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(NGN) ATI MENTAL HEALTH PROCTORED EXAM TSTBANK||2025-2026||WITH 160 QUESTIONS AND ANSWERS, Exams of Nursing

(NGN) ATI MENTAL HEALTH PROCTORED EXAM TSTBANK||2025-2026||WITH 160 QUESTIONS AND CORRECT ANSWERS||A+ GRADE

Typology: Exams

2024/2025

Available from 04/16/2025

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(NGN) ATI MENTAL HEALTH PROCTORED EXAM
TSTBANK||2025-2026||WITH 160 QUESTIONS AND
CORRECT ANSWERS||A+ GRADE
1. A client is taking sertraline (Zoloft). The nurse explains to the client that how
much time pass before the onset of this medication occurs?
1- 5-7 days
2- 1-4 weeks.
3- 4-6 weeks
4- 4-8 weeks
2. A client with a diagnosis of passive-aggressive personality disorder is seen at
the local mental health clinic. A common characteristic of persons with passive-
aggressive personality disorder is:
1- Superior
intelligence 2-
Underlying
hostility
3- Dependence on
others 4- Ability to
share feelings
3. The client is admitted for evaluation of aggressive
behavior and diagnosed with antisocial personality
disorder. A key part of the care of such clients is:
1- Setting realistic limits
2- Encouraging the client to express remorse
for behavior 3- Minimizing interactions with
other clients
4- Encouraging the client to act out feelings of rage
4. An important intervention in monitoring the dietary compliance of a
client with bulimia is: 1- Allowing the client privacy during mealtimes
2- Praising her for eating all her meal
3- Observing her for 1 - 2 hours after meals.
4- Encouraging her to choose foods she likes and to eat in moderation
5. A client is receiving paroxetine (Paxil) 20 mg every morning. After taking the
first three doses, the client tells the nurse that the medication upsets his stomach.
Which of the following instructions would the nurse give to the client?
1- “Take the medication an hour before breakfast”.
2- Take the medication
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Download (NGN) ATI MENTAL HEALTH PROCTORED EXAM TSTBANK||2025-2026||WITH 160 QUESTIONS AND ANSWERS and more Exams Nursing in PDF only on Docsity!

(NGN) ATI MENTAL HEALTH PROCTORED EXAM

TSTBANK|| 2025 - 2026||WITH 160 QUESTIONS AND

CORRECT ANSWERS||A+ GRADE

  1. A client is taking sertraline (Zoloft). The nurse explains to the client that how much time pass before the onset of this medication occurs? 1 - 5 - 7 days 2 - 1 - 4 weeks. 3 - 4 - 6 weeks 4 - 4 - 8 weeks
  2. A client with a diagnosis of passive-aggressive personality disorder is seen at the local mental health clinic. A common characteristic of persons with passive- aggressive personality disorder is: 1 - Superior intelligence 2 - Underlying hostility 3 - Dependence on others 4 - Ability to share feelings
  3. The client is admitted for evaluation of aggressive behavior and diagnosed with antisocial personality disorder. A key part of the care of such clients is: 1 - Setting realistic limits 2 - Encouraging the client to express remorse for behavior 3 - Minimizing interactions with other clients 4 - Encouraging the client to act out feelings of rage
  4. An important intervention in monitoring the dietary compliance of a client with bulimia is: 1 - Allowing the client privacy during mealtimes 2 - Praising her for eating all her meal 3 - Observing her for 1 - 2 hours after meals. 4 - Encouraging her to choose foods she likes and to eat in moderation
  5. A client is receiving paroxetine (Paxil) 20 mg every morning. After taking the first three doses, the client tells the nurse that the medication upsets his stomach. Which of the following instructions would the nurse give to the client? 1 - “Take the medication an hour before breakfast”. 2 - “ Take the medication

with some food”. 3 - 3 - “Take the medication at bedtime”. 4 - “Take the medication with 4 ounces of orange juice”.

  1. A client had assumed a new identity and gained employment when he was found 400 miles away from his home. The mental health nurse interprets that this client’s behavior is characteristic of: 1.‐ Amnesia. 2.‐ Akathisia. 3.‐ Confabulation . 4.‐ Fugue state
  2. If the nurse notes the following symptoms after the client diagnosed with depression begin taking sertraline, which one is most likely drug related? 1 - Polyuria 2 - Diplopia 3 - Drooling 4 - Insomnia
  3. The physician has changed a client’s medication order from a selective serotonin reuptake inhibitor (SSRI) to a monoamino oxidase inhibitor (MAOI). To decrease the risk of serotonin syndrome, the time period between the 2 medications should be: 1 - 5 days 2 - 10 days 3 - 14 days 4 - 21 days
  4. The client states to the nurse: “I take citalopram every day like my physician prescribed. I have also been taking St John’s wort daily for the past 2 weeks. Which of the following would lead the nurse to suspect that the client is developing serotonin syndrome? Select all that apply.
  1. A client is admitted to the acute care unit. Initial laboratory values reveal serum sodium of 170meq/L. What behavior changes would be most common for this client? 1 - Anger 2 - Mania 3 - Depressi on 4 - Psychosis
  2. A client who has had three episodes of endogenous depression within the last 2 years states to the nurse: “I want to know why I am so depressed”. Which of the following statements by the nurse would be most helpful? 1 - “I know you’ll get better with the right medications”. 2 -Let’s discuss possible reasons underlying your depression”. 3 - “Your depression is most likely caused by a brain chemical imbalance”. 4 - “Members of your family seem very supportive of you”.
  3. When teaching a client about her depressive mood, the nurse is aware that the client demonstrates correct understanding about her disease if the client states that the symptoms are a result of: 1 - Excessive serotonin activity in the central nervous systems (CNS). 2 - Insufficient serotonin activity in the CNS. 3 - 3 - Excessive dopamine activity in the CNS. 4 - Insufficient dopamine in the CNS.
  4. A client with amnesia is hospitalized. What might the nurse expect to find during the initial assessmen t? 1.‐ Confabulation of historical information 2.‐ Gradual loss of memory over months 3.‐ Disheveled appearance 4.‐ History of severe stress
  5. The client is being admitted to the inpatient psychiatric unit. The nurse determines that which of the following must be mandatorily present in order to be diagnosed with major depression?

1 - Suicidal thoughts or plan of suicide. 2 - History of one or more depressive episodes. 3 - Loss of appetite. 4 - Loss of interest in previously enjoyed activities.

  1. The nurse should consider the irregularities in which of the following body systems before an accurate diagnosis of mood disorder can be assigned? 1 - Integumentary 2 - Cardiovascular 3 - Respiratory 4 - Endocrine
  2. In planning care for the patient with ulcerative colitis, the nurse identifies which nursing diagnosis as a priority? 1 - Anxiety 2 - Impaired skin integrity 3 - Fluid volume deficit 4 - Nutrition altered, less than body requirements
  3. The patient is prescribed metronidazole (Flagyl) for adjunct treatment for a duodenal ulcer. When teaching about this medication, the nurse would include: 1 - This medication should be taken only until you begin to feel better. 2 - This medication should be taken on an empty stomach to increase absorption. 3 - While taking this medication, you do not have to be concerned about being in the sun. 4 - While taking this medication, alcoholic beverages and products containing alcohol should be avoided. 22.An older adult who readily admits to memory loss may be experiencing which one of the following diseases? 1 - Dementia 2 - Depression 3 - Huntington’s disease. 4 - Parkinson’s disease.
  4. An adolescent may exhibit depression differently from an adult. It is most likely to exhibit which behavior?

experiences confirmed and to learn to deal with the different personalities.”

  1. ‐ “There is probably a mistake in the referral; your partner is the one who has the problem.” 3.‐ “You and your partner should be seen, but it could be traumatizing to the children.” 4.‐ “It would be best to ask the children if they would like to participate, and bring them if they want.”
  2. The client exhibits a flat affect and depressed mood. The nurse attempts to engage the client in an interaction but the client does not respond to the nurse. Which of the following responses by the nurse would be most appropriate? 1 - “I’ll come back a little bit later to talk”. 2 - “ I’ll sit here with you for 15 minutes”. 3 - “I’ll find someone else for you to talk with”. 4 - “I’ll get you something to read”. 29.When a client with symptoms of severe depression says to the nurse: “I can’t talk; I have nothing to say”, and continues being silent, what should the nurse do? 1 - Say: “All right. You don’t have to talk. Let’s play cards, instead”. 2 - Explain that talking is an important sign of getting well and that the client is expected to do so. 3 - Be silent until the client speaks again. 4 - Say: “It may be difficult for you to speak at this time; perhaps you can do so at another time”.
  3. The nurse is caring for a client hospitalized with bipolar disorder, manic phase who is taking lithium. Which of the following snacks would be best for the client with mania? 1 -. Potato chips 2 -. Diet cola 3 - Apple 4 - Milkshake 31.On the second day of hospitalization, a depressed client comes to the dayroom dressed neatly in slacks and a blouse, with hair combed back in a ponytail. The nurse should make which statement to the client?

1 - ‘Wow, you look terrific”. 2 - “You must be feeling better today”. 3 -I notice that you are dressed and your hair is combed”. 4 - “This is a first time event! “. 32.A client with major depression is on suicide precautions since being admitted two days ago. While for mulating the care plan, the nurse includes which of the following interventions pertaining to saf e medication administration?

  1. ‐ Always crush the medication and put it in applesauce. 2.Ask the nursing assistant to watch the client drink all of the water given with the medication.
  2. ‐ Observe the same safety precautions of medication administration as for all clients. 4.‐ Remain with the client at least five minutes after medication administration.
  3. During a group session, a client who is depressed tells the group that he lost his job. Which of the following responses by the nurse would be the best? 1 - “It must have been very upsetting for you ”. 2 - “Would you tell us about your job”. 3 - “You will find another job when you’re better”. 4 - “You were probably too depressed to work”.
  4. The nurse administering atypical antipsychotic medications is aware that they have been defined as having which of the following characteristics? 1 - High risk for tardive dyskinesia. 2 - Minimal to non-risk for extrapyramidal effects. 3 - Effective in treating only positive symptoms of schizophrenia. 4 - Effective in treating only negative symptoms of schizophrenia. 35.A client is to begin the antipsychotic treatment with clozapine (Clozaril). Which of the following is the top priority in the follow-up plan of care? 1 - Monitor liver enzymes monthly. 2 - Monitor for changes in WBC weekly. 3 - Monitor only serum creatinine levels. 4 - Monitor serum sodium levels for sodium imbalances.

(Thorazine) 4.‐ Thioridazine (Mellaril)

  1. The nurse reviews discharge instructions with a patient receiving risperidone (Risperdal) 4 mg po bid. Which of the following statements, if made by the patient to the nurse, indicates the need for further teaching? 1 - “I know I have to take it even though I am no longer depressed”. 2 - “I will report any changes in my sleeping habits”. 3 - “I will avoid exposure to extreme heat conditions”. 4 - “I will cause caution when I change positions”.
  2. The international nurse who has recently begun practice in the United States would conclude which of the following culture-bound syndromes is associated with western societies? 1 - Anorexia nervosa. 2 - Trance dissociation. 3 - Susto 4 - The evil eye.
  3. A client with bipolar disorder is discharged with a prescription for Depakote (divalproex sodium). The nurse should remind the client of the need for: 1 - Frequent dental visits 2 - Frequent lab work 3 - Additional fluids 4 - Additional sodium
  4. When developing a teaching plan for a high school health class about anorexia nervosa, which of the following would the nurse include as the primary group affected by this disease? 1 - Women, age at onset between 12 and 20 years. 2 - Men. Onset during the college years. 3 - Women, onset typically after 30 years of age. 4 - Men, onset before 20 years of age.
  5. The nurse is teaching a group of young adolescents about eating disorders.

The nurse would consider the sessions effective if the participants state that anorexia nervosa is best defined as an eating disorder that occurs: 1 - Only in young girls who are depressed. 2 - Mainly in young girls who perceive themselves to be grossly overweight. 3 - Primarily in young girls who live in chaotic families.

through this, I'll never drink again." Based on what the client is saying, you begin your assessment by first asking the client: 1.‐ "When was the last time you drank alcohol?" 2.‐ "Are you taking antihypertensive medications?" 3.‐ "Have you eaten today?" 4.‐ " Are you taking Antabuse?"

  1. During a home visit, the nurse suspects that a young daughter of the client is bulimic. The nurse bases the suspicion on which primary characteristic of bulimia? 1 - Eating binges and purging. 2 - Eating only vegetables and fruits. 3 - Refusing to eat. 4 - Hoarding of food.
  2. Which of the following best describes binge eating? 1 - The client has been slowly consuming a large amount of food. 2 - The client is very hungry and consumes a large amount of foods. 3 - The client has been rapidly consuming a large amount of food. 4 - The client is thin but very concerned about her weight. 52.A client with bulimia binges frequently. The nurse interprets these binges as most likely involving which of the following for the client? 1 - Feelings of euphoria and gratification. 2 - Feeling out of control and disgusted with self. 3 - Leaving traces of food to attract attention. 4 - Eating increasing amounts of food for substantial weight gain. 53.When the nurse is caring for a client with depersonalization, it is most important that the plan of care in clude which of the following? 1.Frequent reorientation to time and date
  3. ‐ Assistance with expressing self verbally 3.‐ Teaching about the importance of long term treatment 4.‐ Protection from self mutilation.
  4. What would be the most common acid-base problem in a client who has bulimia? 1 - Respiratory acidosis. 2 - Metabolic acidosis.

3 - Metabolic alkalosis. 4 - Respiratory alkalosis.

  1. The nurse is conducting a physical examination of a client suspected to have bulimia. Which of the following observations by the nurse would most likely indicate bulimia? 1 - The client has edema of the lower extremities. 2 - Physical exam of the client reveals the presence of lanugo. 3 - The client has ulcerated mucous membranes of the mouth. 4 - The client has dry, yellowish color of the skin.
  2. Which approach should the nurse use to develop a trusting relationship with the client who has an eating disorder? 1 - Set strict limits that are detailed and numerous. 2 - Encourage use of (testing” behaviors. 3 - Tell the client how to behave. 4 - Utilize consistency and gentle firmness.
  3. The nurse cares for client’s diagnosed eating disorders. The nurse understands that it is most important to assess for which of the following problems? 1 - Aggressive behavior and feelings of anger. 2 - Poor self-identity and poor self-esteem. 3 - Difficulty focusing on reality. 4 - Challenges regarding family boundaries. 58.A client with schizophrenia is receiving depot injections of Haldol Deconate (haloperidol decanoate). The client should be told to return for his next injection in: 1 - 1 week 2 - 2 weeks 3 - 4 weeks 4 - 6 weeks 59.As part of assessment activities to determine if the client is alcohol dependent, the nurse needs to conduct a CAGE assessment with the client. Which question asked by the nurse would not be consistent with the structure of CAGE? Have

“Addiction is a behavioral habit”. 4 - “ Addiction is an emotional attachment”.

  1. The client with a bipolar disorder is being discharged today on lithium. Which of the following would be the most likely reason the client will be readmitted to the inpatient unit?
  2. ‐ There will be a crisis in the client's family.
  3. ‐ The client will begin a diet regime to lose weight. 3.The client will stop taking lithium as prescribed. 4.‐ The client's spouse will become seriously ill. 65.A nurse working in the addictions unit is stopped in the cafeteria by a coworker who states she is upset about something the nurse told a client. The client understands that the nurse said, “If your drinking has created any problems for you, then you have addiction”. The nurse clarifies that the statements was, “If you have the hallmark symptom of drinking, you have addiction”. The nurse goes on to share which of the following as the hallmark? 1 - Use despite negative consequences. 2 - Impaired control of use. 3 - Withdrawal 4 - Tolerance 5 - 66. A client with paranoid schizophrenia has an order for Thorazine (chlorpromazine) 400mg orally twice daily. Which of the following symptoms should be reported to the physician immediately? 1 - Fever, sore throat, weakness 2 - Dry mouth, constipation, blurred vision 3 - Lethargy, slurred speech, thirst 4 - Fatigue, drowsiness, photosensitivity
  4. In teaching a high school health class, the nurse should emphasize the possibility of which of these? 1 - Biliary cirrhosis. 2 - Cholecystitis. 3 - Laennec’s cirrhosis. 4 - Cancer of the

liver.

  1. The client is admitted to the hospital with acute pancreatitis. The nurse taking a history should question the client about which of these risks for developing pancreatitis? 1 - Inflammatory bowel disease. 2 - Alcoholism 3 - Diabetes Mellitus 4 - High fiber diet.
  2. The nurse assessing a client with dissociative identity disorder (DID) is most likely to note which of the following? 1.‐ History of headaches 2.‐ Elated mood 3.‐ Intact memory for recent and remote events 4.‐ Stocking anesthesia
  3. The nurse is caring for a group of clients and identifies which of the following as being at risk for the development of folic acid deficiency anemia? 1 - Obese individuals. 2 - Alcoholics 3 - Young adults. 4 - Athletes
  4. The psychiatrist is prescribing chlorpromazine (Thorazine) 50 mg IM as an initial dose for a client hospitalized with psychosis. Your initial concern is to monitor: 1.Blood pressure and pulse.
  5. ‐ A decrease in psychotic symptoms. 3.‐ The client's ability to walk. 4.‐ The client's ability to eat lunch.
  6. The nurse is working in the maternal area. When questioned by the client, the

the following are mo st important client teaching objectives?

  1. ‐ Give the client written and oral instructions on how to take daily doses of the medication.
  2. ‐ Instruct family members how to notify the appropriate health care professional after discharge. 3 .‐ Give client written and oral instructions about medication administration, side effects, adverse effects, and food interactions. 4.‐ Instruct the client's family about the administration of medication. 78.Having requested it is as part of a comprehensive treatment program, the client is to receive disulfiram (Antabuse). Which statement should the nurse include when teaching the client about this drug? 1 - “Inhaling fumes from paints and wood stains may cause a disulfiram reaction”. 2 - “Eating inadequately cooked seafood may lead to disulfiram resistance”. 3 - “Taking disulfiram will reduce your physical craving for alcohol”. 4 - “If you consume alcohol while taking disulfiram, rapid intoxication will occur”. 79.A client diagnosed with alcoholism is scheduled to take disulfiram (Antabuse). Which of the following statements, if made by the client to the clinic nurse, most concerns the nurse? 1 - “I will take it at night, so it helps me sleep”. 2 - “I like to work on craft, specially unfinished furniture”. 3 - “I understand that Antabuse loses its effectiveness over time”. 4 - “I hope this works. I’m tired of being drunk”.
  3. Which instruction would not be included in the discharge teaching of the client receiving chlorpromazine (Thorazine)? 1 - You will need to wear protective clothing or a sunscreen when you are outside. 2 - You will need to avoid eating aged cheese. 3 - You should carry hard candy with you to decrease dryness of the mouth. 4 - You should report a sore throat immediately. 81.Disulfiram (Antabuse) has been prescribed for a client, and the nurse provides instructions to the client about the medication. Which statement by the client indicates the need for further instructions? 1 - “I must be careful taking cold medicines”. 2 - “I will have to check my aftershave lotion”. 3 - “As long as I