ATI MENTAL HEALTH PROCTORED EXAM
( 3 Versions=A, B, C)
, ATI Mental Health A
1) A nurse in a group home facility is caring for a client who is
developmentally disabled. The client has been stealing belongings from
other clients. Which of the following techniques should the nurse use?
a. Crisis intervention to decrease anxiety.
b. Aversion therapy to provide distraction
c. Positive reinforcement to increase desired behavior.
d. Systematic desensitization to extinguish the behavior.
2) A nurse is caring for a client who is experiencing a panic attack. Which of
the following actions should the nurse take?
a. Ask the client to discuss precipitating events
b. Speaks to the client in a high-pitched voice.
c. Place the client in seclusion
d. Have the client breathe into a paper bag.
3) The nurse is caring for a client following a physical assault. The client states
"I don’t remember what happened to me." The nurse should recognize that
the client is using which of the following defense mechanisms?
a. Repression
b. Displacement
c. Rationalization
d. Denial
4) A nurse is caring for a client who has anorexia nervosa. Which of the
following findings require immediate intervention by the nurse?
a. +2 edema of the lower extremities
b. BUN 21 mg/dL
c. Lanugo covering the body
d. Blood pH 7.60
5) A nurse is caring for a client in a mental health facility. The client is agitated
and threatens to harm herself and others. Which of the following is the
priority intervention?
a. Place the client in restraints
b. Administer an anti-anxiety medication to the client
c. Put the client in seclusion
d. Set limits on the client's behavior
6) Dosage Calculation Question.
7) A nurse is caring for a client who was involuntarily committed and is
scheduled to receive electroconvulsive therapy (ECT). The client refuses the
, treatment and will not discuss why with the health care team. Which of the
following actions should the nurse take?
a. Ask the clients family to encourage the client to receive ECT
b. Inform the client that ECT does not require a consent.
c. Document the client's refusal of the treatment in the medical record.
d. Tell the client he cannot refuse the treatment because he was
involuntarily committed.
8) A nurse is teaching a client who has schizophrenia about her new
prescription for risperidone. Which of the following statements should the
nurse include in the teaching?
a. “You should continue this medication if you develop muscle rigidity”.
b. “You will experience weight loss while taking this medication.”
c. “You will notice your symptoms improve within 24 hours of taking
this medication.”
d. “You should increase your consumption of complex carbohydrates.”
9) A nurse is admitting a client who has generalized anxiety disorder. Which of
the following actions should the nurse plan to take first?
a. Provide the client with a quiet environment
b. Determine how the client handles stress.
c. Teach the client to use guided imagery.
d. Ask the client to identify her strengths
10) A nurse is conducting an admission interview with a client who is
experiencing mania. Which of the following should the nurse report to the
provider?
a. States that he hasn’t bathed in 2 days
b. Reports eating twice in the past two weeks.
c. Makes inappropriate sexual comments.
d. Speaks in rhyming sentences.
11) A nurse is planning care for a client who has obsessive-compulsive
disorder. Which of the following recommendation should the nurse include
in the clients plan of care?
a. Validation therapy
b. Thought stopping
c. Operant conditioning
d. Reality orientation therapy
12) A nurse is caring for a client who has bipolar disorder and is
experiencing a manic episode. Which of the following actions should the
nurse take?
a. Encourage the client to join group activities
b. Dim the lights in the clients room
, c. Provide detailed explanations to the client
d. Administer methylphenidate
13) A nurse is leading a crisis intervention group for adolescents who
witnessed the suicide of a classmate. Which of the following actions should
the nurse take first.
a. Initiate referrals
b. Review community resources
c. Identify prior coping skills
d. Discuss the importance of confidentiality
14) A nurse overhears a client saying, "I am a spy, a spy for the FBI. I am
an I, an eye for an eye in the sky. Sky is up high." The nurse should
document the client's statement as which of the following speech alterations?
a. Echolalia
b. Word salad
c. Neologism
d. Clang association
15) An older adult client is brought to the mental health clinic by her
daughter. The daughter reports that her mother is not eating and seems
uninterested in routine activities. The daughter states "I'm so worried that
my mother is depressed" which of the following responses should the nurse
make?
a. Everyone gets depressed from time to time.
b. You shouldn't worry about this because depressive disorder is easily
treated.
c. Older adults are usually diagnosed with depressive disorder as they
age.
d. Tell me the reasons you think your mother is depressed.
16) A nurse is planning care for an adolescent who has autism spectrum
disorder. Which of the following outcomes should the nurse include in the
plan care?
a. Meets own needs without manipulating others.
b. Initiates social interactions with caregivers.
c. Changes behavior as a result of peer pressure.
d. Acknowledges his delusions are not real.
17) A nurse is providing behavior therapy for a client who has obsessive-
compulsive disorder. The client repeatedly checks that the doors are locked
at night. Which of the following instructions should the nurse give the client
when using thought stopping technique?
a. Snap a rubber band on your wrist when you think about checking the
locks.
( 3 Versions=A, B, C)
, ATI Mental Health A
1) A nurse in a group home facility is caring for a client who is
developmentally disabled. The client has been stealing belongings from
other clients. Which of the following techniques should the nurse use?
a. Crisis intervention to decrease anxiety.
b. Aversion therapy to provide distraction
c. Positive reinforcement to increase desired behavior.
d. Systematic desensitization to extinguish the behavior.
2) A nurse is caring for a client who is experiencing a panic attack. Which of
the following actions should the nurse take?
a. Ask the client to discuss precipitating events
b. Speaks to the client in a high-pitched voice.
c. Place the client in seclusion
d. Have the client breathe into a paper bag.
3) The nurse is caring for a client following a physical assault. The client states
"I don’t remember what happened to me." The nurse should recognize that
the client is using which of the following defense mechanisms?
a. Repression
b. Displacement
c. Rationalization
d. Denial
4) A nurse is caring for a client who has anorexia nervosa. Which of the
following findings require immediate intervention by the nurse?
a. +2 edema of the lower extremities
b. BUN 21 mg/dL
c. Lanugo covering the body
d. Blood pH 7.60
5) A nurse is caring for a client in a mental health facility. The client is agitated
and threatens to harm herself and others. Which of the following is the
priority intervention?
a. Place the client in restraints
b. Administer an anti-anxiety medication to the client
c. Put the client in seclusion
d. Set limits on the client's behavior
6) Dosage Calculation Question.
7) A nurse is caring for a client who was involuntarily committed and is
scheduled to receive electroconvulsive therapy (ECT). The client refuses the
, treatment and will not discuss why with the health care team. Which of the
following actions should the nurse take?
a. Ask the clients family to encourage the client to receive ECT
b. Inform the client that ECT does not require a consent.
c. Document the client's refusal of the treatment in the medical record.
d. Tell the client he cannot refuse the treatment because he was
involuntarily committed.
8) A nurse is teaching a client who has schizophrenia about her new
prescription for risperidone. Which of the following statements should the
nurse include in the teaching?
a. “You should continue this medication if you develop muscle rigidity”.
b. “You will experience weight loss while taking this medication.”
c. “You will notice your symptoms improve within 24 hours of taking
this medication.”
d. “You should increase your consumption of complex carbohydrates.”
9) A nurse is admitting a client who has generalized anxiety disorder. Which of
the following actions should the nurse plan to take first?
a. Provide the client with a quiet environment
b. Determine how the client handles stress.
c. Teach the client to use guided imagery.
d. Ask the client to identify her strengths
10) A nurse is conducting an admission interview with a client who is
experiencing mania. Which of the following should the nurse report to the
provider?
a. States that he hasn’t bathed in 2 days
b. Reports eating twice in the past two weeks.
c. Makes inappropriate sexual comments.
d. Speaks in rhyming sentences.
11) A nurse is planning care for a client who has obsessive-compulsive
disorder. Which of the following recommendation should the nurse include
in the clients plan of care?
a. Validation therapy
b. Thought stopping
c. Operant conditioning
d. Reality orientation therapy
12) A nurse is caring for a client who has bipolar disorder and is
experiencing a manic episode. Which of the following actions should the
nurse take?
a. Encourage the client to join group activities
b. Dim the lights in the clients room
, c. Provide detailed explanations to the client
d. Administer methylphenidate
13) A nurse is leading a crisis intervention group for adolescents who
witnessed the suicide of a classmate. Which of the following actions should
the nurse take first.
a. Initiate referrals
b. Review community resources
c. Identify prior coping skills
d. Discuss the importance of confidentiality
14) A nurse overhears a client saying, "I am a spy, a spy for the FBI. I am
an I, an eye for an eye in the sky. Sky is up high." The nurse should
document the client's statement as which of the following speech alterations?
a. Echolalia
b. Word salad
c. Neologism
d. Clang association
15) An older adult client is brought to the mental health clinic by her
daughter. The daughter reports that her mother is not eating and seems
uninterested in routine activities. The daughter states "I'm so worried that
my mother is depressed" which of the following responses should the nurse
make?
a. Everyone gets depressed from time to time.
b. You shouldn't worry about this because depressive disorder is easily
treated.
c. Older adults are usually diagnosed with depressive disorder as they
age.
d. Tell me the reasons you think your mother is depressed.
16) A nurse is planning care for an adolescent who has autism spectrum
disorder. Which of the following outcomes should the nurse include in the
plan care?
a. Meets own needs without manipulating others.
b. Initiates social interactions with caregivers.
c. Changes behavior as a result of peer pressure.
d. Acknowledges his delusions are not real.
17) A nurse is providing behavior therapy for a client who has obsessive-
compulsive disorder. The client repeatedly checks that the doors are locked
at night. Which of the following instructions should the nurse give the client
when using thought stopping technique?
a. Snap a rubber band on your wrist when you think about checking the
locks.
