ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has asthma and allergies. The client asks the nurse about environmental influences they should avoid. The nurse should inform the client to avoid which of the following?
Correct Answer: A
Rationale: The correct answer is A: Cockroaches. Cockroach allergens can trigger asthma symptoms in sensitive individuals. Cockroach droppings, saliva, and shed skin contain proteins that can cause allergic reactions and exacerbate asthma. Mold (
B) can also trigger asthma attacks, but it is not the most common allergen associated with asthma. Hepatitis B (
C) and Radon (
D) are not environmental influences related to asthma and allergies.
Question 2 of 5
A nurse is reviewing a client's MRI results that show cortical thinning. The nurse should identify that this finding is evident in which of the following types of dementia?
Correct Answer: B
Rationale: The correct answer is B: Alzheimer's disease. Cortical thinning is a characteristic feature of Alzheimer's disease due to the gradual loss of neurons and synapses in the cerebral cortex. This leads to a reduction in cortical volume, resulting in cortical thinning as seen on MRI.
Choice A, HIV infection, typically presents with other neurological findings like white matter abnormalities rather than cortical thinning.
Choice C, Prion disease, usually manifests with spongiform changes in the brain rather than cortical thinning.
Choice D, Substance use disorder, does not typically cause cortical thinning but may lead to other brain structural changes.
Question 3 of 5
A nurse is caring for an adolescent who has an anxiety disorder. Which of the following statements by the adolescent indicates a protective factor in the form of a positive childhood experience?
Correct Answer: C
Rationale: The correct answer is C because the statement indicates a positive childhood experience with a supportive figure, the English teacher. This positive relationship can serve as a protective factor against the development of anxiety disorders. The teacher's attentive listening can provide emotional support and guidance, helping the adolescent feel understood and valued, which can help buffer against stress and anxiety.
Choices A, B, and D do not demonstrate protective factors. A indicates ongoing stress related to a sibling's health issues. B mentions a potential risk factor related to the mother's young age at childbirth. D suggests a risk factor of frequent relocations due to parents being in the military, which can disrupt stability and lead to feelings of insecurity.
Overall, choice C stands out as the most supportive and positive environment that can contribute to the adolescent's resilience against anxiety.
Question 4 of 5
A nurse is caring for a client who has substance use disorder who has expressed interest in receiving treatment to stop using. Which of the following interventions is an example of a tertiary intervention strategy for this client?
Correct Answer: D
Rationale: The correct answer is D: Provide information on drug rehabilitation facilities since the client has expressed interest. This is a tertiary intervention strategy because it focuses on treatment and rehabilitation after the client has already developed the substance use disorder. By offering information on drug rehabilitation facilities, the nurse is addressing the client's expressed interest in stopping substance use and providing a concrete step towards recovery.
Choice A (Reinforce the importance of eating a well-balanced diet) is incorrect as it focuses on a primary prevention strategy related to promoting overall health, not specifically addressing the substance use disorder.
Choice B (Recommend the client be screened for Hepatitis
B) is incorrect as it is a secondary prevention strategy aimed at early detection and intervention for a specific disease, not directly related to addressing the substance use disorder.
Choice C (Inform the client about needle exchange programs) is incorrect as it is a harm reduction strategy, which is more of a secondary prevention approach focused on reducing the negative consequences of substance use, rather than providing
Question 5 of 5
A nurse is caring for a client who regularly uses methamphetamine and is experiencing blood vessel constriction and spasming. The nurse should identify that the client is at high risk for developing which of the following conditions?
Correct Answer: C
Rationale: The correct answer is C: Heart disease and stroke. Methamphetamine use causes blood vessel constriction and spasming, leading to increased blood pressure and heart rate, which can damage the heart and increase the risk of heart disease and stroke. Bone loss and osteoporosis (choice
A) are not directly linked to methamphetamine use. Brain trauma and injury (choice
B) may result from accidents or risky behaviors associated with methamphetamine use, but it is not the most likely outcome. Liver and pancreatic disease (choice
D) are more commonly associated with alcohol abuse rather than methamphetamine use.