ATIRNMentalHealthProctoredExam

ATIRNMentalHealthProctoredExam 70QuestionswithCorrectAnswers|Next GenerationNCLEX(NGN)|Latest 2025/2026Academic Year 2025/2026 1 / 3

1Introduction 1.1Overview of the ATI RN Mental Health Proctored Exam The ATI RN Mental Health Proctored Exam assesses nursing students clinical judgment and knowledge in psychiatric nursing, aligning with the Next Generation NCLEX (NGN) format.It evaluates therapeutic communication, crisis intervention, psychiatric disorders, psychophar- macology, legal/ethical issues, and nursing interventions through case studies, multiple-choice, and NGN item types (e.g., select-all-that-apply, ordered response, hot spot). This exam pre- pares students for safe, effective mental health nursing practice.

1.2Purpose of This Document This document includes 70 verified questions with correct answers, updated for the 2025/2026 academic year, reflecting the NGN format of the ATI RN Mental Health Proctored Exam.Questions include multiple-choice, select-all-that-apply, and ordered response formats, with correct answers inboldand rationales to support learning.2Questions and Answers Below are 70 questions in NGN format, including multiple-choice, select-all-that-apply (SATA), and ordered response. Correct answers are inbold, with rationales.

2.0.1Question 1 (Therapeutic Communication, Multiple-Choice) A nurse is interacting with a client who appears withdrawn and tearful. Which response best facilitates therapeutic communication?

• "Why are you crying?"

B."Can you share whats on your mind right now?"

• "You should try to cheer up."
• "Its okay to stay quiet if you want."

Rationale: Open-ended questions encourage clients to express emotions, fostering trust and communication.

2.0.2Question 2 (Crisis Intervention, SATA) A client in the emergency department reports suicidal ideation with a plan to overdose. Which actions should the nurse take? (Select all that apply.) A.Remove potentially harmful objects from the room.

• Encourage the client to think positively.

C.Initiate one-to-one observation.D.Assess the clients access to lethal means.

• Notify the clients family immediately.

Rationale: Removing harmful objects, initiating observation, and assessing access to means ensure safety, the priority in a suicidal crisis. Positive thinking and family notification are secondary.ATI RN Mental Health Proctored Exam | 70 Verified NGN Questions | Academic Year 2025/2026 | Page 1 of 15 2 / 3

2.0.3Question 3 (Psychiatric Disorders, Multiple-Choice) A client with schizophrenia reports, "The voices tell me to hurt myself." Which nursing action is priority?

• Tell the client the voices are not real.

B.Assess the content and urgency of the hallucinations.

• Encourage distraction techniques.
• Administer an antipsychotic immediately.

Rationale: Assessing the hallucinations determines the risk of self-harm, guiding immediate interventions.

2.0.4Question 4 (Medications, Ordered Response) A client is prescribed lithium for bipolar disorder. Place the following nursing actions in the correct order of priority.

• Teach the client about signs of lithium toxicity.
• Check the clients serum lithium level.
• Assess for dehydration.
• Administer the prescribed dose.

Correct Order:B, C, A, D

Rationale: Checking lithium levels ensures safe dosing, assessing dehydration prevents tox- icity, teaching about toxicity promotes self-management, and administering the dose follows safety checks.

2.0.5Question 5 (Legal & Ethical Issues, Multiple-Choice) A client with major depressive disorder refuses antidepressant medication. Which action should the nurse take?

• Administer the medication covertly.

B.Document the refusal and explore reasons.

• Insist the client take the medication.
• Request a court order immediately.

Rationale: Respecting autonomy, documenting refusal, and exploring reasons align with ethi- cal practice.

2.0.6Question 6 (Nursing Interventions, SATA) A client with bipolar disorder is in a manic episode. Which interventions should the nurse implement? (Select all that apply.) A.Provide a low-stimulus environment.

• Encourage participation in group activities.

C.Limit caffeine intake.D.Set clear boundaries.

• Allow unlimited visitors.

Rationale: Low-stimulus environment, limited caffeine, and clear boundaries reduce mania escalation. Group activities and unlimited visitors may overstimulate.ATI RN Mental Health Proctored Exam | 70 Verified NGN Questions | Academic Year 2025/2026 | Page 2 of 15

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