ATI RN
Mental Health ATI Proctored Exam Questions
Question 1 of 5
A nurse is working with a family in which the parents have just gotten divorced. After teaching the parents about measures to reduce the risk of emotional problems for the children, which statement by the parents indicates a need for additional teaching?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Altering routines may disrupt stability and increase anxiety for children. 2. Children benefit from consistency post-divorce to provide a sense of security. 3. Acknowledging children are not to blame is crucial for their emotional well-being. 4. Developing a regular visitation schedule fosters predictability and comfort. 5. Consistent limits help establish boundaries and structure for children. Therefore, statement A indicates a need for additional teaching as it could potentially harm the children's emotional well-being by disrupting their routines.
Question 2 of 5
Cognitive-behavioral therapy is going well when a 12-year-old patient in therapy reports to the nurse practitioner:
Correct Answer: B
Rationale: The correct answer is B because it demonstrates a cognitive restructuring process. The patient challenges a negative thought ("everyone at school hates me") with evidence to the contrary ("Most people like me and I have a friend named Todd"). This shows progress in identifying and changing maladaptive thought patterns. Choice A indicates aggression, choice C shows difficulty in implementing coping skills, and choice D suggests impulsivity without addressing underlying issues.
Question 3 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 4 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.
Question 5 of 5
As part of an interdisciplinary team, a nurse is assisting with a patient assessment to determine the most appropriate setting for treatment. The team decides that an acute ambulatory setting would be most appropriate. Which of the following would support the team's decision?
Correct Answer: C
Rationale: The correct answer is C. This choice supports the decision for an acute ambulatory setting because it indicates that the patient is unable to contract for treatment beyond initial care, suggesting they require immediate and continuous support. A: This choice does not directly support the need for an acute ambulatory setting, as the severity of symptoms alone may not dictate the setting. B: Marked impairment in daily life is concerning but does not necessarily indicate the need for an acute ambulatory setting specifically. D: A limited ability to seek support is important but may not be the primary factor in determining the setting for treatment.