ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is experiencing delusions, hallucinations, and alterations in speech. Which of the following medications should the nurse anticipate the provider to prescribe?
Correct Answer: C
Rationale: Delusions, hallucinations, and alterations in speech are characteristic symptoms of psychosis, commonly seen in disorders like schizophrenia. Dopamine antagonists, also known as antipsychotic medications, are the primary pharmacological treatment for psychosis as they block dopamine receptors in the brain, reducing psychotic symptoms. Mood stabilizers, SSRIs, and benzodiazepines are used for other conditions like bipolar disorder, depression, or anxiety, respectively, and are not first-line treatments for psychosis.
Question 2 of 5
A staff nurse reports an observation of a coworker injecting themselves with a syringe in the bathroom. The coworker admits to stealing narcotics from the medication room. The staff nurse should take which of the following courses of action?
Correct Answer: A
Rationale: When a nurse observes illegal or unethical behavior, such as stealing narcotics, it is their ethical and legal responsibility to report the incident promptly to the appropriate authorities. This ensures patient safety, maintains professional standards, and adheres to organizational policies. Failing to report or making agreements to withhold reporting could compromise patient care and violate legal obligations.
Question 3 of 5
A nurse is evaluating the social profile of a new adolescent client at a community health clinic. Which of the following actions by the client is the priority for the nurse to address?
Correct Answer: B
Rationale: Experiencing cyberbullying can significantly impact an adolescent’s mental health, potentially leading to anxiety, depression, or worse outcomes, making it the priority for immediate intervention. Journaling about grief, eating fast food, or missing classes due to allergies are concerns but less urgent, as they either reflect coping mechanisms or manageable issues.
Question 4 of 5
A nurse is admitting a client who has dementia related to a traumatic brain injury. Which of the following findings should indicate to the nurse that the client's condition is worsening?
Correct Answer: C
Rationale: A shuffling gait, characterized by short steps with feet barely leaving the ground, is often associated with Parkinsonian symptoms, which can emerge in advanced stages of dementia related to traumatic brain injury, indicating disease progression. Visual field cuts, decreased CD4 counts, and chorea are not typically linked to worsening TBI-related dementia.
Question 5 of 5
A nurse is providing education to a group of clients about the importance of sleep hygiene. Which of the following recommendations should the nurse include?
Correct Answer: C
Rationale: Maintaining a consistent sleep schedule regulates the body’s circadian rhythm, promoting healthy sleep patterns. Caffeine, electronic devices, and irregular sleep (like sleeping in) disrupt sleep hygiene and should be avoided.