ATI RN
Mental Health ATI Proctored Exam 2024 Questions
Question 1 of 5
Due to the need to self-medicate for anxiety, a patient diagnosed with schizophrenia smokes two packs of cigarettes a day. What unique risk does nicotine pose to this patient's health?
Correct Answer: C
Rationale: The correct answer is C: Impaired psychotropic medication therapy. Nicotine can interfere with the metabolism of certain psychotropic medications, potentially reducing their effectiveness. Smoking two packs of cigarettes a day can lead to increased levels of enzymes in the liver, which can accelerate the breakdown of medications, making them less potent. Lung cancer (A) and increased incidence of lung-related disorders (D) are potential risks of smoking but are not unique to this patient's situation. Cardiovascular constriction (B) is a general risk of smoking and not directly related to the patient's schizophrenia diagnosis.
Question 2 of 5
To keep the plan of care client-centered, what important assessment should the nurse do after identifying several risk factors for substance misuse in a client?
Correct Answer: B
Rationale: The correct answer is B: perform a client strengths assessment. This is essential to keep the plan client-centered by focusing on the individual's positive attributes and resources. By identifying the client's strengths, the nurse can tailor interventions that build on these assets to empower the client in managing the risk factors for substance misuse. A: Contacting a rehab center for an intake assessment is premature without fully assessing the client's strengths and individualized needs first. C: Asking the psychiatrist to screen for depression is important but does not directly address keeping the plan client-centered and focusing on strengths. D: Completing a health assessment is necessary but does not specifically address the client's strengths and may not fully support client-centered care.
Question 3 of 5
A client diagnosed with a personality disorder has a nursing diagnosis of impaired social interaction. Which is a correctly written, short-term outcome related to this diagnosis?
Correct Answer: B
Rationale: The correct answer is B. This outcome is specific, measurable, achievable, relevant, and time-bound (SMART). It focuses on discussing behaviors impeding social interaction, promoting self-awareness, and facilitating therapeutic communication. Choice A is too broad and lacks specificity. Choice C addresses specific behaviors but lacks a focus on self-awareness or communication. Choice D addresses anxiety management, which is not directly related to impaired social interaction. In summary, choice B is the most appropriate as it directly addresses the nursing diagnosis and promotes therapeutic communication and self-reflection.
Question 4 of 5
On which client would a nurse on an inpatient psychiatric unit appropriately use four-point restraints?
Correct Answer: A
Rationale: The correct answer is A because four-point restraints are used for clients who pose an imminent danger to themselves or others due to violent behavior, such as being hostile and threatening. Restraints should only be utilized as a last resort to ensure safety. Choices B, C, and D do not warrant the use of restraints as they do not involve immediate physical harm or danger. De-escalation techniques and alternative interventions should be attempted before resorting to restraint use.
Question 5 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.