ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a new diagnosis of somatic symptoms disorder. The nurse should identify that the client must have been experiencing manifestations of the disorder for how long before diagnosis?
Correct Answer: C
Rationale: The correct answer is C: 3 months. According to the DSM-5 criteria, for a diagnosis of somatic symptom disorder, the individual must be experiencing somatic symptoms for at least 6 months.
Therefore, the nurse should identify that the client must have been experiencing manifestations of the disorder for at least 3 months before diagnosis, as this aligns with the diagnostic criteria.
Choices A, D, and E are incorrect because they do not meet the minimum duration of symptoms required for the diagnosis of somatic symptom disorder.
Choice B is incorrect as it exceeds the minimum duration criteria specified in the DSM-5.
Question 2 of 5
A nurse is caring for a client who is diagnosed with schizophrenia. Which of the following manifestations should the nurse identify as a negative symptom?
Correct Answer: A
Rationale: The correct answer is A: Lack of emotions. Negative symptoms in schizophrenia refer to deficits or lack of typical behaviors or functions seen in individuals without the disorder. Lack of emotions, such as flat affect or reduced emotional expression, is a classic example of a negative symptom. Paranoia, confusion, and distorted beliefs are actually examples of positive symptoms in schizophrenia, characterized by the presence of abnormal behaviors or experiences not typically seen in healthy individuals. Paranoia involves irrational fears or beliefs, confusion refers to disorientation or lack of clarity in thinking, and distorted beliefs refer to delusions or false beliefs.
Therefore, these choices are incorrect as they represent positive symptoms, not negative symptoms.
Question 3 of 5
A nurse is providing education about somatic symptom disorder to a client's family. Which of the following pieces of information should the nurse include in the education?
Correct Answer: A
Rationale:
Rationale:
Choice A is correct because individuals with somatic symptom disorder indeed experience real physical effects, but these are primarily driven by emotional factors rather than physical causes. The nurse should explain this to help the family understand that the symptoms are not fabricated.
Choice B is incorrect because suicidal ideations are not a defining characteristic of somatic symptom disorder.
Choice C is incorrect as individuals with somatic symptom disorder are not intentionally faking symptoms.
Choice D is incorrect as there are various treatment options available, including cognitive-behavioral therapy and medication.
Question 4 of 5
A nurse on a mental health unit is planning care for a client who has a new diagnosis of non-suicidal self-harm (NSSH). Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C. Encouraging the client to identify the emotions they feel before self-harming helps in understanding triggers and developing healthier coping mechanisms. This intervention promotes self-awareness and emotional regulation, which are crucial in managing NSSH.
Choice A is incorrect as self-harm behaviors can increase the risk of accidental death.
Choice B is incorrect as self-harm can indeed escalate into a serious problem.
Choice D is incorrect as NSSH does not necessarily indicate overt suicidal intent; placing the client in one-on-one observation may not be appropriate.
Question 5 of 5
A nurse is teaching the family of a client who has a new diagnosis of borderline personality disorder about the disorder. Which of the following information should be the nurse's priority?
Correct Answer: B
Rationale: The correct answer is B: Awareness of potential for self-harm. This should be the nurse's priority because individuals with borderline personality disorder are at a higher risk for self-harm and suicide. By educating the family about the potential signs and risks of self-harm, they can help prevent any harmful behaviors and seek appropriate help.
Choice A is important but not the priority.
Choices C and D, while beneficial, are not as critical as addressing the immediate safety concerns related to self-harm.