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ATI MENTAL HEALTH PROCTORED FINAL EXAM 2025-2026. NGN QUESTIONS WITH 100% CORRECT ANSWERS, Exams of Nursing

University of Southern Indiana (USI)Nursing

ATI MENTAL HEALTH PROCTORED FINAL EXAM 2025-2026. NGN QUESTIONS WITH 100% CORRECT DETAILED SOLUTIONS/A+ GRADE

Typology: Exams

2024/2025

Available from 04/14/2025

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ATI MENTAL HEALTH PROCTORED FINAL EXAM
2025-2026. NGN QUESTIONS WITH 100% CORRECT
DETAILED SOLUTIONS/A+ GRADE
1. .A nurse is planning care for a client who has borderline personality disorder who
self- mutilates. Which of the following test approaches should the nurse plan to take?
a. Restrict participation in group therapy sessions.
b. Establish consequences for self-mutilation.
c. Maintain close observation of the client.
d. Provide an unstructured environment.
2. .A nurse is planning care for a client who has a mental health disorder. Which of the
following actions should the nurse include as a psychobiological intervention?
A.
Assist the client with systematic desensitization therapy.
B.
Teach the client appropriate coping mechanisms.
C.
Assess the client for comorbid health conditions.
D.
Monitor the client for adverse effects of the medications.
3. A nurse in an outpatient mental health clinic is preparing to conduct an initial client
interview. When conducting the interview, which of the following actions should the nurse
identify as the priority?
A.
Coordinate holistic care with social services
B.
.Identify the client's perception of her mental health status.
C.
Include the client's family in the interview.
D.
Teach the client about her current mental health disorder.
4. On review of the client's record, the nurse notes that the admission was voluntary.
Based on this information, the nurse plans care anticipating which client behavior?
A. An understanding of the pathology and symptoms of the diagnosis
B. Anger and aggressiveness directed toward others
C. A willingness to participate in the planning of the care and treatment plan
D. Fearfulness regarding treatment measures
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Download ATI MENTAL HEALTH PROCTORED FINAL EXAM 2025-2026. NGN QUESTIONS WITH 100% CORRECT ANSWERS and more Exams Nursing in PDF only on Docsity!

ATI MENTAL HEALTH PROCTORED FINAL EXAM

2025 - 2026. NGN QUESTIONS WITH 100% CORRECT

DETAILED SOLUTIONS/A+ GRADE

  1. .A nurse is planning care for a client who has borderline personality disorder who self- mutilates. Which of the following test approaches should the nurse plan to take? a. Restrict participation in group therapy sessions. b. Establish consequences for self-mutilation. c. Maintain close observation of the client. d. Provide an unstructured environment.
  2. .A nurse is planning care for a client who has a mental health disorder. Which of the following actions should the nurse include as a psychobiological intervention? A. Assist the client with systematic desensitization therapy. B. Teach the client appropriate coping mechanisms. C. Assess the client for comorbid health conditions. D. Monitor the client for adverse effects of the medications.
  3. A nurse in an outpatient mental health clinic is preparing to conduct an initial client interview. When conducting the interview, which of the following actions should the nurse identify as the priority? A. Coordinate holistic care with social services B.. Identify the client's perception of her mental health status. C. Include the client's family in the interview. D. Teach the client about her current mental health disorder.
  4. On review of the client's record, the nurse notes that the admission was voluntary. Based on this information, the nurse plans care anticipating which client behavior? A. An understanding of the pathology and symptoms of the diagnosis B. Anger and aggressiveness directed toward others C. A willingness to participate in the planning of the care and treatment plan D. Fearfulness regarding treatment measures
  1. When reviewing the admission assessment, the nurse notes that a client was admitted to the mental health unit involuntarily. Based on this type of admission, the nurse should provide which intervention for this client? E. Monitor closely for harm to self or others. F. Assist in completing an application for admission. G. Supply the client with written information about her or his mental health problem. H. Provide an opportunity for the family to discuss why they felt the admission was needed.
  2. A client is preparing to attend a Gamblers Anonymous meeting for the first time. The nurse should tell the client that which is the first step in this 12-step program? A. Substituting other activities for gambling B. Admitting to having a problem C. Stating that the gambling will be stopped D. Discontinuing relationships with people who gamble 3. The nurse in the mental health unit plans to use which therapeutic communication techniques when communicating with a client? Select all that apply. A. Restating B. Active listening C. Asking the client "Why?" D. Maintaining neutral responses E. Providing acknowledgment and feedback F. Giving advice and approval or disapproval
  3. What is the most appropriate nursing action to help manage a manic client who is monopolizing a group therapy session? A. Ask the client to leave the group for this session only. B. Refer the client to another group that includes other manic clients. C. Yell at the client to stop monopolizing in a firm but compassionate manner. D. Thank the client for the input, but inform the client that others now need a chance to contribute.
  4. A client says to the nurse, "The federal guards were sent to kill me." Which is the best response by the nurse to the client's concern? A. "I don't believe this is true." B. "The guards are not out to kill you." C. "Do you feel afraid that people are trying to hurt you?" D. "What makes you think the guards were sent to hurt you?"
  5. A client diagnosed with delirium becomes disoriented and confused at night. Which intervention should the nurse implement initially? A. Move the client next to the nurses' station. B. Use an indirect light source and turn off the television. C. Turn on the television and a soft light on during the night.

B. Provide a safe environment. C. Address hallucinations therapeutically. D. Provide stimulation in the environment. E. Provide reality orientation as appropriate. F. Maintain NPO (nothing by mouth) status.

13. The nurse is preparing to perform an admission assessment on a client with a diagnosis of bulimia nervosa. Which assessment findings should the nurse expect to note? Select all that apply. A. Dental decay B. Moist, oily skin C. Loss of tooth enamel D. Electrolyte imbalances E. Body weight well below ideal range

  1. The nurse is assessing a client who was admitted 24 hours ago for a fractured humerus. Which findings should alert the nurse to the potential for alcohol withdrawal delirium? A. Hypotension, ataxia, hunger B. Stupor, lethargy, muscular rigidity C. Hypotension, coarse hand tremors, lethargy D. Hypertension, changes in level of consciousness, hallucinations
  2. The spouse of a client admitted to the mental health unit for alcohol withdrawal says to the nurse, "I should get out of this bad situation." Which is the most helpful response by the nurse? A. "Why don't you tell your spouse about this?" B. "What do you find difficult about this situation?" C. "This is not the best time to make that decision." D. "I agree with you. You should get out of this situation."
  3. The nurse is reviewing the assessment data of a client admitted to the mental health unit. The nurse notes that the admission nurse documented the client is experiencing anxiety as a result of a situational crisis. The nurse plans care for the client, determining that this type of crisis could be caused by which event? A. Witnessing a murder B. The death of a loved one C. A fire that destroyed the client's home D. A recent rape episode experienced by the client
  4. The nurse is conducting an initial assessment of a client in crisis. When assessing the client's perception of the precipitating event that led to the crisis, which is the most appropriate question? A. "With whom do you live?" B. "Who is available to help you?"

C. "What leads you to seek help now?" D. "What do you usually do to feel better?"

  1. A depressed client on an inpatient unit says to the nurse, "My family would be better off without me." Which is the nurse's best response? A. "Have you talked to your family about this?" B. "Everyone feels this way when they are depressed." C. "You will feel better once your medication begins to work." D. "You sound very upset. Are you thinking of hurting yourself?"
  2. A female victim of a sexual assault is being seen in the crisis center. The client states that she still feels "as though the rape just happened yesterday," even though it has been a few months since the incident. Which is the most appropriate nursing response? A. "You need to try to be realistic. The rape did not just occur." B. "It will take some time to get over these feelings about your rape." *C. "Tell me more about the incident that causes you to feel like the rape just occurred." D. "What do you think that you can do to alleviate some of your fears about being raped again?"
  3. A client is admitted to the mental health unit after an attempted suicide by hanging. The nurse can best ensure client safety by which action? A. Assigning to the client a staff member who will remain with the client at all times. B. Requesting that a friend remain with the client at all times. C. Removing the client's clothing and placing the client in a hospital gown. D. Admitting the client to a seclusion room.
  4. A client with diabetes mellitus is told that amputation of the leg is necessary to sustain life. The client is very upset and tells the nurse, "This is all my primary health care provider's fault. I have done everything I've been asked to do!" Which nursing interpretation is best for this situation? A. An expected coping mechanism B. An ineffective defense mechanism C. A need to notify the hospital lawyer D. An expression of guilt on the part of the client
  5. The nurse visits a client at home. The client states, "I haven't slept at all the last couple of nights." Which response by the nurse demonstrates therapeutic communication? A. "I see." B. "Really?" C. "You're having difficulty sleeping?" D. "Sometimes I have trouble sleeping too."
  6. The nurse has developed a plan of care for a client diagnosed with anorexia nervosa. Which client problem would the nurse select as the priority in the plan of care?

abnormalities are noted on which laboratory study? A. White blood cell count B. Platelet count C. Cholesterol level D. Blood urea nitrogen

  1. The nurse determines that a history of which mental health disorder would support the prescription of taking donepezil hydrochloride? A. Dementia B. Schizophrenia C. Seizure disorder D. Obsessive-compulsive disorder
  2. The nurse is caring for a client with a diagnosis of agoraphobia. Which statement made by the client would support this diagnosis? A. "I'd be sure to have a panic attack if I left my house." B. "I couldn't touch a public doorknob unless I wore gloves." C. "Just the thought of getting into an elevator causes me to panic." D. "Speaking to more than 1 or 2 people would be impossible for me."
  1. During a home visit, the nurse suspects that a young daughter of the client is bulimic. The nurse bases this suspicion on which primary characteristics of bulimia? A. Refusing to eat and excessive exercising B. Eating only vegetables and fruits and fasting C. Hoarding of food and difficulty controlling food intake D. Eating a lot of food in a short period of time and misuse of laxatives
  2. The nurse notes documentation that a newly admitted client experiences flashback. What diagnosis would this notation support? A. Anxiety B. Agoraphobia C. Schizophrenia D. Post-traumatic stress disorder (PTSD)
  3. During the assessment, what is the nurse's primary goal for a confused and disoriented client diagnosed with post-traumatic stress disorder? A. Explaining the unit rules B. Making the client feel safe C. Orienting the client to the unit D. Stabilizing the client's psychiatric needs
  4. What statement should the nurse make to a client diagnosed with post-traumatic stress disorder who appears to be experiencing anxiety? A. "Try not to worry so much." B. "I can see that you are becoming upset." C. "Everything is going to be all right; just relax." D. "Why are you having trouble controlling your anxiety?"
  5. A client diagnosed with depression is not eating adequately and at times even refuses to eat at all. What should the nurse plan to do to meet the client's nutritional needs? A. Force foods and fluids. B. Restrict social activities until food intake is increased. C. Promptly provide snacks and meals when the client requests them. D. Provide small, frequent meals that include the client's food preferences.
  6. The client diagnosed with alcoholism has been prescribed medication therapy to assist in the maintenance of sobriety. The nurse will provide the client with education focused on which medication that will most likely be prescribed? A. Clonidine B. Disulfiram C. Pyridoxine hydrochloride D. Chlordiazepoxide hydrochloride
  1. The nurse is assessing a client who has been admitted to the coronary care unit. The client seems to fluctuate in the ability to focus during the day. On the basis of this assessment, which client problem should the nurse suspect? A. Dementia as a result of isolation B. Acute confusion as a result of hospital-induced psychosis C. Dementia as a result of substance intoxication D. Interruption in the family as a result of alcohol withdrawal
  2. A client calls the nurse and reports feeling anxious. What is the appropriate initial nursing action? A. Sit and talk with the client about the feelings. B. Ask the assistive personnel to check on the client. C. Administer the prescribed as-needed antianxiety medication. D. Call the client's primary health care provider to report the client's anxiety.
  3. Clients with which diagnoses are commonly prescribed interventions to manage anxiety? Select all that apply. A. Dementia B. Panic disorder C. Multiple personality disorder D. Post-traumatic stress disorder E. Obsessive- compulsive disorder
  4. The nurse preparing to admit a client with a diagnosis of obsessive-compulsive disorder to the mental health unit should expect to note which behaviors in the client? A. Rigidness in thought and inflexibility B. Frightened and delusional C. Suspicious and hostile D. Sad and tearful
  5. The client tells the nurse that she cannot leave home without checking numerous times that "everything electrical has been shut off." The client's statement supports which mental health diagnosis? A. A phobia B. Generalized anxiety disorder C. Post-traumatic stress disorder D. Obsessive-compulsive disorder
  6. During an admission assessment, the nurse notes that the client's diagnosis is documented as obsessive-compulsive disorder. The nurse plans care knowing that the client is most likely to experience which type of compulsive behavior? A. An unreasonable fear of something B. Repetitive actions to manage anxiety

C. Misinterpretation of common events D. Recurring thoughts that are intrusive

  1. The nurse is performing an assessment on a client being admitted to the mental health unit. During the interview, the nurse discovers that the client suffered a severe emotional trauma 1 month earlier and is now experiencing paralysis of the right arm. Which is the initial nursing action? A. Refer the client to a psychiatrist. B. Encourage the client to move and use the arm. C. Assess the client for organic causes of the paralysis. D. Encourage the client to talk about his or her feelings.
  2. The nurse is developing a plan of care for a client admitted to the mental health unit with a diagnosis of obsessive-compulsive disorder. What is the nurse's priority in the plan of care? A. Monitor for repetitive behavior. B. Demand active participation in care. C. Educate the client about self-care needs. D. Establish a trusting nurse-client relationship.
  3. A newly admitted client is exhibiting signs and symptoms associated with a loss of physical functioning , although no such loss can be confirmed medically. This situation supports which mental health diagnosis? A. Depression B. Post-traumatic stress disorder C. Somatization disorder D. Obsessive-compulsive disorder
  4. A client who has recently lost her spouse says, "No one cares about me anymore. All the people I loved are dead." Which response demonstrates an understanding of therapeutic communication when dealing with a grieving client? A. "I certainly care about you." B. "You must be feeling all alone at this point." C. "I don't believe that and neither should you." D. "It isn't unusual to feel alone when you are grieving."
  5. Which assessment data would indicate that a client is most at risk for suicide? A. The client demonstrates impulsiveness. B. The client is disorganized in actions and thoughts. C. The client has an immediate plan for a suicide attempt. D. The client has a history of unsuccessful suicide attempts.

D. Inform the yelling client to leave the group immediately.

  1. During a support group session, a client says, "My husband hit me a lot, but when he threatened to start hitting our kids, I stabbed him. No jury will believe me because my husband can lie to anyone and be believed." If no one in the group responds, which statement is the therapeutic response by the nurse? A. "Abuse is a horribly difficult thing to experience. Can anyone in the group relate to what she's feeling?" B. "Yes. Everyone here was ill-used and abused, but what makes you think that this is a reason to stab someone?" C. "Everyone agrees that you couldn't let him hurt your children. But is there anything you would do differently?" D. "Your story is very much like every woman's here. The problem is getting a jury to see that you were justified in stabbing him."
  2. A battered wife says, "My husband is a bully and a womanizer and certainly doesn't provide for his family, but he's never beat me up, so I don't think I can say he's abusive." Which response by the nurse is therapeutic? A. "Don't be so gullible. Your husband is an abuser." B. "How is it that he can maneuver you like he has?" C. "Do you believe that there are other forms of abuse besides the physical kind?" D. "Most emotionally battered spouses begin to heal once they start to identify the abusive behaviors."
  3. A client who is exhibiting psychotic behaviors is admitted to the psychiatric unit. In developing a plan of care, the nurse should identify which as the priority client problem? A. Disturbed thought processes B. Lack of knowledge about the behavior C. Inability to care for self with bathing procedures D. Altered nutrition: inadequate consumption of food
  4. A client with a history of panic disorder comes to the emergency department and states to the nurse, "Please help me. I think I'm having a heart attack." What is the priority nursing action? A. Assess the client's vital signs. B. Identify the client's activity during the pain. C. Assess for signs related to a panic disorder. D. Determine the client's use of relaxation techniques.
  5. A client who has a history of being sexually assaulted is found sucking her thumb while rocking in her bed and does not respond to verbal communication. The nurse should recognize that this behavior demonstrates which coping mechanism? A. Fantasy

B. Regression C. Displacement D. Compensation

  1. Which piece of subjective data obtained during assessment of a severely anxious client would indicate the possibility of post-traumatic stress disorder? A. "I'm always crying." B. "I'm afraid to go outside." C. "I keep reliving the abuse." D. "I keep washing my hands over and over."
  2. The nurse is performing an assessment on a client being admitted with a diagnosis of alcohol dependence who reports it's been 6 hours since the last drink. The information supports which assumption about the appearance of withdrawal symptoms? A. Signs may appear at any time. B. The next hour could be critical. C. Withdrawal has likely already started. D. The danger time has passed.
  3. Laboratory work is prescribed for a client who has been experiencing delusions. When the nurse approaches the client to obtain a specimen of blood, the client begins to shout, "You're all vampires. Let me out of here!" Which nursing response addresses the client's anxiety? A. "Do you remember discussing the lab work earlier?" B. "I'll leave and come back later for the specimen." C. "What makes you think that I am a vampire?" D. "It must be frightening to think that others want to hurt you."
  4. When discussing an individual's tendency to substance abuse , the nurse should identify which assessment data as a primary biological factor? A. The client is a 25 - year-old male. B. The client is employed as a firefighter. C. The client has 2 family members who have abused. D. The client is of German ethnic background.
  5. The nurse monitors a client diagnosed with anorexia nervosa understanding that the client manages anxiety by which action? A. Observing rigid rules and regulations B. Always reverting to the independent role C. Engaging in self-mutilating acts D. Constantly striving to avoid making decisions

D. Play soft instrumental music all night, and do not turn down the lights.

  1. An understanding of borderline personality disorder should help the nurse determine that which problem is the priority for the client? A. Low self-esteem B. Risk for self-harm C. Inability to cope D. Isolating self
  2. Which assessments should the nurse closely monitor when caring for a hospitalized client diagnosed with bulimia nervosa? Select all that apply. A. Electrolyte levels B. Exercise patterns C. Intake and output D. Pupillary response E. Elimination patterns
  3. A client has recently been diagnosed with cancer. The client says, “What did I do wrong to get such a disease?” Which nonverbal processes, along with the client's statement, would convey a congruent message? Select all that apply. A. A sad facial expression B. A cheerful expression C. A fearful tone of voice D. A sarcastic tone of voice E. An erect, confident posture
  4. The nurse is assessing a client who was diagnosed with posttraumatic stress disorder (PTSD) several months ago. During a comprehensive follow-up assessment, what areas should the nurse assess? Select all that apply. A. The client's use of alcohol or other drugs B. Characteristics of the client's sleep C. The effect of the client's PTSD on the family D. Assessment for tardive dyskinesia E. Assessment for extrapyramidal symptoms
  5. A nurse is assessing a client diagnosed with avoidant personality disorder. Which characteristic would the nurse expect to find? Select all that apply. A. Shyness B. Feelings of inadequacy C. Feelings of superiority D. Perfectionism E. Detail oriented
  1. The nurse is observing a coworker that is exhibiting some questionable behavior. Which are general warning signs of substance abuse that a nurse should be alert for in coworkers? Select all that apply. A. Poor work performance B. Frequent absenteeism C. Unusual behavior D. Slurred speech E. Isolation from peers F. Substance abuse is not a problem in health professionals
  2. The nurse is aware that fewer than half of rapes and sexual assaults are reported. Which are some of the reasons people do not report being sexually assaulted? Select all that apply. A. The client is embarrassed of the assault. B. They have a fear of being blamed for the incident. C. The perpetrator may use coercion or threats to control the victim. D. The victim is responsible for the attack. E. The person is concerned about the financial issues associated with the hospitalization.
  3. When a client repeatedly vocalizes an obscene phrase and imitates the motions of a staff member, the nurse documents that the client is most likely exhibiting symptoms of what disorder? A. Tourette's syndrome B. Autism spectrum disorder C. Phonological disorder D. Mixed receptive-expressive language disorder 83. Which nursing intervention should take priority for a child with attention deficit hyperactivity disorder ( ADHD)? A. Structured daily routine B. Ensuring the child's safety and that of others C. Simplifying instructions and directions D. Improved role performance
  4. A high school teacher has referred an adolescent to the school health nurse for repeated episodes of aggressive behavior and verbalizing profanities loudly at other students in the class. The adolescent can sometimes be apologetic. The nurse should suspect which disruptive behavior disorder? A. intermittent explosive disorder B. conduct disorder C. oppositional defiant disorder D. pyromania

C. ambivalent attachment. D. insecure attachment.

  1. Which experience could be the possible cause of grief due the loss of security and belonging for the client? A. Divorce B. Amputation C. Failure to achieve promotion at work D. Violence at workplace
  2. A client who had agreed to be hospitalized for depression has decided that he/she wants to leave the hospital. The mental health staff caring for the client realizes that at present the client can legally: A. leave even if doing so is against medical advice (AMA). B. leave the hospital after giving written notice of the client's intent to do so. C. be retained in the hospital against the client's will. D. be discharged if evaluated through administrative hearings. 93. Which statement accurately describes the insanity defense? A. It is rarely successful B. It is commonly used C. It is accepted by the public D. It is viewed positively by the courts
  3. The inappropriate use of restraints or seclusion is considered which form of intentional tort? A. Battery B. False imprisonment C. Assault D. Causation
  4. The school nurse is evaluating a 16-year-old student who came to the office complaining of dizziness. The student is very thin and was pacing in the office while waiting to see the nurse. The nurse asks the student to step on the scale. The student asks if the student can go to the bathroom first to empty the student's bladder, stating, “That can make a big difference.” The student's comment raises the nurse's suspicion that the student has ... A. binge-eating disorder. B. bulimia nervosa. C. anorexia nervosa. D. eating disorder not otherwise specified.
  1. Which of the following terms is used to describe the process by which a person experiences the grief? Bereavement
  2. The nurse is assessing a client who is grieving the loss of a spouse. According to Kubler- Ross’s stages of grieving, which statement indicates that the client is in the depression stage? "My spouse is gone. I am having a really hard time finding a reason to keep going."
  3. Which ethical principle requires a nurse to prevent clients from harming themselves or others? Nonmaleficence
  4. The nurse recognizes that the difference between a voluntary and an involuntary commitment is what? An involuntarily committed client may not initiate his or her own discharge
  5. The doctor ordered disulfiram for a client and the nurse is providing him with education. All the following interaction is associated with this medication is true except. I can take cough preparations contain alcohol
  6. The nurse vs teaching a client about buspirone which of the following information is true. This medication is used to treatment of anxiety and anxiety disorders Avoid taking this medication with alcohol
  7. Ingests foods containing tyramine when taking MAOI can cause which of the following Hypertensive crisis
  8. A client as the nurse how methylphenidate works in her body. The competent nurse responded to the by stating: The Mechanism of action for methylphenidate Block reuptake of neurotransmitters
  9. Client tells the nurse that she has a drink every morning to calm her nerves and stop her tremors. The nurse realizes the client is at risk for a anxiety Physical dependence
  10. Building trust is important in The orientation phase of the relationship
  11. The client tells the nurse,” My biggest problem right now is trying to deal with a divorce. I didn’t want a divorce and still don’t. But it is happening anyway!” which of the following responses by the nurse will convey empathy? sounds like it has been a difficult time
  12. Which is an example of an open-ended question? What concerns you most about your health