ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has been diagnosed with bipolar disorder and is experiencing a manic episode. Which of the following behaviors should the nurse expect?
Correct Answer: B
Rationale: During a manic episode in bipolar disorder, clients often exhibit rapid speech and flight of ideas due to elevated mood and energy. Increased sleep, loss of interest, and sadness are more characteristic of depressive episodes, not mania.
Question 2 of 5
A nurse is caring for a client who is concerned about developing a mental health disorder as a result of their childhood experiences. Which of the following familial characteristics is a protective factor for adverse childhood experiences?
Correct Answer: A
Rationale: Caregivers with higher education levels often have better access to resources, knowledge, and support networks, creating a more stable environment that can mitigate adverse childhood experiences. Lack of closeness, social isolation, or young/single caregivers are risk factors, not protective, as they may increase stress or limit support.
Question 3 of 5
A nurse is planning care for a client who has been brought to the inpatient mental health unit by law enforcement officers after becoming aggressive in a local bar. The nurse should identify that this finding is consistent with which of the following disorders?
Correct Answer: D
Rationale: Antisocial personality disorder (ASP
D) is characterized by a disregard for others’ rights, impulsivity, and aggressive behavior, which aligns with the client’s aggression in a public setting. Narcissistic, borderline, and histrionic personality disorders involve grandiosity, self-directed aggression, or attention-seeking behaviors, respectively, which are less consistent with the described aggression.
Question 4 of 5
A nurse is caring for a client who states, 'When I get in the car to drive to work in the morning, my hands go numb. It is to the point where I can't grip the steering wheel.' Which of the following conditions is the client likely experiencing?
Correct Answer: D
Rationale: Functional neurological symptom disorder (FNS
D) involves neurological symptoms, like hand numbness, not explained by medical conditions but linked to psychological distress. Factitious disorder involves feigning symptoms, dissociative amnesia involves memory loss, and depersonalization/derealization involves detachment, none of which match the somatic symptoms described.
Question 5 of 5
A nurse is caring for a client who has been diagnosed with major depressive disorder. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Promoting participation in structured activities can improve mood, provide routine, and enhance social engagement for clients with major depressive disorder. Isolation, limiting activity, or using stimulants are inappropriate and may worsen symptoms.