ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has been brought to the emergency department and is experiencing acute fentanyl toxicity. The nurse should expect to observe which of the following adverse effects in this client?
Correct Answer: B
Rationale: Fentanyl toxicity, like other opioid overdoses, can cause an irregular rapid heart rate in some cases, though it more commonly leads to respiratory depression, hypotension, and pupillary constriction. Tachypnea and hypertension are not typical, and pupillary dilation is associated with stimulants, not opioids.
Question 2 of 5
A nurse is working with an older adult client who has been diagnosed with somatic symptom disorder. Which of the following should the nurse consider when working with an older adult who has somatic symptom disorder?
Correct Answer: B
Rationale: Somatic symptom disorder is often underdiagnosed in older adults, as their somatic complaints may be mistaken for age-related physical issues. It is not limited to childhood, does not require diagnosis before 18, and is not typically onset in older adulthood, occurring across age groups.
Question 3 of 5
A nurse is caring for a client who was admitted for alcohol detoxification. Which of the following findings should the nurse expect to observe that indicate the client is experiencing alcohol withdrawal?
Correct Answer: D
Rationale: Alcohol withdrawal is characterized by symptoms such as increased heart rate (tachycardia), sweating, tremors, anxiety, nausea, vomiting, and agitation. These symptoms result from the autonomic nervous system’s response to the sudden cessation of alcohol. Decreased blood pressure, constipation, pupil constriction, and bone/muscle aches are more associated with other conditions, such as opioid withdrawal, and are not typical of alcohol withdrawal.
Question 4 of 5
A nurse is providing education to a group of staff members about schizophrenia. Which of the following age groups should the nurse include as the age when schizophrenia is typically diagnosed?
Correct Answer: D
Rationale: Schizophrenia is typically diagnosed in young adulthood, usually in the late teens to early twenties, although it can also occur later in life. Symptoms often emerge during this period of development, characterized by disturbances in thinking, perception, emotions, and behavior. Preschoolers, school-age children, and older adults are less likely to be diagnosed with schizophrenia due to developmental and physiological factors.
Question 5 of 5
A nurse is speaking about types of aggression to a group of residents at a community outreach center. One of the attendees states, 'I keep seeing the same person outside my apartment and they are leaving me items at my door.' Which of the following types of aggression should the nurse identify the client is experiencing?
Correct Answer: C
Rationale: Stalking involves persistent, unwanted attention or behavior, such as surveillance or leaving items at someone’s door, causing fear or distress, as described. Bullying involves repeated harm, abandonment is desertion, and assault involves physical harm or threats, none of which fully match the scenario.