ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 of 5
A nurse is assessing a 10-year-old child who has an autism spectrum disorder. Which of the following findings are expected?
Correct Answer: B
Rationale: Continuous rocking of the body, a repetitive or self-stimulatory behavior (stereotypy), is commonly observed in children with autism spectrum disorder (AS
D) as a self-soothing mechanism. Difficulties with reading, spelling, or memory may occur but are not universal or defining features of ASD, unlike repetitive behaviors.
Question 2 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.
Question 3 of 5
A nurse is caring for a client who describes extreme fear of having or acquiring a disease. The client is also exhibiting behaviors like repeated body checking. The nurse should identify that the client is exhibiting manifestations of which of the following disorders?
Correct Answer: B
Rationale: Illness anxiety disorder involves excessive fear of having a serious illness despite minimal medical evidence, often with behaviors like repeated body checking. Somatic symptom disorder focuses on physical symptoms, factitious disorder involves feigning symptoms, and functional neurological symptom disorder involves neurological symptoms, none of which match the described fear-driven behavior.
Question 4 of 5
A nurse is caring for a client who is experiencing fluctuating cognition and visual hallucinations. Which of the following types of dementia should the nurse expect this client to have?
Correct Answer: B
Rationale: Fluctuating cognition and visual hallucinations are hallmark features of Lewy body dementia, caused by Lewy body protein deposits. Prion diseases cause rapid decline, HIV-related dementia presents differently, and TBI-related dementia depends on injury location, none of which typically feature these symptoms.
Question 5 of 5
A nurse is assisting a client to develop a plan to increase daily exercise. Which of the following interventions should the nurse include in the plan to elicit accountability?
Correct Answer: D
Rationale: Sharing an exercise log with a support person promotes accountability by creating a sense of responsibility and encouragement, motivating the client to adhere to their exercise plan. Setting duration, listing exercises, or defining a timeframe are goal-setting strategies but do not inherently foster accountability.