ATI Mental Health EXAM WITH 190+ QUESTIONS &
CORRECT ANSWERS
A nurse in a long-term mental health facility is caring for a client who has a
personality disorder. The client has broken a unit rule and phone privileges are
being revoked consequently. The client asked the nurse can I just make one more
phone call? Which of the following responses should the nurse make?
A no you can't go sit in your room
B okay, if you promise to obey the rules for the rest of the day
C no you can't you have broken rules that apply to everyone
D you can make a single 5 minute phone call - ANSWER-No you can't you have
broken rules that apply to everyone
A client states " I haven't seen my child for two weeks" The nurse responds " your
child has not visited you for two weeks?" Which of the following communication
techniques is the nurse using?
A accepting
B making an observation
C restating
D voicing doubt - ANSWER-Restating
A nurse is caring for a client who has OCD. The client engages in repeated
handwashing daily. What is the purpose of the clients behavior?
A relieving anxiety
B gaining attention
C avoiding daily responsibilities
D responding to auditory hallucinations - ANSWER-Relieving anxiety
,A nurse in a substance use disorder treatment facility is reviewing the medication
records of a group of clients. The nurse should expect to administer methadone for
a client who has a substance use disorder for which of the following substances?
A amphetamines
B opiates
C barbiturates
D hallucinogens - ANSWER-Opiates
A nurse is assessing a client who has conduct disorder. Which of the following
findings should the nurse expect?
A fearfulness of authority figures
B flat affect
C preoccupation with enforcing rules
D aggressive behavior toward others - ANSWER-Aggressive behavior toward
others
A nurse is caring for a client who attempted suicide and refuses to sign a no suicide
contract. Which of the following actions should the nurse take when implementing
suicide precautions?
A assign the client to a private room
B ask the dietary department to provide the client with finger foods
C place the client in 1-on-1 observation
D keep the door closed to the clients room - ANSWER-Place the client in 1-on-1
observation
,A nurse is establishing a therapeutic relationship with a client who has
hallucinations. Which of the following actions should the nurse take during the
orientation phase?
A identify the clients perception of the reason for therapy
B ask the client to provide a detailed description of the hallucinations
C assist the client with the development of problem-solving skills
D explore the clients relationship with family members - ANSWER-Identify the
clients perception of the reason for therapy
A nurse is caring for a client who has dementia. The client states to the nurse "
everyone wants to kill me." Which of the following responses should the nurse
make?
A tell me how everyone wants to kill you
B you must feel very frightened to think someone wants to hurt you
C no one here wants to kill you
D Who in particular do you think wants to kill you - ANSWER-You must feel very
frightened to think someone wants to hurt you
A nurse in a mental health clinic is caring for a client who states " I think I might
have a problem with alcohol" which of the following actions should the nurse take
first?
A provide the client with information about a 12 step recovery program
B encourage the client to accept responsibility for his alcohol use
C teach the client alternate coping mechanisms to use in place of alcohol
D ask the client to complete the CAGE questionnaire - ANSWER-Ask the client to
complete the CAGE questionnaire
A nurse is observing a client with schizophrenia in the dayroom. Another client
asks him if several items of clothing match. He replies " A match. I like matches.
, They are the givers of light, the light of the world. Let your light shine on." The
nurse should identify these statements as which of the following speech
alterations?
A clang association
B echolalia
C word salad
D associative looseness - ANSWER-Associative looseness
A nurse is teaching a client who has acrophobia about the use of systematic
desensitization as a method of behavioral therapy. Which of the following client
statements indicates an understanding of the teaching?
A I will snap a rubber band on my wrist when heights scare me
B I will slowly be exposed to places of increasing height
C I will need to stand on a very high place until I'm calm
D I will be asked to imitate my therapist actions around heights - ANSWER-I will
slowly be exposed to places of increasing height
A nurse is assessing a client who has oppositional defiant disorder. Which of the
following findings should the nurse expect?
A displaying a flat affect
B unmotivated by rewards
C ignoring unit rules
D fearing a loss of privileges - ANSWER-Ignoring unit rules
A nurse is providing teaching to a client who has a new prescription for
chlorpromazine. Which of the following statements should the nurse make?
A this medication is a TCA and will improve your mood
CORRECT ANSWERS
A nurse in a long-term mental health facility is caring for a client who has a
personality disorder. The client has broken a unit rule and phone privileges are
being revoked consequently. The client asked the nurse can I just make one more
phone call? Which of the following responses should the nurse make?
A no you can't go sit in your room
B okay, if you promise to obey the rules for the rest of the day
C no you can't you have broken rules that apply to everyone
D you can make a single 5 minute phone call - ANSWER-No you can't you have
broken rules that apply to everyone
A client states " I haven't seen my child for two weeks" The nurse responds " your
child has not visited you for two weeks?" Which of the following communication
techniques is the nurse using?
A accepting
B making an observation
C restating
D voicing doubt - ANSWER-Restating
A nurse is caring for a client who has OCD. The client engages in repeated
handwashing daily. What is the purpose of the clients behavior?
A relieving anxiety
B gaining attention
C avoiding daily responsibilities
D responding to auditory hallucinations - ANSWER-Relieving anxiety
,A nurse in a substance use disorder treatment facility is reviewing the medication
records of a group of clients. The nurse should expect to administer methadone for
a client who has a substance use disorder for which of the following substances?
A amphetamines
B opiates
C barbiturates
D hallucinogens - ANSWER-Opiates
A nurse is assessing a client who has conduct disorder. Which of the following
findings should the nurse expect?
A fearfulness of authority figures
B flat affect
C preoccupation with enforcing rules
D aggressive behavior toward others - ANSWER-Aggressive behavior toward
others
A nurse is caring for a client who attempted suicide and refuses to sign a no suicide
contract. Which of the following actions should the nurse take when implementing
suicide precautions?
A assign the client to a private room
B ask the dietary department to provide the client with finger foods
C place the client in 1-on-1 observation
D keep the door closed to the clients room - ANSWER-Place the client in 1-on-1
observation
,A nurse is establishing a therapeutic relationship with a client who has
hallucinations. Which of the following actions should the nurse take during the
orientation phase?
A identify the clients perception of the reason for therapy
B ask the client to provide a detailed description of the hallucinations
C assist the client with the development of problem-solving skills
D explore the clients relationship with family members - ANSWER-Identify the
clients perception of the reason for therapy
A nurse is caring for a client who has dementia. The client states to the nurse "
everyone wants to kill me." Which of the following responses should the nurse
make?
A tell me how everyone wants to kill you
B you must feel very frightened to think someone wants to hurt you
C no one here wants to kill you
D Who in particular do you think wants to kill you - ANSWER-You must feel very
frightened to think someone wants to hurt you
A nurse in a mental health clinic is caring for a client who states " I think I might
have a problem with alcohol" which of the following actions should the nurse take
first?
A provide the client with information about a 12 step recovery program
B encourage the client to accept responsibility for his alcohol use
C teach the client alternate coping mechanisms to use in place of alcohol
D ask the client to complete the CAGE questionnaire - ANSWER-Ask the client to
complete the CAGE questionnaire
A nurse is observing a client with schizophrenia in the dayroom. Another client
asks him if several items of clothing match. He replies " A match. I like matches.
, They are the givers of light, the light of the world. Let your light shine on." The
nurse should identify these statements as which of the following speech
alterations?
A clang association
B echolalia
C word salad
D associative looseness - ANSWER-Associative looseness
A nurse is teaching a client who has acrophobia about the use of systematic
desensitization as a method of behavioral therapy. Which of the following client
statements indicates an understanding of the teaching?
A I will snap a rubber band on my wrist when heights scare me
B I will slowly be exposed to places of increasing height
C I will need to stand on a very high place until I'm calm
D I will be asked to imitate my therapist actions around heights - ANSWER-I will
slowly be exposed to places of increasing height
A nurse is assessing a client who has oppositional defiant disorder. Which of the
following findings should the nurse expect?
A displaying a flat affect
B unmotivated by rewards
C ignoring unit rules
D fearing a loss of privileges - ANSWER-Ignoring unit rules
A nurse is providing teaching to a client who has a new prescription for
chlorpromazine. Which of the following statements should the nurse make?
A this medication is a TCA and will improve your mood
