ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 of 5
A community health nurse is conducting a presentation about modifiable risk factors at a local community center. A community member asks a question and the nurse does not know the answer. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Admitting not knowing the answer and committing to follow up demonstrates honesty and accountability, ensuring accurate information is provided later. Delaying the question, pausing to research, or guessing risks disrupting the presentation or spreading misinformation.
Question 2 of 5
A nurse is caring for a client who has been prescribed clozapine. Which of the following topics should the nurse prepare to discuss with the client?
Correct Answer: D
Rationale: Medication adherence is critical for clozapine to prevent relapse of psychotic symptoms, as discontinuation can lead to rapid symptom recurrence. Routine white (not red) blood cell counts monitor for agranulocytosis, fluid intake is not restricted, and tyramine interactions are unrelated to clozapine.
Question 3 of 5
A nurse is caring for a client who was recently diagnosed with an opioid use disorder. They were a student in a local community college but were recently dismissed for failing their classes. Their previous diagnoses include anxiety, Crohn's disease, and chronic back pain due to a gymnastics injury in high school. Which of the following should the nurse identify as potential underlying reasons why the client might have started using opioids?
Correct Answer: A
Rationale: Opioids are commonly prescribed for pain management, and individuals with chronic pain conditions, like the client’s back pain from a gymnastics injury, are at increased risk for opioid use disorder if they misuse these medications. Additionally, opioids can have anxiolytic effects, potentially used to self-medicate anxiety, a known diagnosis in this client. Other options, like sleep promotion, parental influence, or hallucinations, are less directly supported by the scenario.
Question 4 of 5
A nurse on a mental health unit is caring for a client who has a new diagnosis of borderline personality disorder. The client states, 'I will just see my regular doctor at my annual checkup after I am discharged.' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Borderline personality disorder requires specialized mental health care, such as from a psychiatrist or psychologist, for ongoing management. Encouraging follow-up with a mental health provider ensures appropriate care. Relying solely on a regular doctor, praising progress without addressing follow-up, or dismissing the need for specialized care are inadequate responses.
Question 5 of 5
A nurse is caring for a client who has a serious mental illness. The client states, 'Kiss me baby! You know you want to!' Which of the following should the nurse identify as the priority to address?
Correct Answer: D
Rationale: The client’s inappropriate and suggestive statement indicates a lack of understanding of professional boundaries, which is a priority to address to maintain a safe and therapeutic environment. Elevated blood pressure, heart rate, and inappropriate clothing are important but secondary concerns, as they do not pose an immediate risk to the therapeutic relationship or safety.