ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is concerned about developing a mental health disorder as a result of their childhood experiences. Which of the following familial characteristics is a protective factor for adverse childhood experiences?
Correct Answer: A
Rationale: Caregivers with higher education levels often have better access to resources, knowledge, and support networks, creating a more stable environment that can mitigate adverse childhood experiences. Lack of closeness, social isolation, or young/single caregivers are risk factors, not protective, as they may increase stress or limit support.
Question 2 of 5
A nurse is educating a client who is prescribed clozapine. Which of the following findings should the nurse identify as consistent with agranulocytosis and instruct the client to monitor?
Correct Answer: C
Rationale: Agranulocytosis, a severe side effect of clozapine, involves a significant reduction in white blood cells, increasing infection risk. Symptoms like sore throat, fever, and muscle aches indicate possible infection due to neutropenia, requiring immediate monitoring. Restlessness, respiratory depression, and anxiety/suicidal ideations are not characteristic of agranulocytosis.
Question 3 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 4 of 5
A nurse is caring for a client who has been brought into an emergency department of a large hospital. The client's family state that the client 'took some kind of drugs.' The client is dizzy, has recently vomited, and is experiencing paranoia, yelling, 'Stay away from me! You are going to kill me!' The client alternates yelling with mumbling and gesturing. Their eyes are darting back and forth as they are talking to the wall. The nurse should suspect the client has used which of the following substances?
Correct Answer: D
Rationale: The client’s symptoms, including paranoia, perceptual disturbances (talking to the wall), erratic behavior, and disorientation, are consistent with hallucinogen use, which alters perception and cognition. Anabolic steroids affect physical performance, opioids cause sedation and respiratory depression, and while stimulants can cause paranoia, they are less likely to produce the vivid perceptual changes described.
Question 5 of 5
A nurse is caring for a client who is requesting a prescription for a new medication. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Informing the client that their request will be discussed with their provider acknowledges the request while ensuring medication decisions are made collaboratively within a comprehensive care plan. Dismissing the request, questioning motives, or suggesting unrelated alternatives may undermine trust or fail to address the client’s needs.