ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 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 2 of 5
A nurse is presenting an in-service about the cycle of violence to nursing staff. The nurse should include that which of the following occurs during phase 1 of the cycle of violence?
Correct Answer: A
Rationale: Phase 1 of the cycle of violence, the tension-building phase, is characterized by escalating arguments and conflicts, increasing tension in the relationship. Physical harm occurs in phase 2 (acute phase), promises to change occur in phase 3 (honeymoon phase), and law enforcement involvement is not specific to phase 1.
Question 3 of 5
A nurse is reviewing the medical record of a client who is experiencing delirium. Which of the following medications should the nurse identify as a cause of this disorder?
Correct Answer: D
Rationale: Antihistamines, particularly those with anticholinergic properties, are known to cause delirium by disrupting neurotransmitter signaling, leading to confusion and cognitive impairment. Benzodiazepines, sertraline (an SSRI), and amphetamines are less commonly associated with delirium, though they may have other cognitive side effects.
Question 4 of 5
A nurse is interviewing a client who states, 'I am at a total loss and don't know what to do anymore. I feel hopeless.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Reflecting the client’s feelings of hopelessness and validating their emotional state ('You feel like you have no remaining options...') demonstrates empathy and active listening, fostering trust and opening the door for further exploration of their concerns. Other responses either assume medication issues, redirect to future therapy, or misinterpret the client’s need, missing the opportunity to address their immediate emotional distress.
Question 5 of 5
A nurse is caring for a client who has dementia. Which of the following requests should the nurse make to determine the client's social cognition?
Correct Answer: A
Rationale: Social cognition involves understanding social cues, such as recognizing emotions on faces, which is assessed by asking the client to identify emotions on cards. Repeating words tests memory, interpreting pictures tests visual processing, and imitating gestures tests motor skills, none of which specifically assess social cognition.