ATI RN
ATI Mental Health Proctored Exam Questions
Question 1 of 5
A nurse is caring for a school-aged child who has conduct disorder and is being physically aggressive toward other children in the unit. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Place the child in seclusion. The first step in managing physically aggressive behavior in a child with conduct disorder is to ensure the safety of the child and others. Placing the child in seclusion helps prevent harm to others while allowing the child to calm down in a controlled environment. Using therapeutic hold technique (
B) or applying wrist restraints (
C) may escalate the situation and increase the risk of harm. Administering risperidone (
D) is a medication intervention that should be considered only after addressing the immediate safety concerns.
Question 2 of 5
A nurse is caring for a client who has a new diagnosis of bulimia nervosa. Which of the following diagnosis procedures should the nurse anticipate the provider should describe during the medical evaluation?
Correct Answer: B
Rationale: The correct answer is B: ECG. A provider may order an ECG during the medical evaluation of a client with bulimia nervosa to assess for any potential cardiac complications, such as electrolyte imbalances or arrhythmias due to purging behaviors. This test helps in evaluating the overall cardiac health of the client. Chest x-ray (
A) is not typically indicated in the evaluation of bulimia nervosa unless there are specific respiratory symptoms. Coagulation studies (
C) are not directly related to the diagnosis of bulimia nervosa. Liver function test (
D) is not a common diagnostic procedure for bulimia nervosa unless there are specific concerns about liver function due to other factors.
Question 3 of 5
A nurse is caring for a client who exhibits excessive compliance, passivity, and self-denial. The nurse should recognize that these findings are associated with which of the following personality disorders?
Correct Answer: C
Rationale: The correct answer is C: Borderline. Excessive compliance, passivity, and self-denial are characteristic traits of individuals with Borderline Personality Disorder. They often struggle with identity, exhibit intense emotions, and have unstable relationships.
Choice A, Dependent Personality Disorder, is characterized by a pervasive psychological dependence on others.
Choice B, Paranoid Personality Disorder, involves distrust and suspiciousness.
Choice D, Histrionic Personality Disorder, is characterized by attention-seeking behavior and emotional overreaction.
Choices E, F, and G are irrelevant. In this scenario, the client's behaviors align most closely with the features of Borderline Personality Disorder.
Question 4 of 5
A nurse is caring for a client who is involuntarily admitted for major depressive disorder and refuses to take prescribed antianxiety medication. Which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Correct
Answer: D
Rationale: Implementing consequences until the client takes the medication is the most appropriate action as the client is involuntarily admitted. This approach ensures the client's safety and well-being by addressing the refusal to take prescribed medication. Administering medication via IM injection (
B) may escalate the situation and violate the client's rights. Informing the client that he does not have the right to refuse medication (
A) is inaccurate and may lead to resistance. Offering the medication at the next scheduled dose time (
C) does not address the client's refusal.
Question 5 of 5
A nurse is caring for a client in the emergency department who states she was beaten and sexually assaulted by her partner. After a rapid assessment, which of the following actions should the nurse plan to take next?
Correct Answer: A
Rationale: The correct answer is A: Conduct a pregnancy test. This action is important to assess the client's risk of pregnancy resulting from the sexual assault. Pregnancy testing is crucial for timely decision-making regarding emergency contraception. This step is a priority in the care of a sexual assault survivor. It ensures appropriate medical intervention and support for the client's physical and emotional well-being.
Summary of other choices:
B: Requesting mental health consultation is important but not the immediate next step.
C: Providing a trained advocate is valuable for support but does not address the urgent medical needs of the client.
D: Offering prophylactic medication for STIs is important but not the immediate next step before assessing pregnancy risk.
E: This choice is unrelated to the situation described and should not be considered in this context.