ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has been diagnosed with schizophrenia and appears confused and has distortions in their thinking and speech patterns. Which of the following is the priority nursing intervention for this client?
Correct Answer: D
Rationale: Providing reassurance and comfort while ensuring safety is the priority for a client with schizophrenia experiencing confusion and distorted thinking, as it addresses immediate emotional distress and promotes a secure environment. Group activities, PRN medications, or distractions are secondary and require further assessment or clinical justification.
Question 2 of 5
A nurse is caring for a client who has been prescribed clozapine. Which of the following topics should the nurse prepare to discuss with the client?
Correct Answer: D
Rationale: Medication adherence is critical for clozapine to prevent relapse of psychotic symptoms, as discontinuation can lead to rapid symptom recurrence. Routine white (not red) blood cell counts monitor for agranulocytosis, fluid intake is not restricted, and tyramine interactions are unrelated to clozapine.
Question 3 of 5
A nurse is caring for a client who is taking fluphenazine and is experiencing tardive dyskinesia. Which of the following medications should the nurse anticipate the provider to prescribe for this client?
Correct Answer: C
Rationale: Valbenazine is approved for treating tardive dyskinesia, a side effect of long-term antipsychotic use like fluphenazine, characterized by involuntary movements. Diphenhydramine treats acute dystonia, naloxone reverses opioid overdose, and fluoxetine is an antidepressant, none of which address tardive dyskinesia.
Question 4 of 5
A nurse is discussing telehealth with a group of state legislators. Which of the following statements pertinent to homebound clients should the nurse include in the discussion?
Correct Answer: D
Rationale: Telehealth is particularly beneficial for homebound clients, enabling them to communicate with primary care providers remotely, overcoming barriers like mobility issues or lack of transportation. It does not replace all healthcare services, act as a supplemental insurance program, or directly cover prescription costs, making the other options inaccurate.
Question 5 of 5
A nurse is educating a newly licensed nurse about psychiatric pharmacogenomic testing. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: C
Rationale: Psychiatric pharmacogenomic testing analyzes genetic variations to predict responses to psychiatric medications, helping providers select effective treatments. It does not predict cures, focus on treatment interactions, or determine the cause of mental illness, which are influenced by multiple factors beyond genetics.