ATI RN
Mental Health ATI Proctored Exam Questions
Question 1 of 9
On an inpatient psychiatric unit, the goals of therapy have been met, but the client cries and states,"I have to keep coming back to therapy to handle my anger better." This interaction occurs in which phase of the nurse-client relationship?
Correct Answer: D
Rationale: The correct answer is D: Termination phase. In this phase, the goals of therapy have been met, and the client is reflecting on their progress and expressing their feelings about ending therapy. The client's statement about needing to keep coming back indicates that they are aware of the progress made and are preparing to end the therapeutic relationship. A: Pre-interaction phase occurs before the nurse-client relationship is established. B: Orientation phase is when the nurse and client establish rapport and set goals. C: Working phase is when the therapeutic work is being done to achieve goals. Therefore, the client's statement falls in the Termination phase as they are acknowledging the progress made and preparing to end therapy.
Question 2 of 9
On an inpatient psychiatric unit, the goals of therapy have been met, but the client cries and states,"I have to keep coming back to therapy to handle my anger better." This interaction occurs in which phase of the nurse-client relationship?
Correct Answer: D
Rationale: The correct answer is D: Termination phase. In this phase, the goals of therapy have been met, and the client is reflecting on their progress and expressing their feelings about ending therapy. The client's statement about needing to keep coming back indicates that they are aware of the progress made and are preparing to end the therapeutic relationship. A: Pre-interaction phase occurs before the nurse-client relationship is established. B: Orientation phase is when the nurse and client establish rapport and set goals. C: Working phase is when the therapeutic work is being done to achieve goals. Therefore, the client's statement falls in the Termination phase as they are acknowledging the progress made and preparing to end therapy.
Question 3 of 9
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 9
A nurse observes an AP providing care to a child who is in skeletal traction. Which of the following action requires intervention?
Correct Answer: D
Rationale: The correct answer is D because massaging pressure points can cause skin breakdown in a child in skeletal traction. The pressure exerted during massage can lead to tissue damage and compromise skin integrity. This can result in pressure ulcers or sores, which can be extremely detrimental to the child's recovery. Providing a high protein snack (A) is beneficial for healing, assisting the child to reposition (B) helps prevent complications, and placing weights as a child's bed (C) is necessary for maintaining traction and should not be changed without proper authorization.
Question 5 of 9
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 6 of 9
Select the example of primary prevention.
Correct Answer: B
Rationale: The correct answer is B because primary prevention focuses on preventing the development of mental health issues before they occur. Helping school-age children identify and describe normal emotions is an example of primary prevention as it promotes emotional well-being and prevents future mental health problems. Choice A is incorrect because it involves assisting someone who is already diagnosed with a mental illness, which is more of a secondary prevention approach. Choice C involves providing education and support to individuals already in a care home, which falls under secondary prevention. Choice D involves medicating an acutely ill patient, which is more of a tertiary prevention approach aimed at managing existing conditions and preventing further complications.
Question 7 of 9
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 8 of 9
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 9 of 9
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.