ATI Mental Health EXAM WITH
QUESTIONS AND ANSWERS WELL
ILLUSTRATED
A nurse is discussing mental status examinations with a newly licensed nurse.
... [Show More] Which of
the following statements by the newly licensed nurse indicates a need for further
teaching?
A. "To check cognitive ability, I should ask the client to count backward by 7."
B. "To check affect, I should observe the client's facial expression."
C. "To check language ability, I should instruct the client to write a sentence."
D. "To check remote memory, I should have the client repeat a list of objects." -
ANSWER D
D. CORRECT: This statement requires further teaching. Asking the client to repeat a list
of objects is appropriate to check immediate, rather than remote, memory.
A. INCORRECT: This statement does not require further teaching. Counting backward
by 7 is an appropriate technique to check a client's cognitive ability. B. INCORRECT:
This statement does not require further teaching. Observing a client's facial expression
is appropriate when checking affect. C. INCORRECT: This statement does not require
further teaching. Writing a sentence is an indication of language ability.
CHAPTER 1 Basic Mental Health Nursing Concepts
A nurse is assisting in the planning of care for a client who has a mental health disorder.
Which of the following is appropriate to include as a psychobiological intervention?
A. Assist the client with systematic desensitization therapy.
B. Encourage the client to use appropriate coping mechanisms.
C. Evaluate the client for comorbid health conditions.
D. Monitor the client for adverse effects of medications. - ANSWER D
D. CORRECT: Monitoring for adverse effects of medications is an example of a
psychobiological intervention.
A. INCORRECT: Assisting with systematic desensitization therapy is a cognitive and
behavioral, rather than psychobiological, intervention. B. INCORRECT: Encouraging
appropriate coping mechanisms is a counseling or health teaching, rather than a
psychobiological intervention. C. INCORRECT: Evaluating for comorbid health
conditions is health promotion and maintenance, rather than a psychobiological
intervention.
CHAPTER 1 Basic Mental Health Nursing Concepts
A nurse in an outpatient mental health clinic is preparing to conduct an initial client
interview. When conducting the interview, which of the following is the highest priority
action?
A. Respect the client's need for personal space.
B. Identify the client's perception of her mental health status.
C. Include the client's family in the interview.
D. Reinforce teaching about the client's mental health disorder. - ANSWER B
B. CORRECT: Data collection is the priority action when taking the nursing process
approach to client care. Identifying the client's perception of her mental health status
provides important information about the client's psychosocial history.
A. INCORRECT: It is appropriate to respect the client's need for personal space.
However, it is not the highest priority action when taking the nursing process approach
to client care. C. INCORRECT: If the client wishes, it is appropriate to include the
client's family in the interview. However, it is not the highest priority action when taking
the nursing process approach to client care. D. INCORRECT: It is appropriate to
reinforce teaching for the client about her disorder. However, it is not the highest priority
action when taking the nursing process approach to client care. CHAPTER 1 Basic
Mental Health Nursing Concepts
A nurse is told during change-of-shift report that a client is stuporous. When collecting
data from the client, which of the following is an expected finding?
A. The client arouses briefly in response to a sternal rub.
B. The client has a Glasgow Coma Scale score less than 7.
C. The client exhibits decorticate rigidity.
D. The client is alert but disoriented to time and place. - ANSWER A
A. CORRECT: A client who is stuporous requires vigorous or painful stimuli to elicit a
response.
B. INCORRECT: A GCS score of less than 7 indicates a comatose, rather than
stuporous, level of consciousness. C. INCORRECT: Abnormal posturing is associated
with a comatose, rather than stuporous, level of consciousness. D. INCORRECT: A
client who is stuporous is not alert.
CHAPTER 1 Basic Mental Health Nursing Concepts
A nurse is assisting with the planning of a peer group discussion about the Diagnostic
and Statistical Manual of Mental Disorders, 5th Edition (DSM-5). Which of the following
is appropriate to include in the discussion?
(Select all that apply.)
A. The DSM-5 is used to identify mental health disorders.
B. The DSM-5 establishes diagnostic criteria.
C. The DSM-5 indicates recommended pharmacological treatment.
D. The DSM-5 is used to assist in the planning of care.
E. The DSM-5 indicates expected data collection findings. - ANSWER A, B, D, E
A. CORRECT: The DSM-5 is used as a diagnostic tool to identify mental health
diagnoses. B. CORRECT: The DSM-5 establishes diagnostic criteria for mental health
disorders. D. CORRECT: Nurses use the DSM-5 to assist in the planning of care, and to
implement and evaluate care. E. CORRECT: The DSM-5 identifies expected findings for [Show Less]