ATI MENTAL HEALTH ACTUAL EXAM VERSION A , B , C ,
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PROCTORED QUESTINS AND CORRECT ANSWERS
PG PG PG PG PG
ALREADY A GRADED.RETAKE PG PG PG
VERSION A P G
1. A nurse is teaching a client who has schizophrenia about her new
PG PG PG PG PG PG PG PG PG PG PG
prescription for risperidone. Which of the following statements should the
PG PG PG PG PG PG PG PG PG PG
nurse include in the teaching?
PG PG PG PG PG
a) "You should continue this medication if you develop muscle rigidity".
PG PG PG PG PG PG PG PG PG
b) "You will experience weight loss while taking this medication."
PG PG PG PG PG PG PG PG
c) "You will notice your symptoms improve within 24 hours of
PG PG PG PG PG PG PG PG PG
taking this medication."
PG PG PG
d) "You should increase your consumption of complex carbohydrates."
PG PG PG PG PG PG PG
2. The PGnurse PGis PGcaring PGfor PGa PGclient PGfollowing PGa PGphysical PGassault. PGThe PGclient
PG states "I don't remember what happened to me." The nurse should recognize
PG PG PG PG PG PG PG PG PG PG PG
PG that the client is using which of the following defense mechanisms?
PG PG PG PG PG PG PG PG PG PG
a) Repression
b) Displacement
c) Rationalization
d) Denial
3. A nurse is caring for a client who has anorexia nervosa. Which of the
PG PG PG PG PG PG PG PG PG PG PG PG PG
PG following findings require immediate intervention by the nurse?
PG PG PG PG PG PG PG
a) PG +2 edema of the lower extremities
PG PG PG PG PG
b) BUN 21 mg dLPG PG PG
c) Lanugo covering the body
PG PG PG
d) Blood pH 7.60 PG PG
,4. A nurse is caring for a client in a mental health facility. The client is agitated
PG PG PG PG PG PG PG PG PG PG PG PG PG PG PG
PG and threatens to harm herself and others. Which of the following is the priority
PG PG PG PG PG PG PG PG PG PG PG PG PG
PG intervention?
a) Place the client in restraints
PG PG PG PG
b) Administer an anti-anxiety medication to the client
PG PG PG PG PG PG
c) Put the client in seclusion
PG PG PG PG
d) Set limits on the client’s behavior
PG PG PG PG PG
5. A nurse is caring for a client who was involuntarily committed and is
PG PG PG PG PG PG PG PG PG PG PG PG
PG scheduled to receive electroconvulsive therapy (ECT). The client refuses the
PG PG PG PG PG PG PG PG PG
PG treatment and will not discuss why with the health care team. Which of the
PG PG PG PG PG PG PG PG PG PG PG PG PG
PG following actions should the nurse take?
PG PG PG PG PG
a) Ask the clients family to encourage the client to receive ECT
PG PG PG PG PG PG PG PG PG PG
b) Inform the client that ECT does not require a consent.
PG PG PG PG PG PG PG PG PG
c) Document the client’s refusal of the treatment in the medical record.
PG PG PG PG PG PG PG PG PG PG
d) Tell the client he cannot refuse the treatment because he was
PG PG PG PG PG PG PG PG PG PG
involuntarily committed.
PG PG
6. A nurse in the emergency department is caring for a client who reports
PG PG PG PG PG PG PG PG PG PG PG PG
PG feeling sad, worthless, and hopeless 9 months after the death of her son.
PG PG PG PG PG PG PG PG PG PG PG PG
PG Which of the following actions should the nurse take first?
PG PG PG PG PG PG PG PG PG
a) Request a mental health consult for the client.
PG PG PG PG PG PG PG
b) Ask the client if she has thought about harming herself.
PG PG PG PG PG PG PG PG PG
c) Encourage the client to attend a grief support group.
PG PG PG PG PG PG PG PG
d) Discuss the clients’ coping skills.
PG PG PG PG
7. A nurse is caring for a client who has borderline personality disorder and
PG PG PG PG PG PG PG PG PG PG PG PG
PG has been engaging in self- mutilation. The nurse should encourage the client
PG PG PG PG PG PG PG PG PG PG PG
PG to participate in which of the following groups.
PG PG PG PG PG PG PG
a) Dual diagnosis treatment group
PG PG PG
b) Dialectical treatment group P G PG
c) Desensitization therapy P G
d) Co-dependents support group. PG PG
,8. The PGnurse PGis PGreviewing PGthe PGmedication PGadministration PGrecord PGof PGa PGclient PGwho
PG has schizophrenia. The nurse should plan to initiate the Abnormal
PG PG PG PG PG PG PG PG PG
PG Involuntary Movement Scale to monitor for adverse effects of which of the
PG PG PG PG PG PG PG PG PG PG PG
PG following medications.?
PG
a) Amantadine
b) Diphenhydramine
c) Benztropine
d) Haloperidol
9. A nurse is counseling a client following the death of a clients partner 8
PG PG PG PG PG PG PG PG PG PG PG PG PG
PG months ago. Which of the following client statements indicates maladaptive
PG PG PG PG PG PG PG PG PG
PG grieving?
a) I PGam so sorry for the times I was angry with my partner.
PG PG PG PG PG PG PG PG PG PG PG
b) I PGfind myself thinking about my partner often.
PG PG PG PG PG PG
c) I PGstill don’t feel up to returning to work.
PG PG PG PG PG PG PG
d) I PGlike looking at his personal items in the closet.
PG PG PG PG PG PG PG PG
10. A nurse is caring for a client who has borderline personality disorder.
PG PG PG PG PG PG PG PG PG PG PG
PG Which of the following outcomes should the nurse include in the treatment
PG PG PG PG PG PG PG PG PG PG PG
PG plan?
a) The PG client will report a decrease in hallucinations.
PG PG PG PG PG PG
b) The PG client will communicate needs
PG PG PG
c) The PG client will verbalize improved mood
PG PG PG PG
d) The PG client will attend to personal hygiene.
PG PG PG PG PG
11. A nurse is caring for a client who is prescribed massage therapy to treat panic
PG PG PG PG PG PG PG PG PG PG PG PG PG PG
PG disorder. The client states "I can’t stand to be touched by another person." Which
PG PG PG PG PG PG PG PG PG PG PG PG PG
PG of the following responses should the nurse make?
PG PG PG PG PG PG PG
a) Why don't you like to be touched by others?
PG PG PG PG PG PG PG PG
b) Don't worry about it. Your anxiety will lessen once the massage begins.
PG PG PG PG PG PG PG PG PG PG PG
c) I will tell your provider you would like a treatment other than a massage.
PG PG PG PG PG PG PG PG PG PG PG PG PG
d) I will request that the massage therapist wear gloves during your treatment.
PG PG PG PG PG PG PG PG PG PG PG
, 12. A nurse is creating a plan of care for a client who has major depressive
PG PG PG PG PG PG PG PG PG PG PG PG PG PG
PG disorder. Which of the following interventions should the nurse include in the
PG PG PG PG PG PG PG PG PG PG PG
PG plan?
a) Encourage physical activity for the client during the day
PG PG PG PG PG PG PG PG
b) Discourage the client from expressing feelings of anger
PG PG PG PG PG PG PG
c) Keep a bright light on in the client’s room at night.
PG PG PG PG PG PG PG PG PG PG
d) Identify and schedule alternative group activities for the client.
PG PG PG PG PG PG PG PG
13. A nurse is providing counseling for a family that consists of two parents and their
PG PG PG PG PG PG PG PG PG PG PG PG PG PG
PG two adolescent children. Which of the following family members should the nurse
PG PG PG PG PG PG PG PG PG PG PG
PG identify asacting in the role as the monopolizer?
PG PG PG PG PG PG PG
a) The PG mother who expresses hostility toward her spouse.
PG PG PG PG PG PG
b) The PG adolescent son who refuses to share personal feelings.
PG PG PG PG PG PG PG
c) The PG father who intervenes whenever the siblings argue.
PG PG PG PG PG PG
d) The PG adolescent daughter who attempts to dominate the conversation.
PG PG PG PG PG PG PG
14. A nurse is developing a teaching plan for the family of an older adult client
PG PG PG PG PG PG PG PG PG PG PG PG PG PG
PG who is to receive transcranial magnetic stimulation. Which of the following
PG PG PG PG PG PG PG PG PG PG
PG information should the nurse include in the teaching plan?
PG PG PG PG PG PG PG PG
a) The PG client might have a headache after treatment.
PG PG PG PG PG PG
b) The PG client will experience seizure during treatment.
PG PG PG PG PG
c) The PG client will require intubation after treatment.
PG PG PG PG PG
d) The PG client is at risk for aspiration during treatment.
PG PG PG PG PG PG PG
15. A nurse is providing teaching about disulfiram to a client who has a history of
PG PG PG PG PG PG PG PG PG PG PG PG PG PG
PG alcohol use. Which of the following instructions should the nurse include in the
PG PG PG PG PG PG PG PG PG PG PG PG
PG teaching? (Selectall that apply)
PG PG PG
a) "You will need to take the medication once daily"
PG PG PG PG PG PG PG PG
b) "You PG will receive treatment in an inpatient setting"
PG PG PG PG PG PG
c) "You PGshould avoid using mouthwash that contains alcohol"
PG PG PG PG PG PG
d) "You PG should avoid drinking carbonated beverages while taking the medication"
PG PG PG PG PG PG PG PG
e) "You PG can expect to develop a physical dependence to the medication"
PG PG PG PG PG PG PG PG PG
PG PG PG PG PG PG PG PG PG PG PG
PROCTORED QUESTINS AND CORRECT ANSWERS
PG PG PG PG PG
ALREADY A GRADED.RETAKE PG PG PG
VERSION A P G
1. A nurse is teaching a client who has schizophrenia about her new
PG PG PG PG PG PG PG PG PG PG PG
prescription for risperidone. Which of the following statements should the
PG PG PG PG PG PG PG PG PG PG
nurse include in the teaching?
PG PG PG PG PG
a) "You should continue this medication if you develop muscle rigidity".
PG PG PG PG PG PG PG PG PG
b) "You will experience weight loss while taking this medication."
PG PG PG PG PG PG PG PG
c) "You will notice your symptoms improve within 24 hours of
PG PG PG PG PG PG PG PG PG
taking this medication."
PG PG PG
d) "You should increase your consumption of complex carbohydrates."
PG PG PG PG PG PG PG
2. The PGnurse PGis PGcaring PGfor PGa PGclient PGfollowing PGa PGphysical PGassault. PGThe PGclient
PG states "I don't remember what happened to me." The nurse should recognize
PG PG PG PG PG PG PG PG PG PG PG
PG that the client is using which of the following defense mechanisms?
PG PG PG PG PG PG PG PG PG PG
a) Repression
b) Displacement
c) Rationalization
d) Denial
3. A nurse is caring for a client who has anorexia nervosa. Which of the
PG PG PG PG PG PG PG PG PG PG PG PG PG
PG following findings require immediate intervention by the nurse?
PG PG PG PG PG PG PG
a) PG +2 edema of the lower extremities
PG PG PG PG PG
b) BUN 21 mg dLPG PG PG
c) Lanugo covering the body
PG PG PG
d) Blood pH 7.60 PG PG
,4. A nurse is caring for a client in a mental health facility. The client is agitated
PG PG PG PG PG PG PG PG PG PG PG PG PG PG PG
PG and threatens to harm herself and others. Which of the following is the priority
PG PG PG PG PG PG PG PG PG PG PG PG PG
PG intervention?
a) Place the client in restraints
PG PG PG PG
b) Administer an anti-anxiety medication to the client
PG PG PG PG PG PG
c) Put the client in seclusion
PG PG PG PG
d) Set limits on the client’s behavior
PG PG PG PG PG
5. A nurse is caring for a client who was involuntarily committed and is
PG PG PG PG PG PG PG PG PG PG PG PG
PG scheduled to receive electroconvulsive therapy (ECT). The client refuses the
PG PG PG PG PG PG PG PG PG
PG treatment and will not discuss why with the health care team. Which of the
PG PG PG PG PG PG PG PG PG PG PG PG PG
PG following actions should the nurse take?
PG PG PG PG PG
a) Ask the clients family to encourage the client to receive ECT
PG PG PG PG PG PG PG PG PG PG
b) Inform the client that ECT does not require a consent.
PG PG PG PG PG PG PG PG PG
c) Document the client’s refusal of the treatment in the medical record.
PG PG PG PG PG PG PG PG PG PG
d) Tell the client he cannot refuse the treatment because he was
PG PG PG PG PG PG PG PG PG PG
involuntarily committed.
PG PG
6. A nurse in the emergency department is caring for a client who reports
PG PG PG PG PG PG PG PG PG PG PG PG
PG feeling sad, worthless, and hopeless 9 months after the death of her son.
PG PG PG PG PG PG PG PG PG PG PG PG
PG Which of the following actions should the nurse take first?
PG PG PG PG PG PG PG PG PG
a) Request a mental health consult for the client.
PG PG PG PG PG PG PG
b) Ask the client if she has thought about harming herself.
PG PG PG PG PG PG PG PG PG
c) Encourage the client to attend a grief support group.
PG PG PG PG PG PG PG PG
d) Discuss the clients’ coping skills.
PG PG PG PG
7. A nurse is caring for a client who has borderline personality disorder and
PG PG PG PG PG PG PG PG PG PG PG PG
PG has been engaging in self- mutilation. The nurse should encourage the client
PG PG PG PG PG PG PG PG PG PG PG
PG to participate in which of the following groups.
PG PG PG PG PG PG PG
a) Dual diagnosis treatment group
PG PG PG
b) Dialectical treatment group P G PG
c) Desensitization therapy P G
d) Co-dependents support group. PG PG
,8. The PGnurse PGis PGreviewing PGthe PGmedication PGadministration PGrecord PGof PGa PGclient PGwho
PG has schizophrenia. The nurse should plan to initiate the Abnormal
PG PG PG PG PG PG PG PG PG
PG Involuntary Movement Scale to monitor for adverse effects of which of the
PG PG PG PG PG PG PG PG PG PG PG
PG following medications.?
PG
a) Amantadine
b) Diphenhydramine
c) Benztropine
d) Haloperidol
9. A nurse is counseling a client following the death of a clients partner 8
PG PG PG PG PG PG PG PG PG PG PG PG PG
PG months ago. Which of the following client statements indicates maladaptive
PG PG PG PG PG PG PG PG PG
PG grieving?
a) I PGam so sorry for the times I was angry with my partner.
PG PG PG PG PG PG PG PG PG PG PG
b) I PGfind myself thinking about my partner often.
PG PG PG PG PG PG
c) I PGstill don’t feel up to returning to work.
PG PG PG PG PG PG PG
d) I PGlike looking at his personal items in the closet.
PG PG PG PG PG PG PG PG
10. A nurse is caring for a client who has borderline personality disorder.
PG PG PG PG PG PG PG PG PG PG PG
PG Which of the following outcomes should the nurse include in the treatment
PG PG PG PG PG PG PG PG PG PG PG
PG plan?
a) The PG client will report a decrease in hallucinations.
PG PG PG PG PG PG
b) The PG client will communicate needs
PG PG PG
c) The PG client will verbalize improved mood
PG PG PG PG
d) The PG client will attend to personal hygiene.
PG PG PG PG PG
11. A nurse is caring for a client who is prescribed massage therapy to treat panic
PG PG PG PG PG PG PG PG PG PG PG PG PG PG
PG disorder. The client states "I can’t stand to be touched by another person." Which
PG PG PG PG PG PG PG PG PG PG PG PG PG
PG of the following responses should the nurse make?
PG PG PG PG PG PG PG
a) Why don't you like to be touched by others?
PG PG PG PG PG PG PG PG
b) Don't worry about it. Your anxiety will lessen once the massage begins.
PG PG PG PG PG PG PG PG PG PG PG
c) I will tell your provider you would like a treatment other than a massage.
PG PG PG PG PG PG PG PG PG PG PG PG PG
d) I will request that the massage therapist wear gloves during your treatment.
PG PG PG PG PG PG PG PG PG PG PG
, 12. A nurse is creating a plan of care for a client who has major depressive
PG PG PG PG PG PG PG PG PG PG PG PG PG PG
PG disorder. Which of the following interventions should the nurse include in the
PG PG PG PG PG PG PG PG PG PG PG
PG plan?
a) Encourage physical activity for the client during the day
PG PG PG PG PG PG PG PG
b) Discourage the client from expressing feelings of anger
PG PG PG PG PG PG PG
c) Keep a bright light on in the client’s room at night.
PG PG PG PG PG PG PG PG PG PG
d) Identify and schedule alternative group activities for the client.
PG PG PG PG PG PG PG PG
13. A nurse is providing counseling for a family that consists of two parents and their
PG PG PG PG PG PG PG PG PG PG PG PG PG PG
PG two adolescent children. Which of the following family members should the nurse
PG PG PG PG PG PG PG PG PG PG PG
PG identify asacting in the role as the monopolizer?
PG PG PG PG PG PG PG
a) The PG mother who expresses hostility toward her spouse.
PG PG PG PG PG PG
b) The PG adolescent son who refuses to share personal feelings.
PG PG PG PG PG PG PG
c) The PG father who intervenes whenever the siblings argue.
PG PG PG PG PG PG
d) The PG adolescent daughter who attempts to dominate the conversation.
PG PG PG PG PG PG PG
14. A nurse is developing a teaching plan for the family of an older adult client
PG PG PG PG PG PG PG PG PG PG PG PG PG PG
PG who is to receive transcranial magnetic stimulation. Which of the following
PG PG PG PG PG PG PG PG PG PG
PG information should the nurse include in the teaching plan?
PG PG PG PG PG PG PG PG
a) The PG client might have a headache after treatment.
PG PG PG PG PG PG
b) The PG client will experience seizure during treatment.
PG PG PG PG PG
c) The PG client will require intubation after treatment.
PG PG PG PG PG
d) The PG client is at risk for aspiration during treatment.
PG PG PG PG PG PG PG
15. A nurse is providing teaching about disulfiram to a client who has a history of
PG PG PG PG PG PG PG PG PG PG PG PG PG PG
PG alcohol use. Which of the following instructions should the nurse include in the
PG PG PG PG PG PG PG PG PG PG PG PG
PG teaching? (Selectall that apply)
PG PG PG
a) "You will need to take the medication once daily"
PG PG PG PG PG PG PG PG
b) "You PG will receive treatment in an inpatient setting"
PG PG PG PG PG PG
c) "You PGshould avoid using mouthwash that contains alcohol"
PG PG PG PG PG PG
d) "You PG should avoid drinking carbonated beverages while taking the medication"
PG PG PG PG PG PG PG PG
e) "You PG can expect to develop a physical dependence to the medication"
PG PG PG PG PG PG PG PG PG
