ATI PN MENTAL HEALTH 2023
PROCTORED EXAM WITH NGN (ACTUAL
SCREENSHOTS)
,SECTION 1: LEGAL AND ETHICAL ISSUES (Questions 1-5)
Q1. A PN is assisting with the care of a client who was involuntarily admitted. The
client refuses oral medication and becomes physically aggressive. What is the PN's
priority action?
• A) Restrain the client to administer the medication
• B) Notify the RN and use de-escalation techniques
• C) Document the refusal and leave the client alone
• D) Hide the medication in the client's food
,Correct Answer: B
Rationale: The PN must notify the RN and use de-escalation techniques. Uncoerced
refusal is a client right unless imminent danger exists. Never hide medication in food or
restrain without an order .
Q2. A PN observes another staff member take a picture of a client with their cell
phone. What should the PN do first?
• A) Report the staff member to the nurse manager
• B) Tell the staff member to delete the photo immediately
• C) Ignore the behavior to avoid confrontation
• D) Document the incident in the client's chart
Correct Answer: B
Rationale: The PN should first tell the staff member to delete the photo immediately.
Taking photos of clients violates HIPAA and client confidentiality. Reporting to the nurse
manager should follow, but immediate action to stop the violation is the priority .
Q3. A client with antisocial personality disorder manipulates staff. Which approach
is best?
• A) Allow all team members to enforce different limits
• B) Set firm, consistent limits with clear consequences
• C) Confront the client immediately for each behavior
• D) Ignore minor manipulative attempts to avoid power struggles
Correct Answer: B
Rationale: Consistency prevents splitting and manipulation. Different limits (A) worsen
behavior; confrontation (C) may escalate; ignoring (D) reinforces manipulation .
Q4. A nurse is admitting a client to a mental health unit. Which rights should the
nurse inform the client they have? (Select all that apply)
, • A) The right to retract previously provided consent
• B) The right to receive individualized care
• C) The right to refuse psychotropic medications
• D) The right to the least restrictive environment
Correct Answer: B, C, D
Rationale: Clients have the right to receive individualized care (B), refuse psychotropic
medications (C) unless in an emergency, and be in the least restrictive environment (D).
While consent can be withdrawn, "retract" is not standard terminology. A court of law
must determine if a client can receive psychotropic medication against their will .
Q5. Which action by the nurse demonstrates the ethical concept of veracity?
• A) Informing a client about the adverse effects of a prescribed treatment
• B) Withholding information to protect the client's feelings
• C) Telling the client what they want to hear
• D) Avoiding discussions about prognosis
Correct Answer: A
Rationale: Veracity means truthfulness. The nurse should ensure the client receives
truthful information about treatment . Reinforcing accurate information promotes trust
and allows informed decisions. Alternatives represent deception.
SECTION 2: THERAPEUTIC COMMUNICATION (Questions 6-
10)
Q6. A client with schizophrenia tells the nurse, "The FBI is poisoning my food."
Which response is the most therapeutic?
PROCTORED EXAM WITH NGN (ACTUAL
SCREENSHOTS)
,SECTION 1: LEGAL AND ETHICAL ISSUES (Questions 1-5)
Q1. A PN is assisting with the care of a client who was involuntarily admitted. The
client refuses oral medication and becomes physically aggressive. What is the PN's
priority action?
• A) Restrain the client to administer the medication
• B) Notify the RN and use de-escalation techniques
• C) Document the refusal and leave the client alone
• D) Hide the medication in the client's food
,Correct Answer: B
Rationale: The PN must notify the RN and use de-escalation techniques. Uncoerced
refusal is a client right unless imminent danger exists. Never hide medication in food or
restrain without an order .
Q2. A PN observes another staff member take a picture of a client with their cell
phone. What should the PN do first?
• A) Report the staff member to the nurse manager
• B) Tell the staff member to delete the photo immediately
• C) Ignore the behavior to avoid confrontation
• D) Document the incident in the client's chart
Correct Answer: B
Rationale: The PN should first tell the staff member to delete the photo immediately.
Taking photos of clients violates HIPAA and client confidentiality. Reporting to the nurse
manager should follow, but immediate action to stop the violation is the priority .
Q3. A client with antisocial personality disorder manipulates staff. Which approach
is best?
• A) Allow all team members to enforce different limits
• B) Set firm, consistent limits with clear consequences
• C) Confront the client immediately for each behavior
• D) Ignore minor manipulative attempts to avoid power struggles
Correct Answer: B
Rationale: Consistency prevents splitting and manipulation. Different limits (A) worsen
behavior; confrontation (C) may escalate; ignoring (D) reinforces manipulation .
Q4. A nurse is admitting a client to a mental health unit. Which rights should the
nurse inform the client they have? (Select all that apply)
, • A) The right to retract previously provided consent
• B) The right to receive individualized care
• C) The right to refuse psychotropic medications
• D) The right to the least restrictive environment
Correct Answer: B, C, D
Rationale: Clients have the right to receive individualized care (B), refuse psychotropic
medications (C) unless in an emergency, and be in the least restrictive environment (D).
While consent can be withdrawn, "retract" is not standard terminology. A court of law
must determine if a client can receive psychotropic medication against their will .
Q5. Which action by the nurse demonstrates the ethical concept of veracity?
• A) Informing a client about the adverse effects of a prescribed treatment
• B) Withholding information to protect the client's feelings
• C) Telling the client what they want to hear
• D) Avoiding discussions about prognosis
Correct Answer: A
Rationale: Veracity means truthfulness. The nurse should ensure the client receives
truthful information about treatment . Reinforcing accurate information promotes trust
and allows informed decisions. Alternatives represent deception.
SECTION 2: THERAPEUTIC COMMUNICATION (Questions 6-
10)
Q6. A client with schizophrenia tells the nurse, "The FBI is poisoning my food."
Which response is the most therapeutic?
