ATI RN
Mental Health ATI Proctored Exam Questions
Question 1 of 5
A new patient acts out so aggressively that seclusion is required before the admission assessment is completed or orders written. Immediately after safely secluding the patient, which action is the nurse's priority?
Correct Answer: B
Rationale: The correct answer is B: Notify the health care provider to obtain a seclusion order. This is the priority because seclusion should not be continued without a proper order from the health care provider. It ensures legal and ethical compliance, promotes patient safety, and protects the nurse from liability. Completing the physical assessment (A) can wait until after the seclusion order is obtained. Documenting the incident (C) is important but not the immediate priority. Explaining to the patient (D) can be done after ensuring the legal aspects are addressed.
Question 2 of 5
Select the example of primary prevention.
Correct Answer: B
Rationale: The correct answer is B because primary prevention focuses on preventing the development of mental health issues before they occur. Helping school-age children identify and describe normal emotions is an example of primary prevention as it promotes emotional well-being and prevents future mental health problems. Choice A is incorrect because it involves assisting someone who is already diagnosed with a mental illness, which is more of a secondary prevention approach. Choice C involves providing education and support to individuals already in a care home, which falls under secondary prevention. Choice D involves medicating an acutely ill patient, which is more of a tertiary prevention approach aimed at managing existing conditions and preventing further complications.
Question 3 of 5
A new patient acts out so aggressively that seclusion is required before the admission assessment is completed or orders written. Immediately after safely secluding the patient, which action is the nurse's priority?
Correct Answer: B
Rationale: The correct answer is B: Notify the health care provider to obtain a seclusion order. This is the priority because seclusion should not be continued without a proper order from the health care provider. It ensures legal and ethical compliance, promotes patient safety, and protects the nurse from liability. Completing the physical assessment (A) can wait until after the seclusion order is obtained. Documenting the incident (C) is important but not the immediate priority. Explaining to the patient (D) can be done after ensuring the legal aspects are addressed.
Question 4 of 5
A nurse is reviewing information about a psychiatric medication that describes the amount of the drug that actually reaches systemic circulation unchanged. The nurse identifies this as which of the following?
Correct Answer: B
Rationale: Bioavailability refers to the amount of a drug that reaches systemic circulation unchanged after administration. It accounts for the fraction of the administered dose that reaches the systemic circulation in its active form. This is important in determining the drug's effectiveness. In this scenario, the nurse is reviewing information about the drug's actual systemic circulation, which aligns with the concept of bioavailability. A: First-pass effect refers to the initial metabolism of a drug by the liver before it reaches systemic circulation. C: Solubility relates to a drug's ability to dissolve in a solvent, not the amount that reaches systemic circulation. D: Biotransformation involves the conversion of a drug into metabolites, not the amount that reaches systemic circulation. In summary, the correct answer is B (Bioavailability) because it directly addresses the amount of the drug that reaches systemic circulation unchanged.
Question 5 of 5
The patient says, "My marriage is just great. My spouse and I always agree." The nurse observes the patient's foot moving continuously as the patient twirls a shirt button. The conclusion the nurse can draw is that the patient's communication is
Correct Answer: C
Rationale: The correct answer is C: incongruous. The patient's verbal statement about the marriage being great contradicts the nonverbal behavior of foot movement and button twirling, indicating incongruity between the verbal and nonverbal communication. This inconsistency suggests that the patient may not be entirely truthful or may be experiencing internal conflict. A: Clear - This choice is incorrect because the patient's communication is not clear due to the conflicting verbal and nonverbal cues. B: Distorted - This choice is incorrect as there is no indication of intentional distortion in the patient's communication. D: Inadequate - This choice is incorrect as inadequate communication refers to a lack of information or detail, which is not evident in this scenario.