ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 of 5
A community health nurse is preparing an educational activity that addresses the domains of learning. The nurse should know that the affective domain focuses on which of the following?
Correct Answer: D
Rationale: The correct answer is D: The learner's feelings, beliefs, and attitudes. In the affective domain, the focus is on emotions, values, and attitudes. This domain deals with the development of a person's values, beliefs, and attitudes. It is essential in shaping behaviors and motivations. Understanding learners' feelings and attitudes is crucial for effective education.
Incorrect answers:
A: The learner's ability to perform a skill - This pertains to the psychomotor domain, which involves physical skills.
B: The learner's desire to participate - This is related to motivation, not the affective domain.
C: The learner's knowledge and skill level - This is part of the cognitive domain, which involves knowledge and intellectual skills.
Question 2 of 5
A nurse is caring for a client who has a serious mental illness and has developed tardive dyskinesia from anti-psychotic medication use. Which of the following adverse effects from anti-psychotic medication use would be expected for the client?
Correct Answer: D
Rationale: The correct answer is D: Uncontrolled movements around the mouth. Tardive dyskinesia is a serious side effect of long-term antipsychotic medication use, characterized by involuntary movements of the face, tongue, and limbs. This aligns with the presentation of uncontrolled movements around the mouth. Hallucinations and delusions (
A) are symptoms of the mental illness itself and not directly related to tardive dyskinesia. Nausea and vomiting (
B) are common side effects of antipsychotic medications but not specific to tardive dyskinesia. Seizures and tremors (
C) are not typically associated with tardive dyskinesia.
Question 3 of 5
A nurse is speaking about types of aggression to a group of residents at a community outreach center. One of the attendees states, 'I keep seeing the same person outside my apartment and they are leaving me items at my door.' Which of the following types of aggression should the nurse identify the client is experiencing?
Correct Answer: C
Rationale: The correct answer is C: Stalking. Stalking involves repeated unwanted attention or harassment towards a specific individual, which includes following or watching them. In this scenario, the individual is experiencing persistent behavior from someone outside their apartment, leaving items at their door, indicating a pattern of unwanted contact.
Incorrect choices:
A: Bullying involves repeated aggressive behavior towards a person with the intention to harm or intimidate. It doesn't fit the situation described.
B: Abandonment refers to desertion or withdrawal of support or care. This does not align with the individual's experience.
D: Assault involves the threat or use of physical force against someone. There is no indication of physical harm in this situation.
Question 4 of 5
A nurse is caring for a client who screams, 'I can read your minds!' The nurse should identify this finding as a manifestation of which of the following personality disorders?
Correct Answer: C
Rationale: The correct answer is C: Schizotypal personality disorder. This choice is correct because individuals with schizotypal personality disorder often exhibit odd or eccentric behaviors, including beliefs in magical thinking or unusual perceptual experiences such as thinking they can read minds. In this case, the client's statement about reading minds aligns with the characteristic symptoms of schizotypal personality disorder.
Other choices are incorrect because:
A: Antisocial personality disorder is characterized by a disregard for others' rights and feelings, not by claiming to read minds.
B: Paranoid personality disorder involves pervasive mistrust and suspicion of others, not claims of supernatural abilities like reading minds.
D: Avoidant personality disorder is characterized by extreme shyness and fear of rejection, not by delusional beliefs like reading minds.
Therefore, the most appropriate choice is C as it aligns with the client's behavior and the symptoms of schizotypal personality disorder.
Question 5 of 5
A nurse is reviewing the medical record of a client who is experiencing delirium. Which of the following medications should the nurse identify as a cause of this disorder?
Correct Answer: D
Rationale: The correct answer is D: Antihistamines. Delirium is a common side effect of antihistamines due to their sedative effects on the central nervous system. Antihistamines can cause confusion, disorientation, and cognitive impairment, leading to delirium. Benzodiazepines (choice
A) can also cause delirium but are more commonly associated with sedative withdrawal. Sertraline (choice
B) is an antidepressant and not typically associated with delirium. Amphetamines (choice
C) are stimulants and can cause agitation or psychosis but not typically delirium.
Therefore, the nurse should identify antihistamines as the medication most likely causing the client's delirium.