ATI MENTAL HEALTH PROCTORED
FINAL TEST 2026 QUESTIONS WITH
CORRECT ANSWERS GRADED A+
◍ Lithium levels range.
Answer: 0.5-1.4
◍ Sodium.
Answer: 135-145
◍ 1.A client is fearful of driving and enters a behavioral therapyprogram to
help him overcome his anxiety. Using systematicdesensitization, he is able
to drive down a familiar street withoutexperiencing a panic attack. The
nurse should recognize that tocontinue positive results, the client should
participate in which ofthe following?a. Biofeedbackb. Therapist modelingc.
Frequent pacingd. Positive reinforcement.
Answer: a. Biofeedback
◍ potassium.
Answer: 3.5-5
◍ Tricyclic Antidepressants.
Answer: Sedation, urinary retention, they lower seizure threshold, uses
include BAD, acute panic attacks, phobias, enuresis, and chronic pain and
their overdose can be deadly
◍ MAOI.
Answer: inhibits breakdown of amine neurotransmitters, hypertensive crisis.
avoid pseudonephrine.
◍ 2. A nurse is counseling a client following the death of the client'spartner 8
months ago. Which of the following client statementsindicates maladaptive
, grieving?a. "I am so sorry for the times I was angry with my partner."b. "I
like looking at his personal items in the closet."c. "I find myself thinking
about my partner often."d. "I still don't feel up to returning to work.".
Answer: d. "I still don't feel up to returning to work."Rationale: 8 months
too long Maladaptive Grief: . Distorted or exaggerated grief response -
unable toperform activities of daily living.RISK FACTORS FOR
MALADAPTIVE GRIEVING●● Being dependent upon the deceased●●
Unexpected death at a young age, through violence, or by a socially
unacceptable manner●● Inadequate coping skills or lack of social
support●● Pre-existing mental health issues, such as depression or
substance use disorder
◍ 3./21 A nurse in an inpatient mental health facility is assessing aclient who
has schizophrenia and is taking haloperidol (antipsychotic,1st gen).Which of
the following clinical findings is the nurse's priority?a. Headacheb.
Insomnia (sedation)c. Urinary hesitancy (Complication → ANTIcholinergic
effects)d. High fever (Complication → agranulocytosis).
Answer: d. High fever (Complication → agranulocytosis)Other
complications: Acute dystonia, Pseudoparkinsonism, Akathisia, Tardive
dyskinesia,Neuroendocrine effects (Gynecomastia, Weight gain, Menstrual
irregularities), NMS,Orthostatic Hypotension, Sedation, Sexual dysfunction,
Skin effects, Liver impairment
◍ 4. A nurse is planning care for a client who has obsessivecompulsive
disorder. Which of the following recommendationsshould the nurse include
in the client's plan of care?a. Reality Orientation therapy (re-orient to
reality)b. Operant Conditioning (receives positive rewards for positive
behavior)c. Thought Stopping (say "stop" when compulsive behaviors arise
& substitutew/ positive thought)d. Validation Therapy (acknowledging pt's
feelings).
Answer: c. Thought Stopping (say "stop" when compulsive behaviors arise
& substitutew/ positive thought)
◍ 5. A nurse is caring for a client who is in the manic phase ofbipolar disorder.
, Which of the following actions should thenurse take?a. Provide in depth
explanation of nursing expectations(inability to focus - give concise
explanations)b. Encourage the client to participate in group
activities(decrease stimulation)c. Avoid power struggles by remaining
neutral (do not reactpersonally to pt's comments)d. Allow the client to set
limits for his behavior (nurse sets limits).
Answer: c. Avoid power struggles by remaining neutral (do not
reactpersonally to pt's comments)
◍ 6. A nurse is providing behavioral therapy for a client who hasOC
D. The client repeatedly checks that the doors are locked atnight. Which of
the following instructions should the nurse givethe client when using
thought stopping technique?a. "Keep a journal of how often you check the
locks eachnight."b. "Ask a family member to check the locks for you at
night."c. "Focus on abdominal breathing whenever you go tocheck the
locks."d. "Snap a rubber band on your wrist when you think aboutchecking
the locks.".
Answer: d. "Snap a rubber band on your wrist when you think
aboutchecking the locks."Thought stopping: teach pt to say "stop" when
negativethoughts/compulsive behaviors arise & substitute positive thought -
goal forpt use command silently over time
◍ Chlorpromazine (thorazine).
Answer: Anticholinergic side effects constipation, urinary retention, blurred
vision, dry mouth. Suck on hard candy. It does not alter skin perfusion.
◍ Lithium.
Answer: maintain sodium levels watch for vomiting, diarrhea, sweating
◍ Alcohol withdrawal.
Answer: Naltroxone. 2-3 days after can be a seizure risk, hand tremors will
occur, monitor bp
◍ 7. A nurse is caring for a client who has a cocaine use disorder.Which of the
following manifestations should the nurse expectthe client to have during
withdrawal?a. Hand tremors (Intoxication)b. Fatiguec. Seizures
, (Intoxication)d. Rapid speechRationale: Pg: 97 WITHDRAWAL
MANIFESTATIONS● Depression, fatigue, craving, excess sleeping
orinsomnia, dramatic unpleasant dreams, psychomotor retardation, agitation
● Not life-threatening, butpossible occurrence of suicidal ideationCocaine =
STIMULANT → OPPOSITE of HEROIN● Withdrawal = opposite effects.
Answer: b. Fatigue
◍ 8. A nurse is reviewing the medical record of a client who is
takingclozapine. For which of the following findings should the
nursewithhold the medication and notify the provider?a. WBC countb. Heart
ratec. Report of photosensitivityd. Blood glucose level.
Answer: a. WBC count
◍ 9./59. A nurse is creating a plan of care for a client who hasmajor depressive
disorder. Which of the following interventionsshould the nurse include in
the plan?a. Keep the ring light on in the client's room at nightb. Encourage
physical activity for the client during the dayc. Identity and schedule
alternative group activities for theclientd. Discourage the client from
expressing feeling of anger.
Answer: b. Encourage physical activity for the client during the day
◍ Difference between alzheimers and dementia.
Answer: Alzheimers is progressive forgetfullness and dementia is rapid
◍ 10. A nurse is assessing a client who is experiencing acutealcohol
withdrawal. Which of the following findings should thenurse expect?a.
Diminished reflexesb. Hypotension - increased BPc. Insomniad.
Bradycardia.
Answer: c. Insomnia
◍ 11. A nurse is caring for a client who has schizophrenia anddisplays severe
symptoms of the disorder. Which of the followingactions should the nurse
take?a. Use medication to decrease frequency of auditoryand visual
hallucinationsb. Assist the client to identify somatic and thought
broadcastdelusion(Identify symptom triggers, such as loud noises (can
trigger auditory hallucinations in certain clients)and situations that seem to
FINAL TEST 2026 QUESTIONS WITH
CORRECT ANSWERS GRADED A+
◍ Lithium levels range.
Answer: 0.5-1.4
◍ Sodium.
Answer: 135-145
◍ 1.A client is fearful of driving and enters a behavioral therapyprogram to
help him overcome his anxiety. Using systematicdesensitization, he is able
to drive down a familiar street withoutexperiencing a panic attack. The
nurse should recognize that tocontinue positive results, the client should
participate in which ofthe following?a. Biofeedbackb. Therapist modelingc.
Frequent pacingd. Positive reinforcement.
Answer: a. Biofeedback
◍ potassium.
Answer: 3.5-5
◍ Tricyclic Antidepressants.
Answer: Sedation, urinary retention, they lower seizure threshold, uses
include BAD, acute panic attacks, phobias, enuresis, and chronic pain and
their overdose can be deadly
◍ MAOI.
Answer: inhibits breakdown of amine neurotransmitters, hypertensive crisis.
avoid pseudonephrine.
◍ 2. A nurse is counseling a client following the death of the client'spartner 8
months ago. Which of the following client statementsindicates maladaptive
, grieving?a. "I am so sorry for the times I was angry with my partner."b. "I
like looking at his personal items in the closet."c. "I find myself thinking
about my partner often."d. "I still don't feel up to returning to work.".
Answer: d. "I still don't feel up to returning to work."Rationale: 8 months
too long Maladaptive Grief: . Distorted or exaggerated grief response -
unable toperform activities of daily living.RISK FACTORS FOR
MALADAPTIVE GRIEVING●● Being dependent upon the deceased●●
Unexpected death at a young age, through violence, or by a socially
unacceptable manner●● Inadequate coping skills or lack of social
support●● Pre-existing mental health issues, such as depression or
substance use disorder
◍ 3./21 A nurse in an inpatient mental health facility is assessing aclient who
has schizophrenia and is taking haloperidol (antipsychotic,1st gen).Which of
the following clinical findings is the nurse's priority?a. Headacheb.
Insomnia (sedation)c. Urinary hesitancy (Complication → ANTIcholinergic
effects)d. High fever (Complication → agranulocytosis).
Answer: d. High fever (Complication → agranulocytosis)Other
complications: Acute dystonia, Pseudoparkinsonism, Akathisia, Tardive
dyskinesia,Neuroendocrine effects (Gynecomastia, Weight gain, Menstrual
irregularities), NMS,Orthostatic Hypotension, Sedation, Sexual dysfunction,
Skin effects, Liver impairment
◍ 4. A nurse is planning care for a client who has obsessivecompulsive
disorder. Which of the following recommendationsshould the nurse include
in the client's plan of care?a. Reality Orientation therapy (re-orient to
reality)b. Operant Conditioning (receives positive rewards for positive
behavior)c. Thought Stopping (say "stop" when compulsive behaviors arise
& substitutew/ positive thought)d. Validation Therapy (acknowledging pt's
feelings).
Answer: c. Thought Stopping (say "stop" when compulsive behaviors arise
& substitutew/ positive thought)
◍ 5. A nurse is caring for a client who is in the manic phase ofbipolar disorder.
, Which of the following actions should thenurse take?a. Provide in depth
explanation of nursing expectations(inability to focus - give concise
explanations)b. Encourage the client to participate in group
activities(decrease stimulation)c. Avoid power struggles by remaining
neutral (do not reactpersonally to pt's comments)d. Allow the client to set
limits for his behavior (nurse sets limits).
Answer: c. Avoid power struggles by remaining neutral (do not
reactpersonally to pt's comments)
◍ 6. A nurse is providing behavioral therapy for a client who hasOC
D. The client repeatedly checks that the doors are locked atnight. Which of
the following instructions should the nurse givethe client when using
thought stopping technique?a. "Keep a journal of how often you check the
locks eachnight."b. "Ask a family member to check the locks for you at
night."c. "Focus on abdominal breathing whenever you go tocheck the
locks."d. "Snap a rubber band on your wrist when you think aboutchecking
the locks.".
Answer: d. "Snap a rubber band on your wrist when you think
aboutchecking the locks."Thought stopping: teach pt to say "stop" when
negativethoughts/compulsive behaviors arise & substitute positive thought -
goal forpt use command silently over time
◍ Chlorpromazine (thorazine).
Answer: Anticholinergic side effects constipation, urinary retention, blurred
vision, dry mouth. Suck on hard candy. It does not alter skin perfusion.
◍ Lithium.
Answer: maintain sodium levels watch for vomiting, diarrhea, sweating
◍ Alcohol withdrawal.
Answer: Naltroxone. 2-3 days after can be a seizure risk, hand tremors will
occur, monitor bp
◍ 7. A nurse is caring for a client who has a cocaine use disorder.Which of the
following manifestations should the nurse expectthe client to have during
withdrawal?a. Hand tremors (Intoxication)b. Fatiguec. Seizures
, (Intoxication)d. Rapid speechRationale: Pg: 97 WITHDRAWAL
MANIFESTATIONS● Depression, fatigue, craving, excess sleeping
orinsomnia, dramatic unpleasant dreams, psychomotor retardation, agitation
● Not life-threatening, butpossible occurrence of suicidal ideationCocaine =
STIMULANT → OPPOSITE of HEROIN● Withdrawal = opposite effects.
Answer: b. Fatigue
◍ 8. A nurse is reviewing the medical record of a client who is
takingclozapine. For which of the following findings should the
nursewithhold the medication and notify the provider?a. WBC countb. Heart
ratec. Report of photosensitivityd. Blood glucose level.
Answer: a. WBC count
◍ 9./59. A nurse is creating a plan of care for a client who hasmajor depressive
disorder. Which of the following interventionsshould the nurse include in
the plan?a. Keep the ring light on in the client's room at nightb. Encourage
physical activity for the client during the dayc. Identity and schedule
alternative group activities for theclientd. Discourage the client from
expressing feeling of anger.
Answer: b. Encourage physical activity for the client during the day
◍ Difference between alzheimers and dementia.
Answer: Alzheimers is progressive forgetfullness and dementia is rapid
◍ 10. A nurse is assessing a client who is experiencing acutealcohol
withdrawal. Which of the following findings should thenurse expect?a.
Diminished reflexesb. Hypotension - increased BPc. Insomniad.
Bradycardia.
Answer: c. Insomnia
◍ 11. A nurse is caring for a client who has schizophrenia anddisplays severe
symptoms of the disorder. Which of the followingactions should the nurse
take?a. Use medication to decrease frequency of auditoryand visual
hallucinationsb. Assist the client to identify somatic and thought
broadcastdelusion(Identify symptom triggers, such as loud noises (can
trigger auditory hallucinations in certain clients)and situations that seem to
