Questions 96

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ATI Psychiatric Exam 1 Questions

Extract:


Question 1 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.

Question 2 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: Schizotypal personality disorder is characterized by eccentric behavior and odd beliefs, such as magical thinking (e.g., believing they can read minds). Antisocial personality disorder involves disregard for others, paranoid personality disorder involves pervasive distrust, and avoidant personality disorder involves social inhibition, none of which align with the described belief.

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 caring for an adolescent client who has a history of depression and suicidal ideation. Which of the following client statements should the nurse identify as requiring further intervention?

Correct Answer: C

Rationale: The statement 'I don’t have anyone I can talk to about my problems' indicates a lack of social support, which is concerning for an adolescent with a history of depression and suicidal ideation. Social support is critical for mental health, and this statement suggests a need for immediate intervention to connect the client with resources or support systems. The other statements reflect positive behaviors or manageable issues.

Question 5 of 5

A nurse is caring for a client who has been admitted for suicidal ideation. Which of the following actions should the nurse prioritize?

Correct Answer: B

Rationale: Developing a safety plan with the client is the priority, as it addresses immediate safety by identifying triggers, coping strategies, and support systems to prevent self-harm. Administering medication, group therapy, or avoiding discussion are secondary or inappropriate without ensuring safety first.

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