Download ATI RN Mental Health Proctored Exam 2025-2026 with NGN (100% CORRECT Questions and Answe and more Exams Nursing in PDF only on Docsity!
ATI RN Mental Health Proctored Exam 202 5 - 2026 with NGN (100% CORRECT Questions and Answers) - Complete Actual Exam for RN Mental Health 202 5 A charge nurse is discussing mental status exams with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select all that apply). - --ANSWER----To assess cognitive ability, I should ask the client to count backward by sevens."
- To assess affect, I should observe the client's facial expression.
- To assess language ability, I should instruct the client to write a sentence."
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? - -- ANSWER---Monitor the client for adverse effects of the medications. 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? - --ANSWER---Identify the client's perception of her mental health status. A nurse is told during change of shift report that a client is stuporous. When assessing the client, which of the following findings should the nurse expect? - --ANSWER--
- The client arouses briefly in response to a sternal rub. A nurse is planning a peer group discussion about the DSM-5. Which of the following information is appropriate to include in the discussion? (Select all that apply) - --
my roommate, who is always yelling at me and threatening me." Which of the following actions should the nurse take? - --ANSWER---Report the incident to the health care team, but do not inform the client of the intention to do so. A nurse is caring for a client who is in mechanical restraints. Which of the following statements should the nurse include in the documentation? (Select all that apply) - --ANSWER----Client was offered 8 oz of water every hr."
- Client shouted obscenities at assistive personnel."
- Client received chlorpromazine 15 mg by mouth at 1000. A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway with another nurse. Which of the following actions should the nurse take first? - -- ANSWER---Tell the nurse to stop discussing the behavior A nurse is caring for the parents of a child who has demonstrated changes in behavior and mood. When the mother of the child asks the nurse for reassurance about
her son's condition, which of the following responses should the nurse make? - --ANSWER---I understand you're concerned. Let's discuss what concerns you specifically." A nurse is caring for a client who smokes and has lung cancer. The client reports, "I'm coughing because I have that cold that everyone has been getting." The nurse should identify that the client is using which of the following defense mechanisms? - --ANSWER---Denial A nurse is providing preoperative teaching for a client who was just informed that she requires emergency surgery. The client has a respiratory rate 30/min and says, "This is difficult to comprehend. I feel shaky and nervous." The nurse should identify that the client is experiencing which of the following levels of anxiety? - -- ANSWER---Moderate A nurse is caring for a client who is experiencing moderate anxiety. Which of the following actions should the nurse take when trying to give necessary information
transference behavior? - --ANSWER---The client accuses the nurses of telling him what to do just like his ex- girlfriend. A nurse is planning care for the termination phase of a nurse-client relationship. Which of the following actions should the nurse include in the plan of care? - --ANSWER- --Discussing ways to use new behaviors A nurse is orienting a new client to a mental health unit. When explaining the unit's community meetings, which of the following statements should the nurse make? - -- ANSWER---You and the other clients will meet with staff to discuss common problems. A nurse is caring several clients who are attending community-based mental health programs. Which of the following clients should the nurse plan to visit first? - -- ANSWER---A client who says he is hearing a voice that tells him he is not worth living anymore.
A community mental health nurse is planning care to address the issue of depression among older adult clients in the community. Which of the following interventions should the nurse plan as a method of tertiary prevention? - --ANSWER---Establishing rehabilitation programs to decrease the effects of depression A nurse is working in a community mental health facility. Which of the following services does this type of program provide? (Select all that apply) - --ANSWER----Educational groups
- Medication dispensing programs
- Individual counseling programs
- Family therapy A nurse in an acute mental health facility is assisting with discharge planning for a client who has a severe mental illness and requires supervision much of the time. The client's wife works all day but is home by late afternoon. Which of the following strategies should the nurse suggest as appropriate follow-up care? - --ANSWER--- Attending a partial hospitalization program
- A nurse is preparing to implement cognitive reframing techniques for a client who has an anxiety disorder. Which of the following techniques should the nurse include in the plan of care? (Select all that apply) - -
- ANSWER----Priority restructuring
- Monitoring thoughts
- Journal keeping A nurse is caring for a client who has a new prescription for disulfiram for treatment of alcohol use disorder. The nurse informs the client that this medication can cause nausea and vomiting if he drinks alcohol. Which of the following types of treatment is this method an example?
- --ANSWER---Aversion therapy A nurse is assisting with systematic desensitization for a client who has an extreme fear of elevators. Which of the following actions should the nurse implement with this form of therapy? - --ANSWER---Gradually expose the client to an elevator while practicing relaxation techniques.
A nurse wants to use democratic leadership with a group whose purpose is to learn appropriate conflict resolution techniques. The nurse is correct in implementing this form of group leadership when she demonstrates which of the following actions? - --ANSWER---Observes group techniques without interfering with the group process A nurse is planning group therapy for clients dealing with bereavement. Which of the following activities should the nurse include in the initial phase? (Select all that apply) - --ANSWER----Define the purpose of the group
- Discuss termination of the group
- Establish an expectation of confidentiality within the group A nurse working on an acute mental health unit forms a group to focus on self-management of medications. At each of meetings, two of the members use the opportunity to discuss their common interest in gambling on sports. This is an example of which of the following concepts? - --ANSWER---Hidden agenda
identify as an acute stress response? (Select all that apply) - --ANSWER---A. Chronic pain B. Depressed immune system E. Unhappiness A nurse is teaching a client about stress-reduction techniques. Which of the following client statements indicates understanding of the teaching? - --ANSWER--- Cognitive reframing will help me change my irrational thoughts to something positive. A client says she is experiencing increased stress because her significant other is "pressuring me and my kids to go live with him. I love him, but I'm not ready to do that." Which of the following recommendations should the nurse make to promote a change in the client's situation?
- --ANSWER---Use assertiveness techniques A nurse is caring for a client who states, "I'm so stressed at work because of my coworker. He expects me to finish his work because he's too lazy!" When discussing effective communication, which of the following
statements by the client to his coworker indicates client understanding? - --ANSWER---When I have to pick up extra work, I feel very overwhelmed. I need to focus on my own responsibilities A nurse is providing teaching for a client who is scheduled to receive ECT for the treatment of major depressive disorder. Which of the following client statements indicates understanding of the teaching? - -- ANSWER---I will receive a muscle relaxant to protect me from injury during ECT A charge nurse is discussing TMS with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? - --ANSWER---"I will schedule the client for daily TMS treatments for the first several weeks." A nurse is assessing a client immediately following an ECT procedure. Which of the following findings should the nurse expect? (Select all that apply) - --ANSWER---C. Memory loss
A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take? - --ANSWER---Stay with the client and remain quiet A nurse is assessing a client who has generalized anxiety disorder. Which of the following findings should the nurse expect? (Select all that apply) - --ANSWER---A. Excessive worry for 6 months D. Restlessness E. Need for reassurance A nurse is caring for a client who has body dysmorphic disorder. Which of the following actions should the nurse plan to take first? - --ANSWER---Assessing the client's risk for self harm A nurse is caring for a client who has acute stress disorder and is experiencing severe anxiety. Which of the following statements should the nurse make? - -- ANSWER---Tell me about how you are feeling right now."
A nurse working on an acute mental health unit is caring for a client who has PTSD. Which of the following findings should the nurse expect? (Select all that apply) - -- ANSWER---A. Difficulty concentrating on tasks C. Negative self-image D. Recurring nightmares A nurse is involved in a serious and prolonged mass casualty incident in the emergency department. Which of the following strategies should the nurse use to help prevent developing a trauma-related disorder? (Select all that apply) - --ANSWER---B. Take breaks during the incident for food and water C. Debrief with others following the incident E. Take advantage of offered counseling A nurse is collecting an admission history for a client who has acute stress disorder (ASD). Which of the following information should the nurse expect to collect? - -- ANSWER---The client expresses a sense of unreality about the traumatic event
E. Being married A nurse working on an acute mental health unit is admitting a client who has major depressive disorder and comorbid anxiety disorder. Which of the following actions is the nurse's priority? - --ANSWER---Placing the client on one-to-one observation A nurse working in an outpatient clinic is providing teaching to a client who has a new diagnosis of premenstrual dysphoric disorder (PMDD). Which of the following statements by the client indicates understanding of the teaching?'' - --ANSWER---I am aware that my PMDD causes me to have rapid mood swings." A charge nurse is discussing the care of a client who has MDD with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? - --ANSWER---The client is at greatest risk for suicide during the first weeks of an MDD episode.
A nurse is interviewing a 25-year-old client who has a new diagnosis of dysthymic disorder. Which of the following findings should the nurse expect? - --ANSWER--
- Presence of manifestations for at least 2 years A nurse is planning care for a client who has bipolar disorder and is experiencing a manic episode. Which of the following interventions should the nurse include in the plan of care? (Select all that apply )' - --ANSWER---B. Offer concise explanations C. Establish consistent limits E. Use a firm approach with communication A nurse is teaching a newly licensed nurse about the use of ECT for the treatment of bipolar disorder. Which of the following statements by the newly licensed nurse indicates understanding? - --ANSWER---"ECT is effective for client's who are experiencing severe mania."'
