ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 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 2 of 5
A nurse is teaching a newly licensed nurse about the needs of clients who are a part of a vulnerable population. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: C
Rationale: Addressing the problem that the client believes is the most significant demonstrates client-centered care, which is essential for vulnerable populations. This approach respects the client’s autonomy and prioritizes their perceived needs, fostering trust and effective care. Limited assessments, avoiding financial inquiries, or ignoring cultural traditions may overlook critical factors affecting vulnerable clients’ health.
Question 3 of 5
A nurse is caring for a client who has post-traumatic stress disorder (PTSD). Which of the following symptoms should the nurse expect?
Correct Answer: B
Rationale: PTSD is characterized by intrusive memories, flashbacks, or nightmares of a traumatic event, causing significant distress. Fear of germs relates to OCD, belief in illness relates to illness anxiety disorder, and while relationship difficulties may occur, they are not a hallmark symptom.
Question 4 of 5
A nurse is assessing a client who reports feeling detached from their surroundings, as if they are in a dream. Which of the following disorders should the nurse suspect?
Correct Answer: B
Rationale: Depersonalization/derealization disorder involves feelings of detachment from oneself or surroundings, often described as dream-like. Dissociative identity disorder involves multiple personalities, PTSD involves trauma-related symptoms, and schizophrenia involves psychosis, none of which primarily feature this detachment.
Question 5 of 5
A nurse is caring for a client who has been admitted for a psychiatric evaluation after displaying aggressive behavior towards their partner and 2-year-old child. Which of the following client statements should the nurse identify as potentially contributing to aggression?
Correct Answer: B
Rationale: Childhood physical abuse, such as being hit by a parent, is a significant risk factor for developing aggressive behaviors in adulthood, as it can model violence as a coping mechanism. The other statements, involving a parent’s abuse history, occasional alcohol use, or positive childhood experiences, are less directly linked to the client’s current aggression.