ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 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: The correct answer is D: The importance of medication adherence after the resolution of acute psychosis when taking an antipsychotic. This is because clozapine is an antipsychotic medication commonly used to treat schizophrenia and other psychotic disorders. It is crucial for the nurse to discuss the significance of continuing medication adherence even after the acute symptoms have resolved to prevent relapse and maintain stability.
A: Routine red blood cell count laboratory work is important for monitoring potential side effects of clozapine, but it is not a topic the nurse should specifically discuss with the client.
B: Limiting fluid intake is not a specific concern related to clozapine, so this topic is not relevant for the nurse to discuss with the client.
C: Avoiding foods that contain tyramine is more relevant for clients taking MAOIs, not typically associated with clozapine.
In summary, the nurse should focus on discussing medication adherence with the client as the top priority when caring for a client prescribed clozap
Question 2 of 5
A nurse is caring for a client who is experiencing lack of sleep, lack of appetite, and difficulties with concentration. Which of the following types of dementia should the nurse expect this client to have?
Correct Answer: D
Rationale: The correct answer is D: Prion disease. Prion diseases, such as Creutzfeldt-Jakob disease, can cause rapid cognitive decline leading to symptoms like lack of sleep, lack of appetite, and difficulties with concentration. These diseases are characterized by the abnormal folding of proteins in the brain, leading to neurological dysfunction. Frontotemporal lobar degeneration (choice
A) typically presents with changes in behavior and personality rather than sleep and appetite disturbances. Traumatic brain injury (choice
B) can cause cognitive impairments but is not typically associated with lack of sleep and appetite. HIV infection (choice
C) can lead to neurocognitive disorders but does not typically present with these specific symptoms. Thus, based on the client's symptoms, prion disease is the most likely cause.
Question 3 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:
Correct
Answer: B - Somatic symptom disorder is usually underdiagnosed in the older population.
Rationale:
1. Older adults may have multiple medical conditions, making it challenging to differentiate between physical symptoms and somatic symptoms.
2. Older adults may have grown accustomed to living with chronic conditions, leading to underreporting of somatic symptoms.
3. Stigma surrounding mental health issues in older adults may prevent them from seeking help for somatic symptoms.
4. Healthcare providers may attribute physical symptoms in older adults to age-related changes rather than considering somatic symptom disorder.
Summary:
A: Incorrect - Somatic symptom disorder can be diagnosed at any age, not just in early childhood.
C: Incorrect - There is no age limit for the diagnosis of somatic symptom disorder.
D: Incorrect - Somatic symptom disorder typically starts in adolescence or early adulthood, not in older adulthood.
Question 4 of 5
The nurse is collecting the health history of a client and determines that the client has risk factors for developing mental illness. Which of the following should the nurse identify as a possible contributing factor in the development of a mental health disorder?
Correct Answer: D
Rationale: The correct answer is D: Immune system. The immune system plays a crucial role in mental health as inflammation and immune dysregulation are linked to various mental health disorders like depression and anxiety. Chronic inflammation can impact neurotransmitter function and brain structure, contributing to the development of mental illness. Adverse effects of treatment (
A) and medication adherence (
B) are more related to managing mental health rather than causing it. Exposure to environmental allergens (
C) may contribute to physical health issues but is not a direct cause of mental illness.
Question 5 of 5
A community health nurse is conducting a presentation about modifiable risk factors at a local community center. A community member asks a question and the nurse does not know the answer. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Admit not knowing the answer to the question and advise they will follow up. This is the most appropriate action because honesty and transparency are key in building trust with the community. By admitting not knowing the answer and committing to follow up, the nurse shows integrity and a willingness to provide accurate information. This also demonstrates respect for the community member's question and ensures that the correct information will be provided after proper research.
Summary of other choices:
B: Asking the community member to hold their question may come across as dismissive or unprepared.
C: Pausing the presentation disrupts the flow and may not be necessary if the question can be addressed later.
D: Providing an answer when unsure can lead to misinformation and erode trust with the community.