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ATI Mental Health Proctored Exam
Question 1
A nurse is caring for a client who has a new prescription for disulfiram for treatment of alcohol use disorder. Which of the following client statements indicates an understanding of the teaching? A. "I can drink a small amount of alcohol while taking this medication." B. "I should avoid using alcohol-based mouthwash." C. "This medication will prevent me from craving alcohol." D. "I will feel better within a few hours of taking this medication." Correct Answer(s): B. I should avoid using alcohol-based mouthwash.
Question 2
A nurse is caring for a client who has borderline personality disorder. The client says, "The nurse on the evening shift is always nice! You are the meanest nurse ever!" The nurse should recognize the client's statement as an example of which of the following defense mechanisms? A. Regression. B. "Splitting." C. Undoing. D. Identification.
Correct Answer(s): B. Splitting.
Question 3
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." Correct Answer(s): D. Monitor the client for adverse effects of the medications.
Question 4
A nurse is discussing acute vs prolonged stress with a client. Which of the following effects should the nurse identify as an acute stress response? (Select all that apply.) A. Chronic pain. B. Depressed immune system. C. "Increased blood pressure." D. "Panic attacks." E. "Unhappiness."
D. "Let's discuss the medications your provider is prescribing to decrease your anxiety." Correct Answer(s): A. Tell me about how you are feeling right now.
Question 7
A nurse is completing an admission assessment for a client who has schizophrenia. Which of the following findings should the nurse document as positive symptoms? (Select all that apply.) A. "Auditory hallucination." B. Lack of motivation. C. "Use of clang association." D. "Delusion of persecution." E. Constantly waving arms. F. Flat affect. Correct Answer(s): A. Auditory hallucination. C. Use of clang association. D. Delusion of persecution.
Question 8
A nurse is caring for a client who has anorexia nervosa. Which of the following findings requires immediate intervention by the nurse?
A. Blood pH 7.40. B. "Heart rate 44/min." C. Blood pressure 110/70 mm Hg. D. Serum potassium 3.8 mEq/L. Correct Answer(s): B. Heart rate 44/min.
Question 9
A nurse is discussing relapse prevention with a client who has bipolar disorder. Which of the following information should the nurse include in the teaching? (Select all that apply.) A. Use caffeine in moderation to prevent relapse. B. "Difficulty sleeping can indicate a relapse." C. "Begin taking your medications as soon as a relapse begins." D. "Participating in psychotherapy can help prevent a relapse." E. "Anhedonia is a clinical manifestation of a depressive relapse." Correct Answer(s): B. Difficulty sleeping can indicate a relapse. C. Begin taking your medications as soon as a relapse begins. D. Participating in psychotherapy can help prevent a relapse. E. Anhedonia is a clinical manifestation of a depressive relapse.
Question 10
Question 12
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.) A. Encourage the group to work toward goals. B. "Define the purpose of the group." C. "Discuss termination of the group." D. "Identify informal roles of members within the group." E. "Establish an expectation of confidentiality within the group." Correct Answer(s): B. Define the purpose of the group. C. Discuss termination of the group. D. Identify informal roles of members within the group. E. Establish an expectation of confidentiality within the group.
Question 13
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? A. Reaction formation. B. "Denial." C. Displacement. D. Sublimation.
Correct Answer(s): B. Denial.
Question 14
A nurse is assessing a client who has alcohol use disorder and is experiencing withdrawal. Which of the following findings should the nurse expect? (Select all that apply.) A. "Tremors." B. "Sweating." C. Decreased appetite. D. "Nausea." E. "Restlessness." Correct Answer(s): A. Tremors. B. Sweating. D. Nausea. E. Restlessness.
Question 15
A nurse is caring for a client who has a new prescription for phenelzine to treat depression. The nurse should instruct the client to avoid which of the following foods? A. Low-fat yogurt.
A 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). A. "To assess cognitive ability, I should ask the client to count backward by sevens." B. "To assess affect, I should observe the client's facial expression." C. "To assess language ability, I should instruct the client to write a sentence." D. "To assess remote memory, I should have the client repeat a list of objects." E. "To assess the client's abstract thinking, I should ask the client to identify our most recent presidents." Correct Answer(s): A. To assess cognitive ability, I should ask the client to count backward by sevens. B. To assess affect, I should observe the client's facial expression. C. To assess language ability, I should instruct the client to write a sentence. E. To assess the client's abstract thinking, I should ask the client to identify our most recent presidents.
Question 18
A nurse is caring for a client who has ADHD and a new prescription for methylphenidate. Which of the following adverse effects should the nurse monitor for? (Select all that apply.) A. "Weight loss." B. "Insomnia." C. "Increased heart rate."
D. Constipation. E. Hypersalivation. Correct Answer(s): A. Weight loss. B. Insomnia. C. Increased heart rate.
Question 19
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? A. "Discussing ways to use new behaviors." B. Practicing new problem-solving skills. C. Developing goals. D. Establishing boundaries. Correct Answer(s): A. Discussing ways to use new behaviors.
Question 20
A nurse is caring for a client who is taking lithium to treat bipolar disorder. The client’s most recent lithium level is 2.0 mEq/L. Which of the following actions should the nurse take? A. Continue to administer the medication as prescribed. B. "Notify the provider immediately."
A. "Nausea." B. "Headache." C. Increased appetite. D. "Tremors." E. Constipation. Correct Answer(s): A. Nausea. B. Headache. D. Tremors.
Question 23
A nurse is assessing a client who has been taking aripiprazole for 6 months to treat schizophrenia. Which of the following findings should the nurse report to the provider? A. Dry mouth. B. "Tremors." C. Increased appetite. D. Sedation. Correct Answer(s): B. Tremors.
Question 24
A nurse is assessing a client immediately following an ECT procedure. Which of the following findings should the nurse expect? (Select all that apply.) A. Hypotension. B. Paralytic ileus. C. "Memory loss." D. "Nausea." E. "Confusion." Correct Answer(s): C. Memory loss. D. Nausea. E. Confusion.
Question 25
A nurse is caring for a client who has a new diagnosis of anorexia nervosa. Which of the following findings should the nurse expect? (Select all that apply.) A. "Bradycardia." B. "Lanugo." C. "Hypokalemia." D. Absence of menses for 1 month. E. "Fear of gaining weight." Correct Answer(s): A. Bradycardia. B. Lanugo.
Question 28
A nurse is teaching a parent about bulimia nervosa. Which of the following statements should the nurse include in the teaching? (Select all that apply.) A. "Binge eating is common in clients who have bulimia nervosa." B. "Clients with bulimia nervosa are at risk for erosion of tooth enamel." C. "Clients who have bulimia nervosa can have a normal body weight." D. Clients who have bulimia nervosa have a history of extreme weight loss. E. Clients who have bulimia nervosa have a distorted body image. Correct Answer(s): A. Binge eating is common in clients who have bulimia nervosa. B. Clients with bulimia nervosa are at risk for erosion of tooth enamel. C. Clients who have bulimia nervosa can have a normal body weight.
Question 29
A nurse is caring for a client who has substance-induced psychotic disorder and is experiencing auditory hallucinations. The client states, "The voices won't leave me alone!" Which of the following statements should the nurse make? (Select all that apply.) A. "When did you start hearing the voices?" B. "The voices are not real, or else we would both hear them." C. "It must be scary to hear voices." D. "Are the voices telling you to hurt yourself?" E. "Why are the voices talking to only you?"
Correct Answer(s): A. When did you start hearing the voices? C. It must be scary to hear voices. D. Are the voices telling you to hurt yourself?
Question 30
A nurse is teaching a client who is to start taking methadone to treat opioid use disorder. Which of the following client statements indicates an understanding of the teaching? A. "I can drink alcohol occasionally while taking this medication." B. "I should expect this medication to decrease my opioid cravings." C. "I will need to take this medication for only a few weeks." D. "This medication will cause me to experience withdrawal symptoms." Correct Answer(s): B. I should expect this medication to decrease my opioid cravings.
Question 31
A nurse is caring for a client who has a history of opioid use disorder and is experiencing withdrawal. The client states, "I feel so bad, like I have the flu." Which of the following medications should the nurse expect the provider to prescribe? A. Naloxone. B. "Methadone."
C. "I need to feel that everyone admires me." D. "I sometimes feel better if I cut myself." Correct Answer(s): A. I'm scared that you're going to leave me.
Question 34
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) A. The DSM-5 includes client education handouts for mental health disorders. B. "The DSM-5 establishes diagnostic criteria for individual mental health disorders." C. The DSM-5 indicates recommended pharmacological treatment for mental health disorders. D. "The DSM-5 assists nurses in planning care for client's who have mental health disorders." E. "The DSM-5 indicates expected assessment findings of mental health disorders." Correct Answer(s): B. The DSM-5 establishes diagnostic criteria for individual mental health disorders. D. The DSM-5 assists nurses in planning care for client's who have mental health disorders. E. The DSM-5 indicates expected assessment findings of mental health disorders.
Question 35
A nurse is caring for a client who has schizoaffective disorder. Which of the following statements indicates the client is experiencing depersonalization? A. "I am a superhero and am immortal." B. "I am no one, and everyone is me." C. "I feel monsters pinching me all over." D. "I know that you are stealing my thoughts." Correct Answer(s): B. I am no one, and everyone is me.
Question 36
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? A. Mild. B. "Moderate." C. Severe. D. Panic. Correct Answer(s): B. Moderate.
Question 37
