syndrome. Which of the following is an expected finding? (Select
all that apply)
A. Sunken fontanels
B. Respiratory distress
C. Retinal hemorrhage
D. Altered LOC
E. Increase in head circumference - CORRECT ANSWER B, C,
D, & E. Respiratory distress, retinal hemorrhage, altered LOS,
and increased head circumference are expected findings of
shaken baby syndrome.
,Bulging, rather than sunken, fontanels are an expected finding of
shaken baby syndrome.
A nurse working in an emergency department is assessing a
preschool-age child who reports abdominal pain. When
conducting a head-to-toe assessment, which of the following
findings should alert the nurse to possible abuse?
A. Abrasions on knees
B. Round burn marks on forearms
C. Mismatched clothing
D. Abdominal rebound tenderness
E. Areas of ecchymosis on torso - CORRECT ANSWER B & E.
Round burn marks anywhere on the child's body can indicate
cigarette burns and should alert the nurse to possible abuse.
Areas of ecchymosis on the torso, back, or buttocks should alert
the nurse to possible abuse.
Minor injuries on the arms and legs and mismatched clothing are
common in this age group. Abdominal rebound tenderness is a
possible indication or appendicitis rather than abuse.
A nurse is preparing a community education seminar about family
violence. When discussing types of violence, the nurse should
include which of the following?
A. Refusing to pay bills for a dependent, even when funds are
available, is neglect.
B. Intentionally causing an older adult to fall is an example of
physical violence.
C. Striking an intimate partner is an example of sexual violence.
D. Failure to provide a stimulating environment for normal
development is emotional abuse. - CORRECT ANSWER B.
, Physical violence occurs when physical pain or harm is directed
toward another individual.
A is economic maltreatment. C is physical violence. D is neglect.
A nurse is caring for an adult client who has injuries resulting from
intimate partner abuse. The client does not wish to report the
violence to law enforcement authorities. Which of the following
nursing actions is the highest priority?
A. Advise the client about the location of women's shelters
B. Encourage the client to participate in a support group for
survivors of abuse
C. Implement case management to coordinate community and
social services
D. Educate the client about the use of stress management
techniques - CORRECT ANSWER A. The greatest risk to this
client is injury from intimate partner abuse. Therefore, the priority
action the nurse should take is to assist the client with the
development of a safety plan that includes the identification of
safe places to live.
Rape trauma syndrome - CORRECT ANSWER Sustained and
maladaptive response to a forced, violent sexual penetration
against the individual's will and consent, similar to PTSD;
expressed reaction is overt and consists of emotional outbursts
(crying, laughing, hysteria, anger, incoherence); controlled
reaction is ambiguous; somatic reaction can occur later
Compound rape reaction - CORRECT ANSWER Some
survivors of rape can experience additional disorders as a result
of the sexual assault; mental health disorders (depression,
substance use); physical disorders (manifestations of a prior
physical illness)
