ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse on a mental health unit is planning care for a client who has a new diagnosis of non-suicidal self-harm (NSSH). Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: Encouraging the client to identify emotions before self-harm helps develop insight into triggers, aiding in the development of healthier coping mechanisms. NSSH does increase risks like accidental death, can become serious, and does not inherently indicate suicidal intent, making constant observation unnecessary without clinical justification.
Question 3 of 5
A nurse is caring for a client who was recently diagnosed with an opioid use disorder. They were a student in a local community college but were recently dismissed for failing their classes. Their previous diagnoses include anxiety, Crohn's disease, and chronic back pain due to a gymnastics injury in high school. Which of the following should the nurse identify as potential underlying reasons why the client might have started using opioids?
Correct Answer: A
Rationale: Opioids are commonly prescribed for pain management, and individuals with chronic pain conditions, like the client’s back pain from a gymnastics injury, are at increased risk for opioid use disorder if they misuse these medications. Additionally, opioids can have anxiolytic effects, potentially used to self-medicate anxiety, a known diagnosis in this client. Other options, like sleep promotion, parental influence, or hallucinations, are less directly supported by the scenario.
Question 4 of 5
A nurse is caring for a client who is diagnosed with schizophrenia. Which of the following manifestations should the nurse identify as a negative symptom?
Correct Answer: A
Rationale: Lack of emotions, or flat affect, is a negative symptom of schizophrenia, characterized by reduced emotional expression. Paranoia and distorted beliefs (delusions) are positive symptoms, involving added behaviors or beliefs, while confusion is not a specific negative symptom and may result from other factors.
Question 5 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.