NGN ATI MENTAL HEALTH 2023/MENTAL HEALTH ATI PROCTORED
EXAM 2023-2024 REAL EXAM 70 QUESTINS AND CORRECT
ANSWERS|AGRADE
1. A nurse is admitting a client
... [Show More] who hasschizophrenia.During the initial interview, the client takes off his belt and screams, “A
snake!” Which of the following responses is appropriate?
a. “You know that is you belt and not a snake, don’t you?”
b. “Your belt doesn’t look like a snake.”
c. “Thisis your belt. I understand how thisisscary for you.”
d. “Why do you think your belt is a snake?”
2. A nurse working in the emergency department is assessing a client who has generalized anxiety disorder. Which of the
following actions should the nurse take first?
a. Move the client to a quiet area
b. Allow the clienttime to express hisfeelings
c. Instructthe client to use guided imagery
d. Assist the clientto identify his coping skills
3. A nurse is caring for a client who has dementia. Which of the following is an appropriate nursing intervention?
a. Encourage the clientto make choicesregarding care.
b. Advise family to visit frequently as a group
c. Maintain a low-stimulation environment
d. Assign severaltasks at the same time.
4. A nurse is counseling an adult client whose parent just died. The client states, “My son is 4, and I don’t know how he’ll
react when he finds out that his grandpa died.” The nurse should inform the clientthat the preschool-age child commonly
has which of the following concepts of death?
a. Death is contagious and can cause other people he loves to die
b. Death creates an interest in the physical aspects of dying
c. Death is not permanent and the loved one may come back to life.
d. Death is a part of life that eventually happensto everyone.
5. A nurse in the emergency department is admitting a client who has a history of alcohol use disorder. The client has a blood
alcohol level of 0.26 g/dL. The nurse should anticipate a prescription for which of the following medications? (p. 156)
a. Chlordiazepoxide
b. Disulfram
c. Acamprosate
d. Naltrexone
6. A nurse is advising an assistive personnel (AP) on the care of a client who has major depressive disorder. The AP statesthat
he is irritated by the client’s depression. Which of the following statements by the nurse is appropriate?
a. “Please don’t take what the clientsaid seriously when she is depressed”
b. “I’ll change your assignment to someone who doesn’t have depressive disorder.”
c. “It’simportantthat the client feelsafe verbalizing how she isfeeling.”
d. “Everybody feelsthat way about this client,so don’t worry about it.”
7. A nurse is caring for a client who reports he is angry with his partner because she thinks he is trying to seek attention.
When the nurse questionsthe client, he becomes angry and tells her to leave. Which of the following defense mechanisms
is the client demonstrating? (p. 30)
a. Compensation
b. Displacement
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c. Denial
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d. Rationalization
8. A nurse working in a mental health facility hasjust put a client in provider-prescribed seclusion. Which of the following is
the nurse required to document? (Select all that apply)
a. The client’sfeelings about being secluded
b. The client’s behaviorsthatresulted in the need forseclusion
c. Previousinterventions used to prevent the need forseclusion
d. The client’s vitalsigns
e. The time the client entered seclusion
9. A nurse is assessing a client who has major depressive disorder. The clientstates, “I may as well be dead. I have always
been a failure.” Which of the following is an appropriate response by the nurse?
a. “Let’s discussthese feelingsfurther.”
b. “why do you think you feelthis way?”
c. “Feeling like a failure is expected with depression.”
d. “You have a great dealto offer in life.”
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10. A nurse is planning care for a group of clients in an outpatient facility. For which of the following clientsshould the nurse
plan to provide assistance with ADLs?
a. A client who hasintense manifestations of agoraphobia
b. A client who has negative manifestations ofschizophrenia
c. A client who isin treatmentfor hypomania
d. A client who isin treatmentfor alcohol use disorder
11. A nurse Is planning care for a client who has anorexia nervosa and is admitted to an inpatient eating disorder unit. Which
of the following is an appropriate intervention? (p. 167)
a. Use systematic desensitization to addressthe client’sfearsregarding weight gain
b. Allow the client to select meal times
c. Initiate a relationship built on trust with the client.
d. Negotiate with the client the opportunity to reweigh.
12. A nurse is planning an inservice for new nurses about cultural beliefs and their impact on mental health care. The nurse
should identify that which of the following beliefs differs from the western perspective held by most nursesin the United
States? (Not sure)
a. Mental health isthe absence of a mental health disorder.
b. Clientsshouldmake independent decisions about theirmental health care
c. Mental health care places value on veracity and confidentiality
d. Clients who have a mental health disordershould be passive in their care.
13. A nurse is caring for a client who is admitted to a mental health facility after attempting suicide. Which of the following
actions should the nurse take first? (p. 286)
a. Implement continuous one-to-one observation
b. Ask the client to sign a no-suicide contract
c. Encourage clientto participate in group therapy
d. Establish a rapport to fostertrust
14. A nurse is caring for a clientin an out-patient mental health facility. The client tells the nurse thatshe wantsto tell her a
secret and asks her to promise not to tell. Which of the following responses by the nurse is appropriate? (p. 37)
a. “Go on. Tellmemore.”
b. “Why do you wantto keep the information a secret?”
c. “Have you shared yoursecret with anyone else?”
d. “I can’t promise that I will keep your secret.”
15. A nurse isreviewing the laboratory findings for a client who istaking carbamazepine for bipolar disorder. Which of the
following findings should the nurse report to the provider? (p. 205)
a. Platelets 90,000/mm3
(blood discracias)
b. Urine specific gravity 1.029
c. Urine pH 5.6
d. RBC 4.7 million/dL
16. A nurse is building a therapeutic relationship with a client who has an eating disorder. Which ofthe following activities
should the nurse initiate during the relationship’s orientation phase? (p. 37)
a. Discussing the incorporation of new strategiesinto daily life
b. Mutually deciding and agreeing on the goals ofthe relationship
c. Teaching and encouraging the use of problem-solving skills
d. Usingmemoriesto validate the relationship experience
17. A nurse is planning care for a client who demonstrates prolonged depression related to the loss of her partner 6 months
ago. Which of the following actions should the nurse take? (p. 103 Cant really find it but this should be the answer)
a. Direct the client to maintain an unstructured daily routine.
b. Discourage the client from reliving the eventssurrounding herloss
c. Suggestthatthe client avoid social interactionsthatremind her of her partner.
d. Explain that it can take a year or more to learn to live with a loss.
18. A nurse in a mental health facility is assessing a client for suicide risk factors using the SAD PERSONS scale. Which of the
following findings indicates a risk for suicide? (Googled)
a. The client is married
b. The client has diabetes mellitus
c. The client is 50 years of age
d. The client isfemale
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19. A nurse is providing teaching for the family of a client who has dementia. Which of the following should the nurse include
as factors that can worsen the client’s manifestations? (p. 137 Not too sure)
a. Participation in group therapy
b. Reminiscing about the client’slife
c. Increased activity level
d. Evening hours ofthe day (sun downing)
20. A nurse in a community mental health centeris admitting a client who hasschizophrenia. Which of the following
manifestations should the nurse expect?
a. Preoccupied with details
b. Cognitive distortions
c. Engaging in exploitive activities
d. Manipulative behavior
21. A nurse in an inpatient mental health facility is assessing a client who istaking haloperidol forschizophrenia. Which of the
following findings is the priority? (p. 215)
a. Urinary hesitancy
b. Headache
c. High fever (Neuroleptic Malignant Syndrome)
d. Insomnia
22. A nurse is conducting a follow-up interview with a client who is recovering from a substance use disorder. Which of the
following client findings indicates a constructive use of reaction formation? (p. 30 not too sure)
a. The client talks about how he admires his provider and wishes he wasjust like him
b. The client verbalizes his understanding that the treatment requires abstinence
c. The clientspeaks with youth groups about the dangers ofsubstance abuse use.
d. The client apologizesto family members forthe problems caused by hissubstance use
23. A nurse is providing instructionsto the parents of a child who has a new prescription for amethylphenidate transdermal
patch/ Which of the following instructions should the nurse include? (p. 228)
a. Cleanse the skin with alcohol prior to placement of the patch
b. Leave the patch in place for 9 hr.
c. Use the patch at bedtime
d. Coverthe patch with a gauze pad after application
24. A nurse is caring for a client in a mental health facility. The client is agitated and threatensto harm herself and others.
Which of the following is the nurse’s priority intervention?
a. Administer an anti-anxiety medication to the client
b. Set limits on the client’s behavior
c. Place the client in restraints
d. Put the client in seclusion
25. A nurse is assessing a client who hasschizophrenia. The client tells the nurse, “My heart exploded andmy blood is draining
out.” The nurse should interpret this statement as which of the following manifestations? (p. 119 Not too sure)
a. Paranoia
b. Concrete thinking
c. A somatic delusion
d. A visual hallucination
26. A nurse is assessing a client who isrestless and constantly mutters to himself. Which of the following findingsshould lead
the nurse to suspect delirium? (p. 137)
a. The client is unable to recognize objects
b. The client’sspeech isslow and repetitious
c. The client has a flat effect
d. The client’s manifestations developed suddenly
27. A nurse is assessing a client who has bulimia nervosa. Which of the following findings should the nurse expect? (p. 166)
a. Hyponatremia
b. Amernorrhea
c. Acrocyanosis
d. Lanugo
28. A nurse is admitting a client who has a diagnosis of antisocial personality disorder. Which of the following behaviorsshould
the nurse expect to observe?
a. Self-mutilation
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b. Delusional behavior
c. Splitting
d. Lack ofremorse
29. A nurse is preparing to administer morning medications to a client who has schizophrenia. After reviewing the client’s
chart, which of the following actions should the nurse take first? (Click on the “Exhibit” button below to view the chart.
There are three tabs that contain separate categories of data.)
a. Request a prescription for acetaminophen
b. Administer a PRN doze of diazepam
c. Give the regularly scheduled dose of chlorpromazine
d. Provide the dose of diphenhydramine
Tab 1 Tab 2 Tab 3
Medication Record Vital Signs Progress Notes
Amantadine PO at 0700 and 1900 0700 0200
Chlorpromazine 100 mg POat 0700, BP 152/90 mm Hg Received diazepam 5mg IV bolus
1500, and 2300 HR 124/min 0700
Diphenhydramine 50 mg PO at 0700, Resp 24/min Dry/flushed skin
1500, and 2300 Temp 39.4oC (102.9o
F) Absent bowelsounds
Diazepam 5mg IV bolus every 4 hr PRN
for anticholinergic side effects
Dilated pupils
Increased Agitation
30. A nurse is preparing to administer lorazepam 0.05 mg/kg IV bolus to a school-age child who weighs 30 kg (66 lb). Available
is lorazepam injection 2mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use
a leading zero if applicable. Do not use a trailing zero.)
a. 0.8mL
31. A nurse is caring for a client who has borderline personality disorder and has been engaging in self-mutilation. The nurse
should encourage the client to participate in which of the following groups?
a. Co-dependentssupport group
b. Dialectical behavior treatment group
c. National Alliance onMental Illness
d. Dual diagnosistreatment group
32. A nurse is caring for a client who hastardive dyskinesia. Which of the following assessment toolsis appropriate?
a. SAD PERSONS Scale
b. Abnormal Involuntary Movement Scale (AIMS)
c. Hamilton Rating Scale for Anxiety
d. CAGE Assessment
33. A nurse is assessing a client who has bipolar disorder and whose mother brought her to the emergency department.
Which of the following is the highest priority finding?
a. The client reports not attending group therapy.
b. The client reports not taking medication for the past 2 weeks.
c. The clientspeaks to the nurse in a demanding tone.
d. The client reportssleeping 2 to 3 hr per night.
34. A nurse is assessing several clients in a community mental health facility. Which ofthe following clientsis experiencing
adventitious crisis?
a. A client who is experiencing acute grief following hisfather’s death
b. A client who is depressed following a devastating fire in her home
c. A client who is experiencing postpartum depression following the birth of her first child
d. A client who has a new diagnosis ofsevere bipolar disorder.
35. A nurse on a mental health unit is caring for a client who begins throwing objects at other clients. Which of the following is
the priority nursing intervention?
a. Administer an anti-anxiety medication
b. Place the client in seclusion
c. Tell the client to stop the behavior
d. Attemptto restrain the client’s arms.
36. A nurse is caring for a client who has generalized anxiety disorder and a history ofsubstance use disorder. Which of the
following medications should the nurse expect the provider to prescribe? (p. 92)
a. Clonazepam
b. Alprazolam
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c. Chlordiazepoxide
d. Buspirone
37. A nurse is discussing exercise activities with an inpatient client who has schizophrenia and is overweight due to
psychotropic medications. The client refusesto participate in an aerobic exercise class and instead requeststo walk in the
facility’s gym. Which of the following responses by the nurse is appropriate?
a. “Can you tellme why you do not want to participate in the planned [Show Less]