ATI PN MENTAL HEALTH 2026
PROCTORED EXAM WITH NGN (ACTUAL
SCREENSHOTS)UPDATED 2026
,SECTION 1: LEGAL AND ETHICAL ISSUES
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 a proper 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) Ask the client for permission to take photos
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 worsen
behavior; confrontation may escalate; ignoring reinforces manipulation .
PROCTORED EXAM WITH NGN (ACTUAL
SCREENSHOTS)UPDATED 2026
,SECTION 1: LEGAL AND ETHICAL ISSUES
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 a proper 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) Ask the client for permission to take photos
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 worsen
behavior; confrontation may escalate; ignoring reinforces manipulation .
