NGN ATI MENTAL HEALTH 2024/MENTAL
HEALTH ATI PROCTORED EXAM 2024-2025
REAL EXAM QUESTINS AND CORRECT
ANSWERS|AGRADE
A charge nurse is conducting a class on therapeutic communication to a group of newly licensed
nurses. Which of the following responses by the newly licensed nurse requires additional
teaching regarding nonverbal communication?
A. Personal space
B. Posture
C. Eye contact
D. Intonation correct answers D. Intonation
Intonation is the tone of one's voice and can communicate a variety of feelings.
A nurse is communicating with a client on the acute mental health facility. The client states, "I
can't sleep. I stay up all night." The nurse responds, "You are having difficulty sleeping?" Which
of the following therapeutic communication techniques is the nurse demonstrating?
A. Offering general leads
B. Summarizing
C. Focusing
D. Restating correct answers D. Restating
Restating allows the nurse to repeat the main idea expressed.
A nurse is communicating with a newly admitted client. Which of the following is a barrier to
therapeutic communication?
A. Offering advice
B. Reflecting meaning
C. Listening attentively
D. Giving information correct answers A. Offering advice
Offering advice to a client is a barrier to therapeutic communication and should be
avoided. Advice tends to interfere with the client's ability to make personal decisions and
choices.
A nurse is conducting therapy with a several clients and their families. Effective communication
with clients and families is based on
A. discussing in-depth topics with which the client feels comfortable.
B. using silence to avoid unpleasant or difficult topics.
C. attending to verbal and nonverbal behaviors.
D. requiring the client and family to ask for feedback. correct answers C. attending to verbal and
nonverbal behaviors
When a family asks a nurse for reassurance about a client's condition, which of the following is
an appropriate response?
A. "I think your son is getting better. What have you noticed?"
,B. "I'm sure everything will be okay. It just takes time to heal."
C. "I'm not sure what's wrong. Have you asked the doctor about your concerns?"
D. "I understand you're concerned. Let's discuss what concerns you specifically." correct answers
D. "I understand you're concerned. Let's discuss what concerns you specifically."
A therapeutic response reflects upon, and accepts, the family's feelings, and it allows the
members to clarify what they are feeling.
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." Which of the following defense
mechanisms is the
client using?
A. Reaction formation
B. Denial
C. Displacement
D. Sublimation correct answers B. Denial
pretending the truth is not reality to manage the
anxiety of acknowledging what is real.
A nurse is obtaining informed consent for a client who has just learned she must have a breast
biopsy. The client is perspiring and pale, has a respiratory rate 30/min, and says, "I don't quite
understand what you're trying to tell me." The nurse should assess the client's anxiety as which
of the following?
A. Mild
B. Moderate
C. Severe
D. Panic correct answers B. Moderate
Moderate anxiety decreases problem-solving and may hamper one's ability to
understand information. Vital signs may increase somewhat, and the person is visibly anxious.
A nurse is caring for a client who is experiencing moderate anxiety. Which of the following is an
appropriate nursing intervention when trying to give necessary information to the client?
A. Reassure the client that everything will be okay.
B. Use a low-pitched voice and speak slowly.
C. Ignore the client's anxiety so that she will not be embarrassed.
D. Demonstrate a calm manner while using simple and clear language. correct answers D.
Demonstrate a calm manner while using simple and clear language.
giving information simply and calmly will help the client grasp essential facts.
A nurse is talking with a client who is at risk for suicide following the death of his spouse.
Which of the following statements by the nurse is appropriate?
A. "I feel very sorry for the loneliness you must be experiencing."
B. "Suicide is not the appropriate way to cope with loss."
C. "Losing someone close to you must be very upsetting."
D. "I know how difficult it is to lose a loved one." correct answers C. "Losing someone close to
you must be very upsetting."
This statement is an empathetic response that attempts to understand the client's feelings.
,A nurse is in the working phase of a therapeutic relationship with a client who has
methamphetamine use disorder. Which of the following indicates transference behavior?
A. The client asks the nurse whether she will go out to dinner with him.
B. The client accuses the nurse of telling him what to do just like his ex-girlfriend.
C. The client reminds the nurse of a friend who died from a substance overdose.
D. The client becomes angry and threatens harm to himself. correct answers B. The client
accuses the nurse of telling him what to do just like his ex-girlfriend.
When a client views the nurse as having characteristics of another person who has been
significant to his personal life, such as his ex-girlfriend, this indicates transference.
A charge nurse is discussing the characteristics of a nurse-client relationship with a newly
licensed nurse. Which of the following are appropriate to include in the discussion? (Select all
that apply.)
A. The needs of both participants are met.
B. An emotional commitment exists between the participants.
C. It is goal-directed.
D. Behavioral change is encouraged.
E. A termination date is established. correct answers C. It is goal-directed.
D. Behavioral change is encouraged.
E. A termination date is established.
A nurse is planning care for the termination phase of a nurse-client relationship. Which of the
following actions is appropriate to 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 answers A. Discussing ways to use new behaviors.
Discussing ways for the client to incorporate new healthy behaviors into life is an
appropriate task for the termination phase.
A nurse is orienting a new client to a mental health unit. When explaining the unit's community
meetings, which of the following statements by the nurse is appropriate?
A. "You and a group of other clients will meet to discuss your treatment plans."
B. "Community meetings have a specific agenda that is established by staff."
C. "You and the other clients will meet with staff to discuss common problems."
D. "Community meetings are an excellent opportunity to explore your personal mental health is
correct answers C. "You and the other clients will meet with staff to discuss common problems."
Community meetings are an opportunity for clients to discuss common problems or
issues affecting all members of the unit.
A nurse is teaching a client who has an anxiety disorder and is scheduled to begin classical
psychoanalysis. Which of the following client statements indicates an understanding of this form
of therapy?
A. "Even if my anxiety improves, I will need to continue this therapy for 6 weeks."
B. "The therapist will focus on my past relationships during our sessions."
, C. "Psychoanalysis will help me reduce my anxiety by changing my behaviors."
D. "This therapy will address my conscious feelings about str correct answers B. "The therapist
will focus on my past relationships during our sessions."
Classical psychoanalysis places a common focus on past relationships to identify the
cause of the anxiety disorder.
A nurse is discussing free association as a therapeutic tool with a client who has major
depressive disorder. Which of the following client statements indicates understanding of this
technique?
A. "I will write down my dreams as soon as I wake up."
B. "I may begin to associate my therapist with important people in my life."
C. "I can learn to express myself in a nonaggressive manner."
D. "I should say the first thing that comes to my mind." correct answers D. "I should say the first
thing that comes to my mind."
Free association is the spontaneous, uncensored verbalization of whatever comes to a
client's mind.
A nurse is preparing to implement cognitive reframing techniques for a client who has an anxiety
disorder. Which of the following are appropriate to include in the plan of care? (Select all that
apply.)
A. Priority restructuring
B. Monitoring thoughts
C. Diaphragmatic breathing
D. Journal keeping
E. Meditation correct answers A. Priority restructuring
B. Monitoring thoughts
D. Journal keeping
A nurse is caring for a client who has a new prescription for disulfiram (Antabuse) for the
treatment of his alcohol use disorder. The nurse informs the client that this medication can cause
nausea and vomiting
if he drinks alcohol. This form of treatment is an example of which of the following?
A. Aversion therapy
B. Flooding
C. Biofeedback
D. Dialectical behavior therapy correct answers A. Aversion therapy
Aversion therapy pairs a maladaptive behavior with unpleasant stimuli to promote a
change in behavior.
A nurse is assisting with systematic desensitization for a client who has an extreme fear of
elevators. Which of the following is appropriate when implementing this form of therapy?
A. Demonstrate riding in an elevator, and then ask the client to imitate the behavior.
B. Advise the client to say "stop" out loud every time he begins to feel an anxiety response
related to an elevator.
C. Gradually expose the client to an elevator while practicing relaxation techniques.
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