ATI RN
Mental Health ATI Proctored Exam Questions
Question 1 of 5
A nursing student uses a client's full name on an interpersonal process recording submitted to the student's instructor. What is the instructor's priority intervention?
Correct Answer: B
Rationale: The correct answer is B because maintaining client confidentiality is a fundamental principle in nursing ethics. By using the client's full name on a submitted record, the student has breached confidentiality. The instructor's priority intervention should be to correct this error and remind the student of the importance of safeguarding client information. Choices A, C, and D are incorrect because they do not address the primary issue of confidentiality breach. Reinforcing accurate documentation (A) is important but secondary to confidentiality. Choice C and D are incorrect as client incompetency or involuntary commitment does not automatically negate the need for confidentiality.
Question 2 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 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
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.
Question 5 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.