ATI Mental Health Proctored Exam Questions
1.A charge nurse is discussing mental status exams with a newly
licensed nurse. Which of the following statements by the newly licensed
nurse indi- cates 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. "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."
2.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. Monitor the
client for adverse effects of the medications.
3.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. Identify
the client's perception of her mental health status.
4.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. The client
arouses briefly in response to a sternal rub.
5.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
dis- orders.
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
dis- orders.: 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 heal
disorders.
6.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 yea
ago
C. A client who has borderline personality disorder and assaulted a homeles
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 has borderline personality disorder and
assaulted a homeless man with a metal rod
7.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. False imprisonment
8.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.: D. Report the incident to the health care team,
but do not inform the client of the intention to do so.
9.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. "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.
10.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. Tell the nurse to stop discussing the
behavior
11.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
1.A charge nurse is discussing mental status exams with a newly
licensed nurse. Which of the following statements by the newly licensed
nurse indi- cates 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. "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."
2.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. Monitor the
client for adverse effects of the medications.
3.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. Identify
the client's perception of her mental health status.
4.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. The client
arouses briefly in response to a sternal rub.
5.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
dis- orders.
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
dis- orders.: 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 heal
disorders.
6.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 yea
ago
C. A client who has borderline personality disorder and assaulted a homeles
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 has borderline personality disorder and
assaulted a homeless man with a metal rod
7.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. False imprisonment
8.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.: D. Report the incident to the health care team,
but do not inform the client of the intention to do so.
9.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. "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.
10.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. Tell the nurse to stop discussing the
behavior
11.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
