ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has dementia. Which of the following requests should the nurse make to determine the client's social cognition?
Correct Answer: A
Rationale: Social cognition involves understanding social cues, such as recognizing emotions on faces, which is assessed by asking the client to identify emotions on cards. Repeating words tests memory, interpreting pictures tests visual processing, and imitating gestures tests motor skills, none of which specifically assess social cognition.
Question 2 of 5
A nurse is reviewing a client's MRI results that show cortical thinning. The nurse should identify that this finding is evident in which of the following types of dementia?
Correct Answer: B
Rationale: Cortical thinning, particularly in the temporal and parietal lobes, is a hallmark of Alzheimer’s disease, contributing to cognitive decline. HIV-related dementia, prion diseases, and substance use disorders may cause brain changes, but cortical thinning is most characteristic of Alzheimer’s.
Question 3 of 5
A nurse is reviewing laboratory results for a client and notes a serum lithium level of 1.6 mEq/L. Which of the following manifestations should the nurse expect the client to report?
Correct Answer: A
Rationale: A serum lithium level of 1.6 mEq/L indicates lithium toxicity, as the therapeutic range is typically 0.6-1.2 mEq/L. Neurological symptoms like blurred vision and jerking motor movements are common in lithium toxicity due to its effects on the central nervous system. Fever, fluctuating blood pressure, lip smacking, or tongue thrusting are not typical, and while GI discomfort and poor coordination may occur, they are less specific.
Question 4 of 5
A nurse is caring for a client who has dementia. Which of the following requests should the nurse make to determine the client's social cognition?
Correct Answer: A
Rationale: Social cognition involves understanding social cues, such as recognizing emotions on faces, which is assessed by asking the client to identify emotions on cards. Repeating words tests memory, interpreting pictures tests visual processing, and imitating gestures tests motor skills, none of which specifically assess social cognition.
Question 5 of 5
A nurse is caring for a client who is inquiring about the use of herbal remedies in treating manifestations of mental illness. Which of the following topics should the nurse prepare to discuss with the client?
Correct Answer: D
Rationale: Certain herbal remedies, like St. John’s Wort, can increase serotonin levels, risking serotonin syndrome when combined with medications like SSRIs. This is a critical safety topic to discuss. Dismissing herbal remedies, discouraging their use, or claiming no interactions are inaccurate and unhelpful.