ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who reports feeling detached from their surroundings, as if they are in a dream. Which of the following disorders should the nurse suspect?
Correct Answer: B
Rationale: Depersonalization/derealization disorder involves feelings of detachment from oneself or surroundings, often described as dream-like. Dissociative identity disorder involves multiple personalities, PTSD involves trauma-related symptoms, and schizophrenia involves psychosis, none of which primarily feature this detachment.
Question 2 of 5
A nurse is caring for a client who has been brought into an emergency department of a large hospital. The client's family state that the client 'took some kind of drugs.' The client is dizzy, has recently vomited, and is experiencing paranoia, yelling, 'Stay away from me! You are going to kill me!' The client alternates yelling with mumbling and gesturing. Their eyes are darting back and forth as they are talking to the wall. The nurse should suspect the client has used which of the following substances?
Correct Answer: D
Rationale: The client’s symptoms, including paranoia, perceptual disturbances (talking to the wall), erratic behavior, and disorientation, are consistent with hallucinogen use, which alters perception and cognition. Anabolic steroids affect physical performance, opioids cause sedation and respiratory depression, and while stimulants can cause paranoia, they are less likely to produce the vivid perceptual changes described.
Question 3 of 5
A nurse is caring for a client who has been admitted for a psychiatric evaluation after displaying aggressive behavior towards their partner and 2-year-old child. Which of the following client statements should the nurse identify as potentially contributing to aggression?
Correct Answer: B
Rationale: Childhood physical abuse, such as being hit by a parent, is a significant risk factor for developing aggressive behaviors in adulthood, as it can model violence as a coping mechanism. The other statements, involving a parent’s abuse history, occasional alcohol use, or positive childhood experiences, are less directly linked to the client’s current aggression.
Question 4 of 5
A nurse is discussing telehealth with a group of state legislators. Which of the following statements pertinent to homebound clients should the nurse include in the discussion?
Correct Answer: D
Rationale: Telehealth is particularly beneficial for homebound clients, enabling them to communicate with primary care providers remotely, overcoming barriers like mobility issues or lack of transportation. It does not replace all healthcare services, act as a supplemental insurance program, or directly cover prescription costs, making the other options inaccurate.
Question 5 of 5
A nurse is discussing relapse potential with a group of clients and their families. The nurse should include which of the following statements about relapse prevention?
Correct Answer: C
Rationale: Relapses are common in the recovery process from substance use disorders and should be viewed as opportunities for learning and growth rather than failures. This perspective encourages clients to identify triggers, refine coping strategies, and strengthen their recovery plan. Viewing relapses as failures, lack of willpower, or rare events can discourage clients and undermine their recovery efforts.