Assessment ACTUAL EXAM / ATI MENTAL HEALTH PROCTORED EXAM 2025
COMPREHENSIVE QUESTIONS AND DETAILEDVERIFIED 100% CORRECT AN SWERS
1. A nurse in an acute care facility is assisting with the admission of an
older adult client who has late stage Alzheimer's disease. The nurse notes
that the client's partner appears exhausted. He states that he is finding it more
and more difficult to care for his partner. Which of the following actions
should the nurse take first?: Ask the partner to talk about his difficulties in caring
for the client.
The first action the nurse should take, using the nursing process priority
framework, is to collect data regarding the partner's ability to take care of the
client.
2. A nurse is collecting data from a client who is taking bupropion. Which
of the following findings indicates the medications is effective?: Decrease in
urge to smoke
Bupropion is an antidepressant that is also used for smoking cessation.
3. A nurse is evaluating the outcome for a client who has depression
following the death of his wife 3 months ago. Which of the following client
statements indicates a need for further intervention?: "I just don't feel like eating
because I never like to eat alone."
At risk for malnutrition and injury.
4. A nurse in a long-term care setting is caring for a client who has
Alzheimer's disease. The client states, "I just came back from a hard day's
work in my office." The nurse should identify this statement is an example of
which of the following coping mechanisms?: Confabulation
Confabulation is the creation of information which is untrue to fill in gaps in
memory and to protect self-esteem in clients who have dementia.
5. A nurse is planning care for a new client. Which of the following actions
should the nurse plan to take in order to use the technique of presence to
establish the nurse- client relationship?: Use active listening when with the
client.
, ATI Capstone Mental Health, ATI Capstone: Mental Health, ATI Mental healt
Assessment ACTUAL EXAM / ATI MENTAL HEALTH PROCTORED EXAM 2025
COMPREHENSIVE QUESTIONS AND DETAILEDVERIFIED 100% CORRECT AN SWERS
The nurse should use active listening to establish presence with the client. presence
involves eye contact, body language, voice tone, listening, and reflection to convay
openness and understanding.
6. A nurse is assessing a client in the emergency department who drank
alcohol while taking disulfiram. The client states, "The nurse told me not to
drink when taking the medication. I am just a social drinker. I didn't realize
that having just one drink with my friends would cause such a problem."
Which of the following defense mechanisms is the client demonstrating?:
Rationalization
The client is demonstrating rationalization when he creates reasonable and
acceptable explanations for unacceptable behavior. The client is using
rationalization asa defense mechanisms to justify why he had just one drink. Even
though the nurse told him not to drink alcohol.
7. A nurse is caring for a group of older adult clients. Which of the following
client findings indicates delirium?: A client asks when family members will be
arriving after visiting 1 hr earlier.
Delirium is characterized by a change in cognition that occurs over a short period
of time. It always results from secondary physiological condition, ( infection, surgery,
prolonged hospitalization, hypoxia, fever, medication) and is a transient disorder.
Although delirium can occur at any age, it is more common in older adults. It
frequently progresses in the evening hours and is sometimes called "sundown
syndrome"
8. A nurse is collecting data from a client newly admitted for anorexia
nervousa. Which of the following findings should the nurse expect?:
Amenorrhea
The nurse should expect the client to report amenorrhea due to low body weight.
9. A nurse is collecting data from a client who has bipolar disorder with
main. Which of the following findings is the nurse's priority?: The client paces
in the hallway during the day and most of the night.
, ATI Capstone Mental Health, ATI Capstone: Mental Health, ATI Mental healt
Assessment ACTUAL EXAM / ATI MENTAL HEALTH PROCTORED EXAM 2025
COMPREHENSIVE QUESTIONS AND DETAILEDVERIFIED 100% CORRECT AN SWERS
When using Maslow's hierarchy of needs, the nurse determines that the priority
findings is the client's physiological need for rest and food. Nonstop activity is an
emergency situation for a client who has mania, since the client might go for long
periods without eating or sleep.
10. A nurse is preparing to assist with the care of a client of a client who is
undergo electroconvulsive therapy (ECT). Which of the following pieces of
equipment should the nurse set up in the room prior to the treatment? SATA:
- Electroencephalogram (EEG) monitor.
The provider will monitor the client's brainwave patterns during the procedure.
- Oxygen saturation monitor
The client requires continuous oxygen saturation monitoring because she will
receive a short-acting barbiturate to induce sleep and a muscle-paralyzing agent
to prevent muscle distress and injury.
-Electrocardiogram (ECG) monitor.
The provider will monitor the client's cardiac response during the procedure.
11. A nurse is assisting with a family therapy session for parents and 2
school-age children. Which of the following statements should the nurse
recognize as an example of effective communication among family
members?: "Can you tell me the reason you get upset each time I go to the
mall?"
This is an expel of effective and healthy communication. Healthy communication
expresses clear, understandable messages between family members. Each family
member is encourage to express his or her feelings and thoughts.
12. A n urse is reinforcing teaching with a client who is 2 days postpartum
and has a history of postpartum depression. Which of the following
instructions should the nurse include?: Sleep as much as possible.
The nurse should encourage the client to sleep as much as she can during the
next few weeks. Sleep deprivation can increase the risk for postpartum
depression.
13. A nurse is reinforcing teaching with a female client who is prescribed
chlorpromazine. Which of the following statements by the client indicates an
, ATI Capstone Mental Health, ATI Capstone: Mental Health, ATI Mental healt
Assessment ACTUAL EXAM / ATI MENTAL HEALTH PROCTORED EXAM 2025
COMPREHENSIVE QUESTIONS AND DETAILEDVERIFIED 100% CORRECT AN SWERS
understanding of the teaching?: "I will contact my provider if I have difficulty
urinating"
Chlorpromazine is a first-generation, or typical, antipsychotic medication prescribed
for schizophrenia. The client should monitor for anticholinergic adverse effects,
such as dry mouth and urinary retention. Difficulty urinating could be a sign of
urinary retention and should be reported to the provider for further evaluation.
14. A nurse is collecting data from a client following a recent suicide
attempt. Which of the following findings in the client's history places him at
the greatest risk for another suicide attempt?: Impulsivity
A client who has impulsivity is at risk for suicide because he is more likely to take
an action quickly without thinking about the consequences.
15. A nurse is caring for client who escapes anxiety - causing thoughts by
ignoring their existence. The nurse should recognize this behavior as which
of the following defense mechanisms?: Undoing
The nurse correctly identifies this as an example of denial which is escaping
unpleasant or anxiety - causing thoughts or feelings by ignoring their existence.
16. A nurse is caring for an older adult client who is scheduled for surgery.
The client becomes upset when the nurse asks her to remove her dentures
prior to the surgery. Which of the following is a therapeutic response by the
nurse?: " You seem worried. Are you concerned someone may see you without
your teeth?"
The nurse uses two therapeutic communication tools in this response. One is
empathy, which is shown by focusing on the client's feelings. The other is
validation/clarification, in which the nurse seeks to validate the reason for the
client's feelings.
17. A nurse is talking with a client who has schizophrenia. Suddenly the
client states, "Im tightened. Do you hear that? The voices are telling me to
do terrible things." Which of the following responses by the nurse is
appropriate ?: "What are the voices telling you to do?"