ATI MENTAL HEALTH EXAM WITH NGN EXAM 2024-2025
QUESTIONS AND CORRECT VERIFIED ANSWERS /100% PASS
SOLUTION / ALREADY GRADED A+
A nurse in a mental health clinic is caring for a client who has post-traumatic stress disorder (PTSD) after
returning from military deployment. Which of the following is the priority action for the nurse to take?
A. Assist the client to identify personal areas of strength
B. Encourage the client to talk about experiences during the deployment
C. Stay with the client when flashbacks occur
D. Teach the client stress-management techniques
C - CORRECT
The greatest risk to this client is injury that can occur during a flashback; therefore, the
priority intervention for the nurse is to remain with the client and offer reassurance and
support when flashbacks occur.
A - INCORRECT
The nurse should to assist the client to identify personal areas of strength to better cope with PTSD;
however, another action is the nurse's priority.
B - INCORRECT
The nurse should encourage the client to talk about experiences during the deployment when the
client is ready to discuss this subject; however, another action is the nurse's priority.
D - INCORRECT
The nurse should teach the client stress-management techniques, such as deep breathing and
meditation to help the client cope with PTSD; however, another action is the nurse's priority.
A nurse is updating the plan of care for a client who has bulimia nervosa and is 5% above their ideal
body weight. Which of the following interventions should the nurse include in the plan?
A. Include liquid supplements with meals
B. Identify the client's trigger foods
C. Allow the client at least 1 hr for each meal
D. Weigh the client at bedtime each day
B - CORRECT
, The nurse should identify the trigger foods that initiate the client's binge and assist the client to
understand their thoughts and behavior that relate to the food.
A - INCORRECT
The nurse should include a liquid supplement for a client who is below their ideal body weight and
might not be able to eat solid foods at first or might need the additional nutrition to gain weight.
C - INCORRECT
The nurse should limit the client's meal times to about 30 min to prevent putting excessive focus on
food.
D - INCORRECT
The nurse should weigh the client immediately after they wake up and void and prior to oral intake.
The nurse should weigh the client daily for the first week and then three times per week.
A nurse is assessing a family's dynamics during a counseling session. The nurse should recognize which of the
following findings as an indication of a boundary issues?
A. An adolescent family member who questions parental authority
B. A family with three generations in the same household
C. Older children who are responsible for their younger siblings
D. Two adults and their children from prior relationships in the same household
Correct: C
- This is an example of enmeshed boundaries in which there are no distinctions between
the roles of family members.
A - incorrect - An adolescent who questions parental authority is demonstrating appropriate behaviors
for developmental age
B - incorrect - This scenario occurs in many households, not indication of boundary issue
D. This is an example of a blended family, not indication of boundary issue
A nurse is performing an admission assessment on a client and notices that the client appears withdrawn and
fearful. To establish a trusting nurse=client relationship, which of the following actions should the
nurse take first?
A. Inform the client that this admission is confidential
B. Introduce the client to other clients in the day room
, C. Assist the client in facilitating behavioral change
D. Determine coping strategies that the client used in the past
A - CORRECt
- According to evidence-based practice, the nurse should first inform the client about
confidentiality during the orientation phase of the nurse-client relationship.
B - Incorrect The nurse should introduce the client to other clients in the day room to help the client
interact with others during the working phase of the nurse-client relationship. However, evidence-
based practice indicates that the nurse should take a different action first.
C. INCORRECT The nurse should assist the client with behavioral change during the working phase of
the nurse-client relationship. However, evidence-based practice indicates that the nurse should take a
different action first.
D. Incorrect The nurse should determine what coping strategies the client used in the past during
the working phase of the nurse-client relationship. However, evidence-based practice indicates that
the nurse should take a different action first.
A nurse is performing a cognitive assessment to distinguish delirium form dementia in a client whose family
reports episodes of confusion. Which of the following assessment findings supports the nurse's
suspicion of delirium?
A. Slow onset
B. Aphasia
C. Confabulation
D. Easily distracted
D - CORRECT
- Extreme distractibility is a hallmark manifestation of delirium.
A - INCORRECT
Delirium has an acute onset. Dementia is a slow, progressive decline.
B. INCORRECT
Aphasia is a manifestation of dementia
C. INCORRECT
Confabulation is a manifestation of dementia.
, A nurse is caring for an older adult client who is experiencing delirium. Which of the following
interventions should the nurse include in the client's plan of care?
A. Offer the client various choices for meal selection
B. Assign different nursing personnel for each shift
C. Permit the client to perform daily rituals to decrease anxiety
D. Maintain an environment that has low lighting
C - CORRECT
The nurse should provide a client who has delirium with a plan of care that decreases agitation and
anxiety by permitting the client to perform daily rituals.
A- INCORRECT
The nurse should provide a client who has delirium with a plan of care that decreases agitation and
anxiety by limiting the choices the client is asked to make.
B - The nurse should provide a client who has delirium with a plan of care that decreases agitation and
anxiety by providing consistent nursing personnel.
D - The nurse should provide a client who has delirium with a plan of care that decreases agitation and
anxiety by providing a well-lit environment.
A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the
following interventions should the nurse include in the plan of care?
A. Encourage the client to participate in group therapy
B. Instruct the client to avoid napping during the day
C. Offer the client high-calorie finger foods frequently
D. Decrease the client's daily fiber intake
C - CORRECT
The nurse should frequently offer the client high-calorie foods that can be eaten while the client is on
the go. Clients experiencing mania might be unable to sit down for meals and can experience weight
loss and dehydration.
A - INCORRECT
The nurse should maintain a low-stimuli environment for a client who is experiencing mania. The
nurse should dim the lights, decrease noise, and limit the number of people the client is around.
QUESTIONS AND CORRECT VERIFIED ANSWERS /100% PASS
SOLUTION / ALREADY GRADED A+
A nurse in a mental health clinic is caring for a client who has post-traumatic stress disorder (PTSD) after
returning from military deployment. Which of the following is the priority action for the nurse to take?
A. Assist the client to identify personal areas of strength
B. Encourage the client to talk about experiences during the deployment
C. Stay with the client when flashbacks occur
D. Teach the client stress-management techniques
C - CORRECT
The greatest risk to this client is injury that can occur during a flashback; therefore, the
priority intervention for the nurse is to remain with the client and offer reassurance and
support when flashbacks occur.
A - INCORRECT
The nurse should to assist the client to identify personal areas of strength to better cope with PTSD;
however, another action is the nurse's priority.
B - INCORRECT
The nurse should encourage the client to talk about experiences during the deployment when the
client is ready to discuss this subject; however, another action is the nurse's priority.
D - INCORRECT
The nurse should teach the client stress-management techniques, such as deep breathing and
meditation to help the client cope with PTSD; however, another action is the nurse's priority.
A nurse is updating the plan of care for a client who has bulimia nervosa and is 5% above their ideal
body weight. Which of the following interventions should the nurse include in the plan?
A. Include liquid supplements with meals
B. Identify the client's trigger foods
C. Allow the client at least 1 hr for each meal
D. Weigh the client at bedtime each day
B - CORRECT
, The nurse should identify the trigger foods that initiate the client's binge and assist the client to
understand their thoughts and behavior that relate to the food.
A - INCORRECT
The nurse should include a liquid supplement for a client who is below their ideal body weight and
might not be able to eat solid foods at first or might need the additional nutrition to gain weight.
C - INCORRECT
The nurse should limit the client's meal times to about 30 min to prevent putting excessive focus on
food.
D - INCORRECT
The nurse should weigh the client immediately after they wake up and void and prior to oral intake.
The nurse should weigh the client daily for the first week and then three times per week.
A nurse is assessing a family's dynamics during a counseling session. The nurse should recognize which of the
following findings as an indication of a boundary issues?
A. An adolescent family member who questions parental authority
B. A family with three generations in the same household
C. Older children who are responsible for their younger siblings
D. Two adults and their children from prior relationships in the same household
Correct: C
- This is an example of enmeshed boundaries in which there are no distinctions between
the roles of family members.
A - incorrect - An adolescent who questions parental authority is demonstrating appropriate behaviors
for developmental age
B - incorrect - This scenario occurs in many households, not indication of boundary issue
D. This is an example of a blended family, not indication of boundary issue
A nurse is performing an admission assessment on a client and notices that the client appears withdrawn and
fearful. To establish a trusting nurse=client relationship, which of the following actions should the
nurse take first?
A. Inform the client that this admission is confidential
B. Introduce the client to other clients in the day room
, C. Assist the client in facilitating behavioral change
D. Determine coping strategies that the client used in the past
A - CORRECt
- According to evidence-based practice, the nurse should first inform the client about
confidentiality during the orientation phase of the nurse-client relationship.
B - Incorrect The nurse should introduce the client to other clients in the day room to help the client
interact with others during the working phase of the nurse-client relationship. However, evidence-
based practice indicates that the nurse should take a different action first.
C. INCORRECT The nurse should assist the client with behavioral change during the working phase of
the nurse-client relationship. However, evidence-based practice indicates that the nurse should take a
different action first.
D. Incorrect The nurse should determine what coping strategies the client used in the past during
the working phase of the nurse-client relationship. However, evidence-based practice indicates that
the nurse should take a different action first.
A nurse is performing a cognitive assessment to distinguish delirium form dementia in a client whose family
reports episodes of confusion. Which of the following assessment findings supports the nurse's
suspicion of delirium?
A. Slow onset
B. Aphasia
C. Confabulation
D. Easily distracted
D - CORRECT
- Extreme distractibility is a hallmark manifestation of delirium.
A - INCORRECT
Delirium has an acute onset. Dementia is a slow, progressive decline.
B. INCORRECT
Aphasia is a manifestation of dementia
C. INCORRECT
Confabulation is a manifestation of dementia.
, A nurse is caring for an older adult client who is experiencing delirium. Which of the following
interventions should the nurse include in the client's plan of care?
A. Offer the client various choices for meal selection
B. Assign different nursing personnel for each shift
C. Permit the client to perform daily rituals to decrease anxiety
D. Maintain an environment that has low lighting
C - CORRECT
The nurse should provide a client who has delirium with a plan of care that decreases agitation and
anxiety by permitting the client to perform daily rituals.
A- INCORRECT
The nurse should provide a client who has delirium with a plan of care that decreases agitation and
anxiety by limiting the choices the client is asked to make.
B - The nurse should provide a client who has delirium with a plan of care that decreases agitation and
anxiety by providing consistent nursing personnel.
D - The nurse should provide a client who has delirium with a plan of care that decreases agitation and
anxiety by providing a well-lit environment.
A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the
following interventions should the nurse include in the plan of care?
A. Encourage the client to participate in group therapy
B. Instruct the client to avoid napping during the day
C. Offer the client high-calorie finger foods frequently
D. Decrease the client's daily fiber intake
C - CORRECT
The nurse should frequently offer the client high-calorie foods that can be eaten while the client is on
the go. Clients experiencing mania might be unable to sit down for meals and can experience weight
loss and dehydration.
A - INCORRECT
The nurse should maintain a low-stimuli environment for a client who is experiencing mania. The
nurse should dim the lights, decrease noise, and limit the number of people the client is around.
