ATI MENTAL HEALTH 2024
ACCURATE & GRADED A+
The nurse is performing an admission assessment for a client who has delirium related to an acute UTI.
Which of the following findings should the nurse expect? (Select all that apply)
A) History of gradual memory loss
B) Family history report of personality changes
C) Hallucinations
E) Restlessness
A nurse is providing teaching for a client who is scheduled to receive ECT for the treatment of major
depressive disorder. Which of the following client statements indicates understanding of the teaching?
D) I will receive a muscle relaxant to protect me from injury during ECT
A nurse is caring for a client who has bipolar disorder. The client states "I am very rich, and I feel I must
give my money to you." Which of the following responses should the nurse make?
B) I am here to provide care and cannot accept this from you
A charge nurse is discussing TMS with a newly licensed nurse. Which of the following statements by the
newly licensed nurse indicates an understanding of the teaching?
D) I will schedule the client for daily TMS treatments for the first several weeks
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?
B) Identify the client's perception of her mental health status.
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.
,ATI MENTAL HEALTH 2024
ACCURATE & GRADED A+
A nurse is planning a peer group about the DSM-5. Which of the following information is appropriate to
include in the discussion? (Select all that apply).
B) The DSM-5 establishes diagnostic criteria for individual 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.
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?
C) A client who has borderline personality disorder and assaulted a homeless man with a metal rod.
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?
B) 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?
D) Report the incident to the health care team, but do not inform the client of the intention to do so.
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)
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
, ATI MENTAL HEALTH 2024
ACCURATE & GRADED A+
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?
B) Tell the nurse to stop discussing the behavior
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
D) I understand you're concerned. Let's discuss what concerns you specifically
A nurse is caring for a client who smokes and has lung cancer. The client reports, "I'm coughing because I
have that cold that everyone has been getting." The nurse should identify that the client is using which
of the following defense mechanisms?
B) Denial
A nurse is planning a staff education program on substance use in older adults. Which of the following is
appropriate for the nurse to include in the presentation?
C) Older adults are at an increased risk for substance use following retirement
A nurse is assessing a client who has alcohol use disorder and is experiencing withdrawal. Which of the
following findings should the nurse expect? (Select all that apply)
B) Fine tremors of both hands
D) Vomiting
E) Restlessness
A nurse is planning care for a client who is experiencing benzodiazepine withdrawal. Which of the
following interventions should the nurse identify as the priority?
ACCURATE & GRADED A+
The nurse is performing an admission assessment for a client who has delirium related to an acute UTI.
Which of the following findings should the nurse expect? (Select all that apply)
A) History of gradual memory loss
B) Family history report of personality changes
C) Hallucinations
E) Restlessness
A nurse is providing teaching for a client who is scheduled to receive ECT for the treatment of major
depressive disorder. Which of the following client statements indicates understanding of the teaching?
D) I will receive a muscle relaxant to protect me from injury during ECT
A nurse is caring for a client who has bipolar disorder. The client states "I am very rich, and I feel I must
give my money to you." Which of the following responses should the nurse make?
B) I am here to provide care and cannot accept this from you
A charge nurse is discussing TMS with a newly licensed nurse. Which of the following statements by the
newly licensed nurse indicates an understanding of the teaching?
D) I will schedule the client for daily TMS treatments for the first several weeks
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?
B) Identify the client's perception of her mental health status.
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.
,ATI MENTAL HEALTH 2024
ACCURATE & GRADED A+
A nurse is planning a peer group about the DSM-5. Which of the following information is appropriate to
include in the discussion? (Select all that apply).
B) The DSM-5 establishes diagnostic criteria for individual 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.
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?
C) A client who has borderline personality disorder and assaulted a homeless man with a metal rod.
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?
B) 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?
D) Report the incident to the health care team, but do not inform the client of the intention to do so.
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)
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
, ATI MENTAL HEALTH 2024
ACCURATE & GRADED A+
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?
B) Tell the nurse to stop discussing the behavior
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
D) I understand you're concerned. Let's discuss what concerns you specifically
A nurse is caring for a client who smokes and has lung cancer. The client reports, "I'm coughing because I
have that cold that everyone has been getting." The nurse should identify that the client is using which
of the following defense mechanisms?
B) Denial
A nurse is planning a staff education program on substance use in older adults. Which of the following is
appropriate for the nurse to include in the presentation?
C) Older adults are at an increased risk for substance use following retirement
A nurse is assessing a client who has alcohol use disorder and is experiencing withdrawal. Which of the
following findings should the nurse expect? (Select all that apply)
B) Fine tremors of both hands
D) Vomiting
E) Restlessness
A nurse is planning care for a client who is experiencing benzodiazepine withdrawal. Which of the
following interventions should the nurse identify as the priority?
