ATI RN
Mental Health ATI Proctored Exam Questions
Question 1 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 2 of 5
An advanced practice psychiatric nurse is preparing to conduct a support group for psychiatric mental health nurses who have been assaulted by patients. Which of the following would the nurse need to keep in mind with this group?
Correct Answer: A
Rationale: The correct answer is A because nurses in this situation may struggle with conflicting roles of being caregivers and victims, leading to feelings of guilt, self-blame, or inadequacy. This conflict can affect their ability to provide care effectively. Choice B is incorrect as nurses may not always choose to prosecute patients due to various reasons such as fear of retaliation or wanting to maintain a therapeutic relationship. Choice C is incorrect as not all nurses may feel comfortable or able to actively express their feelings about the assaults. Choice D is incorrect as nurses who have been assaulted by patients often experience guilt, shame, or self-blame due to societal stigma or internalized beliefs.
Question 3 of 5
The nurse is caring for a client diagnosed with a delusional disorder. While assessing this client, which of the following would the nurse expect to find?
Correct Answer: D
Rationale: The correct answer is D because individuals with delusional disorder typically live with one or more fixed delusions for an extended period. This is a key characteristic of the disorder. Choice A is incorrect as it describes a separate condition (major depression). Choice B is incorrect as disruptive behavior patterns are not a defining feature of delusional disorder. Choice C is incorrect as delusions in this disorder are typically not bizarre but rather fixed and plausible to the individual.
Question 4 of 5
As part of a client's treatment plan for borderline personality disorder, the client is engaged in dialectical behavior therapy. As part of the therapy, the client is learning how to control and change behavior in response to events. The nurse identifies the client as learning which type of skills?
Correct Answer: D
Rationale: Rationale: Dialectical behavior therapy focuses on teaching clients skills to manage emotions, behavior, and thoughts effectively. Self-management skills involve regulating behavior in response to events, which aligns with the client's goal of controlling and changing behaviors. Emotion regulation skills focus on managing emotions, mindfulness skills involve being present in the moment, and distress tolerance skills focus on tolerating emotional distress. Therefore, self-management skills are the most appropriate choice in this scenario.
Question 5 of 5
A nurse is obtaining information about a client's sleep patterns and asks him about the total amount of sleep time compared with the amount of time spent in bed. The nurse is assessing which of the following?
Correct Answer: C
Rationale: The correct answer is C: Sleep efficiency. Sleep efficiency is the ratio of total sleep time to time spent in bed, reflecting how effectively the individual is sleeping. This assessment helps the nurse determine the quality of the client's sleep. A: Sleep latency refers to the time it takes for an individual to fall asleep, not the ratio of sleep time to time spent in bed. B: Sleep architecture pertains to the different stages of sleep (such as REM and non-REM sleep), not the ratio of sleep time to time spent in bed. D: Sleep-wake cycle refers to the body's natural circadian rhythm governing sleep and wakefulness, not the ratio of sleep time to time spent in bed.