ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has substance use disorder who has expressed interest in receiving treatment to stop using. Which of the following interventions is an example of a tertiary intervention strategy for this client?
Correct Answer: D
Rationale: Tertiary prevention minimizes the impact of an existing condition, like providing information on drug rehabilitation facilities to support recovery from substance use disorder. Diet reinforcement and hepatitis screening are primary/secondary prevention, and needle exchange programs are harm reduction, not tertiary.
Question 2 of 5
A nurse is caring for a client who is experiencing periods of hyperactivity, impulsivity, and inattentiveness. Which of the following medications should the nurse anticipate the provider to prescribe?
Correct Answer: B
Rationale: The symptoms of hyperactivity, impulsivity, and inattentiveness are characteristic of attention-deficit/hyperactivity disorder (ADH
D). Central nervous system (CNS) stimulants, such as methylphenidate or amphetamines, are first-line treatments for ADHD as they increase dopamine and norepinephrine levels, improving focus and reducing impulsivity. Dopamine antagonists, SSRIs, and benzodiazepines are used for other conditions like psychosis, depression, or anxiety.
Question 3 of 5
A nurse is caring for a client who reports a recent increase in stressors. Which of the following concepts should the nurse use to develop necessary context to both understand and deliver nursing care for this client?
Correct Answer: B
Rationale: The concept of adaptive versus maladaptive responses helps the nurse assess whether the client’s coping strategies are effective or harmful in managing stress. This framework guides tailored interventions to promote healthier coping mechanisms. Labeling stressors as justified, right, or good oversimplifies the client’s experience and is less relevant to nursing care planning.
Question 4 of 5
A nurse is caring for an adolescent who has an anxiety disorder. Which of the following statements by the adolescent indicates a protective factor in the form of a positive childhood experience?
Correct Answer: C
Rationale: A supportive relationship with a teacher who listens well is a positive childhood experience and protective factor, fostering resilience against anxiety. Family stress, young parenthood, or frequent moves may exacerbate anxiety, acting as risk factors rather than protective ones.
Question 5 of 5
A nurse is caring for a client who has a new diagnosis of somatic symptoms disorder. The nurse should identify that the client must have been experiencing manifestations of the disorder for how long before diagnosis?
Correct Answer: C
Rationale: Somatic symptom disorder requires persistent, distressing physical symptoms and excessive thoughts or behaviors related to those symptoms for at least 3 months to meet diagnostic criteria. Shorter durations (1 or 4 weeks) or a longer period (6 months) do not align with the standard diagnostic timeline for this disorder.