ATI RN
ATI Psychiatric Exam 1 Questions
Question 1 of 5
A nurse is providing education to a group of staff members about schizophrenia. Which of the following age groups should the nurse include as the age when schizophrenia is typically diagnosed?
Correct Answer: D
Rationale: The correct answer is D: Young adulthood. Schizophrenia is typically diagnosed in young adulthood, usually between late teens and mid-30s. This age range aligns with the typical onset of symptoms, such as hallucinations and delusions. Preschoolers (
A) are unlikely to be diagnosed with schizophrenia as symptoms usually manifest later. Older adulthood (
B) is less common for initial diagnosis, as symptoms usually appear earlier. School-age (
C) is also uncommon for first diagnosis due to the typical age range of onset. In summary, the correct answer is D because it aligns with the typical age range for the onset of schizophrenia symptoms.
Question 2 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:
Correct
Answer: B
Rationale: Assessing for thoughts of self-harm is crucial in caring for individuals with dissociative identity disorder, regardless of age. Children and adults with this diagnosis may experience intense emotional distress and may be at risk for self-harm. It is essential for nurses to assess and monitor for any signs of self-harm to ensure the safety and well-being of the patient. This proactive approach allows for timely intervention and support.
Summary of other choices:
A: This is incorrect as nursing interventions for dissociative identity disorder are not limited; rather, they are tailored to meet the individual's needs.
C: This is incorrect as treatment outcomes can vary regardless of age, depending on various factors such as severity of symptoms and access to resources.
D: This is incorrect as psychiatric medication may be prescribed for both adults and children with dissociative identity disorder based on individual assessments and treatment plans.
Question 3 of 5
A staff nurse reports an observation of a coworker injecting themselves with a syringe in the bathroom. The coworker admits to stealing narcotics from the medication room. The staff nurse should take which of the following courses of action?
Correct Answer: A
Rationale: The correct answer is A: Report the incident to the appropriate person in the chain of command right away. This course of action is crucial to ensure patient safety and maintain ethical standards. By reporting promptly, the nurse can prevent harm to patients and potential legal repercussions.
Choices B, C, and D involve compromising professional integrity and enabling unethical behavior. Waiting for the coworker to seek treatment or self-report may lead to further harm and does not address the immediate risk. Reporting to other RNs on the shift may not ensure proper follow-up action. It is essential to follow the chain of command for accountability and to uphold patient safety and ethical standards.
Question 4 of 5
A nurse is caring for a client who is experiencing delusions, hallucinations, and alterations in speech. Which of the following medications should the nurse anticipate the provider to prescribe?
Correct Answer: C
Rationale: The correct answer is C: Dopamine antagonist. Delusions, hallucinations, and alterations in speech are characteristic symptoms of schizophrenia, which is associated with excessive dopamine activity in the brain. Dopamine antagonists help reduce dopamine levels, alleviating these symptoms. Mood stabilizers (
A) are used for bipolar disorder, not schizophrenia. Selective serotonin reuptake inhibitors (
B) are used for depression. Benzodiazepines (
D) are typically used for anxiety disorders.
Question 5 of 5
A nurse is caring for an adolescent client who was sexually assaulted. The client is having difficulty remembering events related to the assault. Which of the following is the client likely experiencing?
Correct Answer: A
Rationale: The correct answer is A: Dissociative amnesia. This client is likely experiencing difficulty remembering events related to the assault due to dissociative amnesia, which is a disruption in the memory that is usually associated with a traumatic event. The individual may block out certain details or the entire event as a defense mechanism to protect themselves from the emotional distress.
Choice B, depersonalization/derealization, refers to feeling detached from oneself or the surroundings and is not directly related to memory loss.
Choice C, dissociative identity disorder, involves the presence of multiple distinct identities or personality states and is not specific to memory impairment.
Choice D, factitious disorder, involves intentionally producing or feigning physical or psychological symptoms for the purpose of assuming the sick role and is not related to memory impairment in this context.