ATI RN
ATI Psychiatric Exam 1 Questions
Question 1 of 5
A nurse is caring for a client who reports a recent increase in stressors. Which of the following concepts should the nurse use to develop necessary context to both understand and deliver nursing care for this client?
Correct Answer: B
Rationale: The concept of adaptive versus maladaptive responses helps the nurse assess whether the client’s coping strategies are effective or harmful in managing stress. This framework guides tailored interventions to promote healthier coping mechanisms. Labeling stressors as justified, right, or good oversimplifies the client’s experience and is less relevant to nursing care planning.
Question 2 of 5
A nurse is caring for a client who has substance use disorder who has expressed interest in receiving treatment to stop using. Which of the following interventions is an example of a tertiary intervention strategy for this client?
Correct Answer: D
Rationale: Tertiary prevention minimizes the impact of an existing condition, like providing information on drug rehabilitation facilities to support recovery from substance use disorder. Diet reinforcement and hepatitis screening are primary/secondary prevention, and needle exchange programs are harm reduction, not tertiary.
Question 3 of 5
A nurse is discussing treatment options with the guardian of a child who has been diagnosed with dissociative identity disorder. The guardian asks, 'How is nursing care different for children diagnosed with dissociative identity disorder compared to adults?' How should the nurse best respond?
Correct Answer: B
Rationale: Nursing interventions for dissociative identity disorder (DI
D) can be diverse and tailored to the individual needs of the patient, regardless of age. Assessing for thoughts of self-harm or suicidal ideation is a critical component of care for both children and adults with DID, as the disorder is often associated with trauma and emotional distress that can lead to such thoughts. This consistency across age groups makes it a key aspect of nursing care.
Question 4 of 5
A nurse is educating a client who is prescribed clozapine. Which of the following findings should the nurse identify as consistent with agranulocytosis and instruct the client to monitor?
Correct Answer: C
Rationale: Agranulocytosis, a severe side effect of clozapine, involves a significant reduction in white blood cells, increasing infection risk. Symptoms like sore throat, fever, and muscle aches indicate possible infection due to neutropenia, requiring immediate monitoring. Restlessness, respiratory depression, and anxiety/suicidal ideations are not characteristic of agranulocytosis.
Question 5 of 5
A nurse is admitting a client who has dementia related to a traumatic brain injury. Which of the following findings should indicate to the nurse that the client's condition is worsening?
Correct Answer: C
Rationale: A shuffling gait, characterized by short steps with feet barely leaving the ground, is often associated with Parkinsonian symptoms, which can emerge in advanced stages of dementia related to traumatic brain injury, indicating disease progression. Visual field cuts, decreased CD4 counts, and chorea are not typically linked to worsening TBI-related dementia.