ATI Mental Health Proctored Exam
Study online at https://quizlet.com/_eseorj
1. 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?: Alert
2. The client is able to open their eyes and respond but is drowsy and falls
asleep readily. What is the level of consciousness?: Lethargic
3. The client requires vigorous or painful stimuli (pinching a tendon or rubbing
the sternum) to elicit a brief response. They might not be able to respond
verbally. What is the level of consciousness?: Stuporous
4. The client is unconscious and does not respond to painful stimuli. What is
the level of consciousness?: Comatose
5. How to test a client's immediate memory: Ask the client to repeat a series of
numbers or a list of objects
6. How to test a client's recent memory: Ask the client to recall recent events,
such as visitors from the current day, or the purpose of the current mental health
appointment or admission
7. How to test a client's remote memory: Ask the client to state a fact from his past
that is verifiable, such as his birth date or his mother's maiden name
8. How to assess a client's ability to calculate: Ask the client to count backward
from 100 in sevens
9. How to assess a client's ability to think abstractly: Ask the client to interpret
something complex such as, "A bird in the hand is worth two in the bush."
10. Glasgow coma scale: Used to obtain a baseline assessment of a client's level
of consciousness; highest score is 15 and indicates that the client is awake and
responding appropriately; a score of 7 or less indicates that the client is in a coma
11. Serious mental illness: Includes disorders classified as severe and persistent
mental illnesses; clients often have difficulty with ADLs; can be chronic or recurrent
12. 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 cl: A. Counting backward by
sevens is an appropriate technique to assess a client's cognitive ability.
B. Observing a client's facial expression is appropriate when assessing affect.
C. Writing a sentence is an indication of language ability.
, ATI Mental Health Proctored Exam
Study online at https://quizlet.com/_eseorj
Remote language is tested by asking the client to state a fact from his past that his
verifiable (date of birth). Abstract thinking is tested by asking the client to interpret
something.
13. 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. Monitoring for
adverse effects of medications is an example of a psychobiological intervention.
Systematic desensitization is cognitive and behavioral. Teaching coping mecha-
nisms is a counseling or health teaching. Assessing for comorbid conditions is health
promotion and maintenance.
14. 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. Assessment
is the priority action. Identifying the client's perception of her mental health status
provides important information about the client's psychosocial history.
15. 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. A client who is
stuporous requires vigorous or painful stimuli to elicit a response.
B & C occur with comatose patients.
, ATI Mental Health Proctored Exam
Study online at https://quizlet.com/_eseorj
16. 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 d: B, D, & E. The DSM-5 establishes diagnostic criteria, assists nurses in
planning care, and identifies expected findings for mental health disorders.
The DSM-5 does not contain client education handouts or recommended pharma-
cological treatment.
17. Beneficence: The quality of doing good, can be described as charity
18. Autonomy: The client's right to make their own decisions
19. Justice: Fair and equal treatment for all
20. Fidelity: Loyalty and faithfulness to the client and to one's duty
21. Veracity: Honesty when dealing with a client
22. Requirements for restraining a patient: Provider must prescribe the restraint
in writing; time limits are based on age, 4 hr for adults, 2 hr for ages 9-17, 1 hr for
age 8 and younger; must be reviewed every 24 hr; documentation must be done
every 15-30 min
23. False imprisonment: Confining a client to a specific area if the reason for such
confinement is for the convenience of the staff
24. Assault: Making a threat to a client's person
25. Battery: Touching a client in a harmful or offensive way
26. 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 year
ago
C. A client who has borderline personality disorder and assaulted a homeless
man with a metal rod
D. A client who has bipolar disorder and paces quickly around the room wh: C.
, ATI Mental Health Proctored Exam
Study online at https://quizlet.com/_eseorj
A client who is a current danger to self or others is a candidate for a temporary
emergency admission.
27. 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. Secluding a client for the convenience of the staff is false imprison-
ment.
28. 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 c: C. The information presented by the client is a serious safety issue that
the nurse must report to the health care team, using the ethical principle of veracity.
29. 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, C, & D. Documentation must include how
much water was offered and how often, a description of the client's verbal commu-
nication, and the dosage and time of medication administration.
Intake and behavior should be documented in the client's medical record.
Study online at https://quizlet.com/_eseorj
1. 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?: Alert
2. The client is able to open their eyes and respond but is drowsy and falls
asleep readily. What is the level of consciousness?: Lethargic
3. The client requires vigorous or painful stimuli (pinching a tendon or rubbing
the sternum) to elicit a brief response. They might not be able to respond
verbally. What is the level of consciousness?: Stuporous
4. The client is unconscious and does not respond to painful stimuli. What is
the level of consciousness?: Comatose
5. How to test a client's immediate memory: Ask the client to repeat a series of
numbers or a list of objects
6. How to test a client's recent memory: Ask the client to recall recent events,
such as visitors from the current day, or the purpose of the current mental health
appointment or admission
7. How to test a client's remote memory: Ask the client to state a fact from his past
that is verifiable, such as his birth date or his mother's maiden name
8. How to assess a client's ability to calculate: Ask the client to count backward
from 100 in sevens
9. How to assess a client's ability to think abstractly: Ask the client to interpret
something complex such as, "A bird in the hand is worth two in the bush."
10. Glasgow coma scale: Used to obtain a baseline assessment of a client's level
of consciousness; highest score is 15 and indicates that the client is awake and
responding appropriately; a score of 7 or less indicates that the client is in a coma
11. Serious mental illness: Includes disorders classified as severe and persistent
mental illnesses; clients often have difficulty with ADLs; can be chronic or recurrent
12. 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 cl: A. Counting backward by
sevens is an appropriate technique to assess a client's cognitive ability.
B. Observing a client's facial expression is appropriate when assessing affect.
C. Writing a sentence is an indication of language ability.
, ATI Mental Health Proctored Exam
Study online at https://quizlet.com/_eseorj
Remote language is tested by asking the client to state a fact from his past that his
verifiable (date of birth). Abstract thinking is tested by asking the client to interpret
something.
13. 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. Monitoring for
adverse effects of medications is an example of a psychobiological intervention.
Systematic desensitization is cognitive and behavioral. Teaching coping mecha-
nisms is a counseling or health teaching. Assessing for comorbid conditions is health
promotion and maintenance.
14. 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. Assessment
is the priority action. Identifying the client's perception of her mental health status
provides important information about the client's psychosocial history.
15. 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. A client who is
stuporous requires vigorous or painful stimuli to elicit a response.
B & C occur with comatose patients.
, ATI Mental Health Proctored Exam
Study online at https://quizlet.com/_eseorj
16. 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 d: B, D, & E. The DSM-5 establishes diagnostic criteria, assists nurses in
planning care, and identifies expected findings for mental health disorders.
The DSM-5 does not contain client education handouts or recommended pharma-
cological treatment.
17. Beneficence: The quality of doing good, can be described as charity
18. Autonomy: The client's right to make their own decisions
19. Justice: Fair and equal treatment for all
20. Fidelity: Loyalty and faithfulness to the client and to one's duty
21. Veracity: Honesty when dealing with a client
22. Requirements for restraining a patient: Provider must prescribe the restraint
in writing; time limits are based on age, 4 hr for adults, 2 hr for ages 9-17, 1 hr for
age 8 and younger; must be reviewed every 24 hr; documentation must be done
every 15-30 min
23. False imprisonment: Confining a client to a specific area if the reason for such
confinement is for the convenience of the staff
24. Assault: Making a threat to a client's person
25. Battery: Touching a client in a harmful or offensive way
26. 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 year
ago
C. A client who has borderline personality disorder and assaulted a homeless
man with a metal rod
D. A client who has bipolar disorder and paces quickly around the room wh: C.
, ATI Mental Health Proctored Exam
Study online at https://quizlet.com/_eseorj
A client who is a current danger to self or others is a candidate for a temporary
emergency admission.
27. 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. Secluding a client for the convenience of the staff is false imprison-
ment.
28. 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 c: C. The information presented by the client is a serious safety issue that
the nurse must report to the health care team, using the ethical principle of veracity.
29. 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, C, & D. Documentation must include how
much water was offered and how often, a description of the client's verbal commu-
nication, and the dosage and time of medication administration.
Intake and behavior should be documented in the client's medical record.
