ATI MENTAL HEALTH PROCTORED
EXAM(15 DIFFERENT VERSIONS,1300 + Qs
& As, latest 2022-2023) /MENTAL HEALTH
ATI EXAM|A+ GUARANTEE
VERSION 1
1.) A nurse is admitting a client who has a hip fracture to the med-surg care unit. The client
states, "I've never been in the hospital before, and I feel like I have a lot of anxiety." Which of
the following responses should the nurse offer?
a. "You're feeling anxious about being in the hospital for the first time."
b. "Anxiety while in the hospital is a feeling many people experience."
c. "Why do you think you feel anxious about being in the hospital?"
"What activities do you enjoy when you're not in the hospital?"
--ANS-- A
2.) A nurse is preparing to apply wrist restraints on a client who is threatening to harm others and
has not responded to less invasive interventions. Which of the following actions should the nurse
plan to take?
a. Obtain a PRN prescription for restraints from the client's provider
b. Visually observe the client every 10 minutes until restraints are removed
c. Ensure 3 fingers can fit between the restraint and the client's wrist
d. Document the client's behavior every 15 minutes while restraints are in place
--ANS-- D
3.) A nurse on a psych unit is talking with a client when the client makes a sexual advance
toward the nurse. Which of the following responses should the nurse make?
a. "It's normal for you to have sexual feeling toward the staff."
b. "You need to stop any type of sexual advances."
c. "This behavior is unacceptable while I am your nurse."
d. "What would your family think of this type of behavior?"
--ANS-- B
,4.) A nurse is communicating with a client at an inpatient mental health facility. Which of the
following actions by the nurse demonstrates the proper use of active listening?
a. offering self
b. using silence
c. paying attention to body language
d. reflecting feelings
--ANS-- C
5.) A nurse is caring for a client who has Alzheimer's disease and becomes agitated while
refusing morning hygiene care. Which of the following actions should the nurse take?
a. Talk to the client from 2 arm-lengths away
b. Obtain assistance to restrain the client for safety
c. Firmly state to the client that morning care will be performed
d. Call the provider to request a prescription for an antipsychotic medication
--ANS-- A
6.) A nurse in a mental health facility is caring for a client who has GAD. Which of the
following statements should the nurse offer?
a. "We'll assist you with making decision."
b. "Someone will work with you when you have flashbacks."
c. "You'll be going through aversion therapy to help you cope."
d. "The therapy will help you control your impulses."
--ANS-- A
7.) A nurse assessing a client who is experiencing moderate-level anxiety. Which of the
following findings should the nurse expect?
a. The client has a heightened perceptual field
b. The client has difficulty concentrating
c. The client reports shortness of breath
d. The client reports a sense of impending doom
--ANS-- B
8.) A nurse at a long-term care facility notes that a client with dementia is having problems with
orientation. Which of the following actions should the nurse take to improve the client's level of
orientation?
a. encourage the client to make choices about meals and activities
b. use written signs to label specific rooms
c. post a large calendar on the bulletin board
d. place an electronic wander alert bracelet on the client's wrist
--ANS-- C
9.) A nurse is leading a support group for clients who are about to be discharged from an acute
care mental health facility. During a group session, a client states, "I'm scared of being
discharged." Which of the following responses should the nurse offer?
a. "Maybe you are not ready to be discharged yet."
b. "Do others in the group have similar feelings they would like to share?"
,c. "You ought to be happy that you're being discharged."
d. "How many in the group feel this member is not yet ready to be discharged?"
--ANS-- B
10.) A client who has cognitive impairment tells the nurse, "I'm leaving now. I have to be home
by 5:00 PM because dinner will be ready." Which of the following responses by the nurse
demonstrates the use of validation therapy?
a. "It is 5:30 PM right now. You are in the hospital, and we will bring you dinner soon."
b. "Don' worry about dinner. Your father is bringing dinner to you here tonight."
c. "At home, you had dinner at 5:00 PM. Was your father a good cook?"
d. "Your father was born in the year 1920. Can you tell me what year it is now?"
--ANS-- C
11.) A nurse is caring for a client who has a neurocognitive disorder and wanders at night. Which
of the following actions should the nurse take to help keep the client safe?
a. Put the client's mattress on the floor
b. Keep the lights off in the client's room at night
c. Limit snacks during evening hours
d. Turn off the client's radio or music player at night
--ANS-- A
12.) A nurse is caring for a client who has schizophrenia and started taking a first-generation
antipsychotic medication 3 weeks ago. The client reports a feeling of inner restlessness, rocks
back and forth when sitting down, and paces frequently. The nurse should identify that the client
is experiencing which of the following adverse effects of antipsychotic medications?
a. neuroleptic malignant syndrome
b. akathisia
c. anticholinergic toxicity
d. opisthotonos
--ANS-- B
13.) A nurse is caring for a client who has Alzheimer's disease and a new prescription for
donepezil. Which of the following actions should the nurse take?
a. Monitor the client's liver function while taking this medication
b. Increase the dosage of this medication every 72 horus
c. Offer the client a PRN NSAID while taking this medication
d. Administer the medication at bedtime
--ANS-- D
14.) A nurse is assessing a client who has an anxiety disorder and is taking a benzodiazepine. For
which of the following adverse effects should the nurse monitor the client?
a. seizures
b. dizziness
c. polyuria
d. insomnia
--ANS-- B
, 15.) A nurse is providing discharge teaching for a client who has a new prescription for doxepin.
Which of the following adverse effects is associated with this medication?
a. weight loss
b. diarrhea
c. drowsiness
d. bradycardia
--ANS-- C
16.) A nurse is assessing a client prior to administering lithium. The client began taking lithium 1
week ago for the treatment of mania. For which of the following findings should the nurse
withhold the dose?
a. Report of nausea with frequent episodes of emesis
b. Weight gain of 1.8 kg (4 lb) since the start of treatment
c. Fine hand tremors in both hands
d. Serum lithium level of 1.1 mEq/L
--ANS-- A
17.) A nurse on an inpatient mental health unit is attending an interdisciplinary treatment team
meeting for a client who has bipolar disorder with rapid cycling. The client is being prepared for
discharge following his fourth admission in the last year. Which of the following referrals should
the nurse make for the client first?
a. assertive community treatment
b. support group
c. private counseling
d. vocational rehab services
--ANS-- A
18.) A nurse is providing teaching to a client who has panic disorder and a new prescription for
clomipramine. Which of the following adverse effects should the nurse include in the teaching?
a. diarrhea
b. sedation
c. hypertension
d. urinary frequency
--ANS-- B
19.) A nurse is assessing a client who is experiencing PTSD following a traumatic event. Which
of the following medications should the nurse expect the provider to prescribe?
a. bupropion
b. phenelzine
c. mirtazapine
d. paroxetine
--ANS-- D
20.) A nurse is caring for a client who has schizophrenia. Which of the following statements by
the client indicates that the client is displaying cognitive symptoms?
EXAM(15 DIFFERENT VERSIONS,1300 + Qs
& As, latest 2022-2023) /MENTAL HEALTH
ATI EXAM|A+ GUARANTEE
VERSION 1
1.) A nurse is admitting a client who has a hip fracture to the med-surg care unit. The client
states, "I've never been in the hospital before, and I feel like I have a lot of anxiety." Which of
the following responses should the nurse offer?
a. "You're feeling anxious about being in the hospital for the first time."
b. "Anxiety while in the hospital is a feeling many people experience."
c. "Why do you think you feel anxious about being in the hospital?"
"What activities do you enjoy when you're not in the hospital?"
--ANS-- A
2.) A nurse is preparing to apply wrist restraints on a client who is threatening to harm others and
has not responded to less invasive interventions. Which of the following actions should the nurse
plan to take?
a. Obtain a PRN prescription for restraints from the client's provider
b. Visually observe the client every 10 minutes until restraints are removed
c. Ensure 3 fingers can fit between the restraint and the client's wrist
d. Document the client's behavior every 15 minutes while restraints are in place
--ANS-- D
3.) A nurse on a psych unit is talking with a client when the client makes a sexual advance
toward the nurse. Which of the following responses should the nurse make?
a. "It's normal for you to have sexual feeling toward the staff."
b. "You need to stop any type of sexual advances."
c. "This behavior is unacceptable while I am your nurse."
d. "What would your family think of this type of behavior?"
--ANS-- B
,4.) A nurse is communicating with a client at an inpatient mental health facility. Which of the
following actions by the nurse demonstrates the proper use of active listening?
a. offering self
b. using silence
c. paying attention to body language
d. reflecting feelings
--ANS-- C
5.) A nurse is caring for a client who has Alzheimer's disease and becomes agitated while
refusing morning hygiene care. Which of the following actions should the nurse take?
a. Talk to the client from 2 arm-lengths away
b. Obtain assistance to restrain the client for safety
c. Firmly state to the client that morning care will be performed
d. Call the provider to request a prescription for an antipsychotic medication
--ANS-- A
6.) A nurse in a mental health facility is caring for a client who has GAD. Which of the
following statements should the nurse offer?
a. "We'll assist you with making decision."
b. "Someone will work with you when you have flashbacks."
c. "You'll be going through aversion therapy to help you cope."
d. "The therapy will help you control your impulses."
--ANS-- A
7.) A nurse assessing a client who is experiencing moderate-level anxiety. Which of the
following findings should the nurse expect?
a. The client has a heightened perceptual field
b. The client has difficulty concentrating
c. The client reports shortness of breath
d. The client reports a sense of impending doom
--ANS-- B
8.) A nurse at a long-term care facility notes that a client with dementia is having problems with
orientation. Which of the following actions should the nurse take to improve the client's level of
orientation?
a. encourage the client to make choices about meals and activities
b. use written signs to label specific rooms
c. post a large calendar on the bulletin board
d. place an electronic wander alert bracelet on the client's wrist
--ANS-- C
9.) A nurse is leading a support group for clients who are about to be discharged from an acute
care mental health facility. During a group session, a client states, "I'm scared of being
discharged." Which of the following responses should the nurse offer?
a. "Maybe you are not ready to be discharged yet."
b. "Do others in the group have similar feelings they would like to share?"
,c. "You ought to be happy that you're being discharged."
d. "How many in the group feel this member is not yet ready to be discharged?"
--ANS-- B
10.) A client who has cognitive impairment tells the nurse, "I'm leaving now. I have to be home
by 5:00 PM because dinner will be ready." Which of the following responses by the nurse
demonstrates the use of validation therapy?
a. "It is 5:30 PM right now. You are in the hospital, and we will bring you dinner soon."
b. "Don' worry about dinner. Your father is bringing dinner to you here tonight."
c. "At home, you had dinner at 5:00 PM. Was your father a good cook?"
d. "Your father was born in the year 1920. Can you tell me what year it is now?"
--ANS-- C
11.) A nurse is caring for a client who has a neurocognitive disorder and wanders at night. Which
of the following actions should the nurse take to help keep the client safe?
a. Put the client's mattress on the floor
b. Keep the lights off in the client's room at night
c. Limit snacks during evening hours
d. Turn off the client's radio or music player at night
--ANS-- A
12.) A nurse is caring for a client who has schizophrenia and started taking a first-generation
antipsychotic medication 3 weeks ago. The client reports a feeling of inner restlessness, rocks
back and forth when sitting down, and paces frequently. The nurse should identify that the client
is experiencing which of the following adverse effects of antipsychotic medications?
a. neuroleptic malignant syndrome
b. akathisia
c. anticholinergic toxicity
d. opisthotonos
--ANS-- B
13.) A nurse is caring for a client who has Alzheimer's disease and a new prescription for
donepezil. Which of the following actions should the nurse take?
a. Monitor the client's liver function while taking this medication
b. Increase the dosage of this medication every 72 horus
c. Offer the client a PRN NSAID while taking this medication
d. Administer the medication at bedtime
--ANS-- D
14.) A nurse is assessing a client who has an anxiety disorder and is taking a benzodiazepine. For
which of the following adverse effects should the nurse monitor the client?
a. seizures
b. dizziness
c. polyuria
d. insomnia
--ANS-- B
, 15.) A nurse is providing discharge teaching for a client who has a new prescription for doxepin.
Which of the following adverse effects is associated with this medication?
a. weight loss
b. diarrhea
c. drowsiness
d. bradycardia
--ANS-- C
16.) A nurse is assessing a client prior to administering lithium. The client began taking lithium 1
week ago for the treatment of mania. For which of the following findings should the nurse
withhold the dose?
a. Report of nausea with frequent episodes of emesis
b. Weight gain of 1.8 kg (4 lb) since the start of treatment
c. Fine hand tremors in both hands
d. Serum lithium level of 1.1 mEq/L
--ANS-- A
17.) A nurse on an inpatient mental health unit is attending an interdisciplinary treatment team
meeting for a client who has bipolar disorder with rapid cycling. The client is being prepared for
discharge following his fourth admission in the last year. Which of the following referrals should
the nurse make for the client first?
a. assertive community treatment
b. support group
c. private counseling
d. vocational rehab services
--ANS-- A
18.) A nurse is providing teaching to a client who has panic disorder and a new prescription for
clomipramine. Which of the following adverse effects should the nurse include in the teaching?
a. diarrhea
b. sedation
c. hypertension
d. urinary frequency
--ANS-- B
19.) A nurse is assessing a client who is experiencing PTSD following a traumatic event. Which
of the following medications should the nurse expect the provider to prescribe?
a. bupropion
b. phenelzine
c. mirtazapine
d. paroxetine
--ANS-- D
20.) A nurse is caring for a client who has schizophrenia. Which of the following statements by
the client indicates that the client is displaying cognitive symptoms?
