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ATI MENTAL HEALTH | QUESTIONS AND ANSWERS
| 2025-2026 | GRADED A+
A hospitalized client becomes angry and belligerent toward a nurse after speaking on the phone with his mother. The nurse learns that the mother cannot visit as expected due to her work. Which interventions will the nurse use to help the client deal with the displaced anger? Select all that apply a) Acknowledge the client's behavior as inappropriate. b) Invite the client to a quiet place to talk after he has settled down. c) Explore the client's unmet needs. d) Assist the client in identifying alternate ways of approaching the problem. e) Suggest that the client direct the anger at his mother’s employer. a) Acknowledge the client's behavior as inappropriate. b) Invite the client to a quiet place to talk after he has settled down. c) Explore the client's unmet needs. d) Assist the client in identifying alternate ways of approaching the problem.
The nurse is caring for a client with severe depression. In which conditions would the nurse anticipate the use of electroconvulsive therapy (ECT) as an option? Select all that apply a) The client is undergoing a stressful life change. b) The client also has a neurocognitive disorder. c) The client cannot tolerate monoamine oxidase inhibitors (MAOIs). d) The client has not responded to conventional antidepressant medication therapy. e) The client is having acute suicidal thoughts. c) The client cannot tolerate monoamine oxidase inhibitors (MAOIs). d) The client has not responded to conventional antidepressant medication therapy. e) The client is having acute suicidal thoughts. A nurse is working in the emergency room when a police officer walks in with a rape victim to be examined. If the nursing goal is to reduce client anxiety, which interventions would be appropriate? Select all that apply a) Begin the examination immediately in order to get it behind her.
d) Help the client explore different problem-solving techniques. f) Encourage the practice of new coping skills. A nurse is explaining client rights for psychiatric patients to a client who has voluntarily sought admission to an inpatient psychiatric facility. Which rights would the nurse include in the discussion? Select all that apply a) Right to refuse treatment b) Right to a written treatment plan c) Right to personal mail d) Right to confidentiality e) Right to obtain disability benefits f) Right to select health care team members a) Right to refuse treatment b) Right to a written treatment plan c) Right to personal mail d) Right to confidentiality
In the emergency department, a client reveals to the nurse a lethal plan for dying by suicide and agrees to a voluntary admission to the psychiatric unit. Which information would the nurse discuss with the client to answer the question “How long do I have to stay here?” Select all that apply a) “Let's talk more after the health care team has assessed you.” b) “You need legal representation to help you make an informed decision.” c) “You may leave the hospital at any time unless you're suicidal or homicidal or unable to meet your basic needs.” d) “Once you've signed the papers, you are required to follow the treatment plan.” e) “Because you have stated that you want to hurt yourself, you must be safe before being discharged.” f) “All clients need a court hearing before leaving the hospital.” a) “Let's talk more after the health care team has assessed you.” c) “You may leave the hospital at any time unless you're suicidal or homicidal or unable to meet your basic needs.” e) “Because you have stated that you want to hurt yourself, you must be safe before being
A nurse is caring for a client who exhibits behaviors that test the nurse–client relationship. When discussing this behavior at a multidisciplinary team conference, which behaviors would the nurse provide as examples of this behavior? Select all that apply a) Violating the nurse's personal space b) Placing the nurse in the role of parent c) Displaying tattoos and piercings d) Stating information to try to shock the nurse e) Requesting personal information from the nurse f) Dressing in a flamboyant or seductive manner a) Violating the nurse's personal space b) Placing the nurse in the role of parent d) Stating information to try to shock the nurse e) Requesting personal information from the nurse A male client states feelings of sadness and is seeking suggestions for strategies to keep active after the loss of his spouse. Which activities might the nurse suggest to the client? Select all that apply.
a) Joining a golf league at a club b) Attending regular spiritual/church services c) Attending a midday movie at the theater d) Walking alone at sunrise at the local track e) Participating in a community charity event a) Joining a golf league at a club b) Attending regular spiritual/church services e) Participating in a community charity event The nurse documents the following note in the medical record. Which communication is best to determine if domestic abuse is occurring? a) "Do you also have children who have bruises like this?" b) "I hope that you would tell me if abuse at your home is occurring." c) "Do you feel safe in your living situation?" d) "Living in an abusive situation is terrible. I know personally." c) "Do you feel safe in your living situation?"
a) Psychotic episodes can occur in clients with PTSD. b) Hypervigilance is characteristic of clients with PTSD. c) PTSD is characterized by nightmares and flashbacks. d) PTSD is a syndrome that is only associated with military personnel. e) Substance abuse is a common coping mechanism used by clients with PTSD. f) Clients with PTSD may complain of feeling empty inside. a) Psychotic episodes can occur in clients with PTSD. b) Hypervigilance is characteristic of clients with PTSD. c) PTSD is characterized by nightmares and flashbacks. e) Substance abuse is a common coping mechanism used by clients with PTSD. f) Clients with PTSD may complain of feeling empty inside. An 8-year-old child, diagnosed with obsessive–compulsive disorder, is admitted by the nurse to a psychiatric facility. During the admission assessment, which behaviors would be characterized as compulsions? Select all that apply a) Spending the night at only one friend’s house b) Repeatedly washing the hands c) Brushing teeth three times per day
d) Checking and rechecking that the television is turned off before going to school e) Wanting to play the same video game each night f) Routinely climbing up and down a flight of stairs three times before leaving the house b) Repeatedly washing the hands d) Checking and rechecking that the television is turned off before going to school f) Routinely climbing up and down a flight of stairs three times before leaving the house A nurse selects a priority nursing diagnosis of fear related to being embarrassed in the presence of others for a client who exhibits symptoms of social phobia. Which outcomes, if met, would demonstrate improvement in client's symptoms? Select all that apply a) The client verbalizes feelings that occur in stressful situations. b) The client develops a plan for responding to stressful situations. c) The client develops a plan to avoid situations that may cause stress. d) The client manages fear in group situations.
e) Encourage the client to use deep breathing exercises and other relaxation techniques during periods of increased stress. The nurse is teaching a client diagnosed with a generalized anxiety disorder how to effectively cope with severe distress. Which interventions would the nurse use to promote effective coping with anxiety? Select all that apply a) Teach the client how to label feelings and how to express them. b) Assist the client to acknowledge the major consequences of blaming others. c) Discuss ways to examine the reality of fears. d) Discuss previous methods that were effective in handling stress. e) Encourage the client to limit to a mutually decided amount of time spent on worrying. f) Help the client to establish a goal and develop a plan to meet the goal. a) Teach the client how to label feelings and how to express them. d) Discuss previous methods that were effective in handling stress. e) Encourage the client to limit to a mutually decided amount of time spent on worrying. f) Help the client to establish a goal and develop a plan to meet the goal
The nurse is leading a group session when the nurse notices that a member of the group is tearful and shaking. Which nursing actions would be therapeutic at this time? Select all that apply a) Ask the client to share the emotions that the client is feeling. b) Redirect the group to another topic, which may evoke a less emotional response. c) Apologize to the client and state that you did not mean to cause emotional pain. d) Ask the client to leave the group and rejoin once feeling better. e) Allow the client to remain in the group and ignore the behavior. f) Direct a staff member to assist the client and continue with the group. a) Ask the client to share the emotions that the client is feeling. f) Direct a staff member to assist the client and continue with the group.
a) Irritability b) Suicidal thoughts e) Somatic symptoms f) Anxiety A rehabilitation nurse is caring for a young client recovering from a motor vehicle accident in which he lost both legs. The client states, “I will never be able to work again or live a normal life.” Which responses by the nurse would be considered therapeutic? Select all that apply a) “I am here to help you. Let's devise a plan so that you are working toward your goals.” b) “You must be devastated with your loss. Have you sought legal advice?” c) “Losing both legs is hard to accept, how are you feeling now?” d) “The occupational therapist will teach the use of adaptive equipment promoting independence.” e) “With a prosthesis, you will be up and walking again soon.” a) “I am here to help you. Let's devise a plan so that you are working toward your goals.”
c) “Losing both legs is hard to accept, how are you feeling now?” d) “The occupational therapist will teach the use of adaptive equipment promoting independence.” A nurse is caring for a client diagnosed with persistent depressive disorder. Which defining characteristics are associated with this disorder? Select all that apply a) Appetite disturbance b) Delusions or hallucinations c) Insomnia or hypersomnia d) Symptoms that occur in the winter and resolve in spring e) Onset of symptoms within a 2-week period f) Loss of interest in daily activities a) Appetite disturbance c) Insomnia or hypersomnia f) Loss of interest in daily activities
A nurse is caring for a client displaying extreme mood swings with suicidal tendencies. A healthcare provider prescribes lithium and diagnoses the client with bipolar disorder. When teaching the client, which statements, verbalized by the client, indicate a good understanding of the teaching of medication management? Select all that apply a) “I need to watch for signs and symptoms of drug toxicity including blurred vision and ringing in the ears.” b) “The therapeutic effect of the medication takes time to occur.” c) "I will need to consistently monitor blood levels.” d) “I will adjust my medication depending upon my symptoms.” e) “I understand that there is a potential for addiction.” f) “I will need to be on a low-tyramine diet.” a) “I need to watch for signs and symptoms of drug toxicity including blurred vision and ringing in the ears.” b) “The therapeutic effect of the medication takes time to occur.” c) "I will need to consistently monitor blood levels.”
After interviewing a client diagnosed with recurrent depression, a nurse determines the client's potential to commit suicide. Which factors listed below might contribute to the client's risk of suicide? Select all that apply a) Decreased physical activity b) Impulsive behaviors c) Chronic, debilitating illness d) Overwhelming feelings of guilt e) Psychomotor retardation f) Repression of anger b) Impulsive behaviors c) Chronic, debilitating illness d) Overwhelming feelings of guilt f) Repression of anger A nurse is assessing a client who talks freely about feeling depressed. During the interaction, the nurse hears the client state, "Things will never change." What other indications of hopelessness would the nurse look for? Select all that apply
