ATI RN
Mental Health Proctored ATI Questions
Question 1 of 4
The nurse is assessing a client who has borderline personality disorder. Which of the following would be a priority?
Correct Answer: A
Rationale: The correct answer is A: Nutrition patterns. Priority in assessing a client with borderline personality disorder is to ensure basic needs are met. Nutrition patterns impact physical and mental health. Personal hygiene (B), physical functioning (C), and somatic complaints (D) are important but addressing nutrition patterns takes precedence in ensuring overall well-being and stability for the client.
Question 2 of 4
A group of nursing students is reviewing information about age-related changes occurring in cognition and intellectual performance. The students demonstrate understanding of the information when they identify which of the following as a normal cognitive change?
Correct Answer: B
Rationale: The correct answer is B: Slowed information processing. As individuals age, it is normal for their cognitive processing speed to decrease. This is a common age-related change in cognition due to factors such as decreased brain processing efficiency. Slowed information processing does not necessarily indicate cognitive impairment but is a normal part of aging. A: Disorientation to time is not a normal cognitive change but rather a sign of cognitive impairment or confusion. C: Diminished executive functioning refers to difficulties in tasks such as planning, problem-solving, and decision-making, and is not a normal age-related change. D: Restricted judgment is not a typical age-related cognitive change but may indicate cognitive decline or impairment.
Question 3 of 4
A nurse is giving a public presentation on the topic of forensic psychiatric care at a community center in a community that is considering building a forensic facility. The nurse is explaining about how someone who is found to be unfit to stand trial is subsequently hospitalized in a forensic mental health facility. A member of the audience asks, 'What is the purpose of the hospitalization?' Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B: Efforts are focused on helping the client become 'fit' to stand trial. This is because when someone is found unfit to stand trial, the goal of hospitalization in a forensic mental health facility is to provide treatment and interventions aimed at restoring the individual's competency to participate in the legal proceedings. This is in line with the legal and ethical principles of ensuring that individuals have the capacity to understand the charges against them and assist in their defense. Options A, C, and D are incorrect because they do not address the primary purpose of hospitalization for individuals found unfit to stand trial, which is to restore their competency for legal proceedings.
Question 4 of 4
A nurse is performing change of shift assessments on 4 clients. Which of the following findings should the nurse report to provider first?
Correct Answer: B
Rationale: The correct answer is B because lethargy and confusion in a client with gastroenteritis may indicate dehydration or electrolyte imbalance, which can lead to serious complications. The nurse should report this finding first to prevent deterioration. Choice A is incorrect because thick productive cough and thirst in a client with cystic fibrosis are common symptoms and may not require immediate provider notification. Choice C is incorrect because a morning fasting blood glucose of 185 mg/dL in a client with diabetes mellitus is elevated but not considered a critical finding that requires immediate reporting. Choice D is incorrect because pain 15 minutes after receiving an oral analgesic is a common occurrence and does not indicate an urgent need for provider notification.