ATI Mental Health CMS Exam
Q: A nurse is providing support for the parents of a child who has a new diagnosis of a terminal
brain tumor. The nurse should expect the parents to experience which of the following stages of
grief first?
A. Denial
B. Bargaining
C. Anger
D. Depression
Answer:
A
Q: A nurse in a mental health facility is reviewing confidentiality requirements with a newly
licensed nurse. Which of the following statements by the newly licensed nurse indicates an
understanding of the information?
A. “I am legally required to notify a client’s employer about a substance use disorder.”
B. “If a client is involuntarily committed, I can discuss information with the client’s next of kin.”
C. “I can discuss a client’s treatment with others as long as they are employees of the facility.”
D. “I should keep information private even after a client dies.”
Answer:
D
Q: A nurse is caring for a client who reminds her of a negative person in her past. These
memories cause the nurse to unconsciously displace negative feelings towards the client. The
nurse should recognize that she is demonstrating which of the following behaviors?
A. Suppression
B. Countertransference
C. Transference
D. Assertiveness
Answer:
B
Q: A nurse is planning care for a client who has thoughts of suicide. Which of the following
goals should the nurse include in the client’s plan of care?
A. The client will identify positive aspects of others.
B. The client agrees to notify a staff member of thoughts of self-harm.
C. The client will engage in an independent diversional activity.
D. The client will not verbalize thoughts or feelings related to suicide.
Answer:
B
Q: A nurse in an emergency department is caring for an 18-month-old toddler who has a
fractured left femur. Which of the following statements by the toddler’s parent should cause the
nurse to suspect child abuse?
A. “My child fell down the stairs.”
B. “My child was riding a bicycle and fell off.”
C. “My child slipped out of the high chair.”
D. “My child climbed up on a chair and it tipped over.”
Answer:
B
Q: A nurse is counseling a client who seems relaxed initially, but then becomes restless and
begins wringing his hands. The nurse states that the client seems tense, and the client agrees.
Which of the following statements should the nurse make?
A. “Did I say something wrong that made you feel tense?”
B. “Do you often feel tense when you are talking to a health care provider?”
C. “What were we discussing when you began to feel uncomfortable?”
D. “It is ok to feel nervous during our counseling sessions.”
Answer:
C
Q: A nurse is caring for a client who has depression and started taking paroxetine one week
ago. The client states to the nurse, “My family would be better off without me.” Which of the
following responses should the nurse make?
A. “Why do you feel your family would be better off without you?”
B. “Many people feel this way when they are depressed.”
C. “You sound upset. Are you thinking of hurting yourself?”
D. “Your medication hasn’t started working yet. Then you’ll be feeling differently. “
Answer:
C
Q: A nurse is planning reminiscence therapy for an older adult client. The nurse should identify
which of the following goals for the client’s therapy?
A. The client will gain increased self-esteem.
B. The client will maintain orientation to place and time.
C. The client will independently perform ADLs.
D. The client will achieve optimal sensory stimulation.
Answer:
A
Q: A nurse is assessing a client who is experiencing moderate-level anxiety. Which of the
following findings should the nurse expect?
A. The client has a heightened perceptual field.
B. The client has difficulty concentrating.
C. The client reports shortness of breath.
D. The client reports a sense of impending doom
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