ATI RN
Mental Health ATI Proctored Exam Questions
Question 1 of 5
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 2 of 5
As part of a client's treatment plan for borderline personality disorder, the client is engaged in dialectical behavior therapy. As part of the therapy, the client is learning how to control and change behavior in response to events. The nurse identifies the client as learning which type of skills?
Correct Answer: D
Rationale: Rationale: Dialectical behavior therapy focuses on teaching clients skills to manage emotions, behavior, and thoughts effectively. Self-management skills involve regulating behavior in response to events, which aligns with the client's goal of controlling and changing behaviors. Emotion regulation skills focus on managing emotions, mindfulness skills involve being present in the moment, and distress tolerance skills focus on tolerating emotional distress. Therefore, self-management skills are the most appropriate choice in this scenario.
Question 3 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 4 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 5 of 5
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.