ATI RN
Mental Health ATI Proctored Exam 2024 Questions
Question 1 of 5
A nurse surveys medical records. Which finding signals a violation of patients' rights?
Correct Answer: A
Rationale: The correct answer is A because not allowing a patient to have visitors violates their right to social interaction and support. Patients have the right to visitors unless it poses a risk to their health or safety. Choice B is not a violation as searching belongings is a standard procedure for safety. Choice C is not a violation as placing a patient on continuous observation is necessary for their safety. Choice D is not a violation as using physical restraint is justified to prevent harm to staff or other patients.
Question 2 of 5
A nurse is caring for a client who has breast cancer and has been receiving chemotherapy. Which of the following laboratory values should nurse report to provider?
Correct Answer: A
Rationale: The correct answer is A: WBC 3,000/mm3. A low white blood cell count (WBC) can indicate bone marrow suppression from chemotherapy, leading to increased risk of infection. Reporting this value is crucial for timely intervention. B: Hemoglobin 14 g/dl is within the normal range and not typically a concern in this scenario. C: Platelet count of 250,000/mm3 is within the normal range and does not pose an immediate threat to the client. D: aPTT of 30 seconds is within the normal range and is not directly related to the client's current condition of breast cancer and chemotherapy.
Question 3 of 5
The nurse is caring for a 70-year-old psychiatric patient who has been prescribed a number of medications. When teaching the patient about the medications, which explanation would be most appropriate?
Correct Answer: C
Rationale: The correct answer is C. As individuals age, changes in liver functioning can lead to slower metabolism and clearance of medications from the body. This can result in medication levels accumulating in the system, potentially leading to toxicity. This explanation is important for the patient to understand the risks associated with their medications. Choice A is incorrect because the speed of stomach emptying does not necessarily impact medication effects. Choice B is incorrect as the entire GI system speeding up is not a typical age-related change and does not necessarily affect medication digestion. Choice D is incorrect as age-related circulation changes do not necessarily mean medications are delivered more quickly to specific body sites.
Question 4 of 5
A woman with borderline personality disorder has been admitted to the inpatient unit because she has been engaging in wrist cutting. The client's sister is visiting, and the sister asks the nurse to explain why her sister sometimes does this to herself. Which response by the nurse would be most appropriate?
Correct Answer: A
Rationale: The correct answer is A. Self-injurious behavior in individuals with borderline personality disorder is often a maladaptive coping mechanism used to relieve intense emotional distress or stress. This behavior is a way for the individual to externalize internal pain and gain a sense of control. It is important for the nurse to provide accurate information to the client's sister. Choice B is incorrect because self-injurious behavior in BPD is not typically used to calm or sedate individuals. Choice C is incorrect because self-injury is not usually a mechanism to avoid delusional thinking in BPD. Choice D is incorrect because while mood swings are common in BPD, self-mutilation is not typically used to slow them down.
Question 5 of 5
What principle about nurse-patient communication should guide a nurse's fear about 'saying the wrong thing' to a patient?
Correct Answer: A
Rationale: The correct answer is A because effective nurse-patient communication is guided by principles of empathy, respect, and genuine concern. Patients value feeling understood and supported, which can foster trust and rapport. This approach helps alleviate the nurse's fear of saying the wrong thing by emphasizing the importance of good intentions and empathy. Choice B is incorrect because it assumes the patient is solely focused on talking and not listening, which can undermine effective communication. Choice C is incorrect because a patient's history does not guarantee immunity to harm from insensitive comments. Choice D is incorrect as it incorrectly generalizes about individuals with mental illness and forgiveness tolerance.