ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 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: The correct answer is B: Illness anxiety disorder. This disorder is characterized by excessive worry about having or acquiring a serious illness, along with excessive health-related behaviors such as repeated body checking. This client's extreme fear of disease and behaviors align with the criteria for illness anxiety disorder. Somatic symptom disorder (choice
A) involves distressing physical symptoms and excessive thoughts regarding the symptoms, but not necessarily fear of having a disease. Factitious disorder (choice
C) involves intentionally producing or feigning physical or psychological symptoms for attention or sympathy. Functional neurological symptom disorder (choice
D) involves neurological symptoms that are inconsistent with known medical conditions.
Question 2 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:
Correct
Answer: B - "My parent used their fists to hit me as a child."
Rationale:
- This statement indicates a history of experiencing physical abuse, which can contribute to the client's aggressive behavior.
- Childhood experiences of violence can lead to learned aggressive behaviors and patterns of conflict resolution.
- Witnessing or being a victim of violence in childhood can increase the likelihood of developing aggressive tendencies in adulthood.
Summary:
- A: Although relevant to understanding the client's background, being abused as a child does not directly indicate current aggression.
- C: Occasional alcohol consumption does not necessarily lead to aggressive behavior in this context.
- D: Positive experiences like fishing with a family member are unlikely to contribute to aggression.
Question 3 of 5
A nurse is caring for a client who is taking fluphenazine and is experiencing tardive dyskinesia. Which of the following medications should the nurse anticipate the provider to prescribe for this client?
Correct Answer: C
Rationale: The correct answer is C: Valbenazine. Valbenazine is a medication used to treat tardive dyskinesia, a side effect of antipsychotic medications like fluphenazine. It works by reducing the abnormal movements associated with tardive dyskinesia. Diphenhydramine (choice
A) is an antihistamine and not typically used for tardive dyskinesia. Naloxone (choice
B) is an opioid antagonist used for opioid overdose, not for tardive dyskinesia. Fluoxetine (choice
D) is an antidepressant and not indicated for treating tardive dyskinesia.
Question 4 of 5
A nurse is reviewing the medical record of a client who reports severe pain in their head and abdomen. The client's blood toxicology test reveals ingestion of a common insect poison. The client states, 'I like to feel like I am the center of a TV show medical drama. That is why I took the poison.' The client denies suicidal intent or ideation. Which of the following disorders best describes the client's condition?
Correct Answer: B
Rationale: The correct answer is B: Factitious disorder. This disorder involves intentionally producing physical or psychological symptoms to assume the sick role. In this case, the client ingested poison for attention and to feel like the center of a medical drama, indicating a desire to be perceived as ill. The client's denial of suicidal intent or ideation suggests a primary motivation for assuming the sick role rather than self-harm. Functional neurological symptom disorder (
A) involves neurological symptoms without a medical explanation, not intentional production. Illness anxiety disorder (
C) involves excessive worry about having a serious illness, not intentional production of symptoms. Somatic symptom disorder (
D) involves distressing physical symptoms with excessive thoughts and behaviors related to those symptoms, but not necessarily intentional production.
Question 5 of 5
A nurse is providing mental health education to a group of high school students. Which of the following information about screening for mental illness should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Screening for mental illness is difficult because most mental illnesses cannot be detected through laboratory testing.
Rationale:
1. Mental illnesses are complex and often based on subjective experiences and behaviors, not solely on biological markers.
2. Laboratory tests are not typically used for diagnosing mental illnesses; instead, screenings rely on self-report questionnaires, observations, and interviews.
3. Screening tools assess symptoms, behaviors, and risk factors associated with mental health conditions.
4. Lack of specific biomarkers for many mental illnesses makes laboratory testing ineffective for diagnosis.
5. Early detection and intervention rely on accurate screening methods tailored to mental health conditions.
Summary:
A: Incorrect - Physical examinations focus on physical health, not mental health.
C: Incorrect - Risk factors for mental illness are known and contribute to screening tools.
D: Incorrect - Mental illnesses are not typically detected through blood tests, as they are primarily diagnosed through behavioral and psychological assessments.