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 correct answer is B: Central nervous system stimulant. This is because the client's symptoms of hyperactivity, impulsivity, and inattentiveness are indicative of Attention-Deficit Hyperactivity Disorder (ADH
D). Central nervous system stimulants, such as methylphenidate or amphetamine derivatives, are the first-line pharmacological treatment for ADHD. These medications work by increasing the levels of neurotransmitters like dopamine and norepinephrine in the brain, which helps improve focus, attention, and impulse control in individuals with ADHD. Dopamine antagonists (
Choice
A) would be counterproductive as they block dopamine receptors. Selective serotonin reuptake inhibitors (
Choice
C) are used to treat conditions like depression and anxiety, not ADHD. Benzodiazepines (
Choice
D) are typically used for anxiety or sleep disorders, not ADHD.
Question 2 of 5
A nurse is caring for a client who was recently diagnosed with an opioid use disorder. They were a student in a local community college but were recently dismissed for failing their classes. Their previous diagnoses include anxiety, Crohn's disease, and chronic back pain due to a gymnastics injury in high school. Which of the following should the nurse identify as potential underlying reasons why the client might have started using opioids?
Correct Answer: A
Rationale: The correct answer is A:
To treat pain and ease anxiety. Opioids are commonly used to manage pain and alleviate anxiety due to their analgesic and sedative effects. In this case, the client's history of chronic back pain from a gymnastics injury and anxiety diagnosis suggest that they may have started using opioids to self-medicate these symptoms. It is important for the nurse to identify these underlying reasons to address the root cause of the opioid use disorder. The other choices are not relevant in this context: B is more related to sedative-hypnotics, C pertains to environmental influences, and D is not typical for opioid use.
Question 3 of 5
A nurse is providing care to a client who is recovering from an episode of dissociative amnesia. The nurse should expect the client to exhibit which of the following manifestations?
Correct Answer: C
Rationale: The correct answer is C: Guilt. Dissociative amnesia is a condition where a person experiences memory loss due to a traumatic event. Guilt is a common manifestation as the individual may feel responsible for the event that led to the memory loss. Hallucinations and delusions are not typically associated with dissociative amnesia. Anhedonia, the inability to experience pleasure, is more commonly seen in mood disorders like depression and is not a typical manifestation of dissociative amnesia.
Question 4 of 5
A nurse is caring for a 50-year-old client who is being evaluated for late-onset schizophrenia. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Age of 50 years. Late-onset schizophrenia typically presents in individuals over the age of 40, with the average age of onset being around 50 years. This is due to changes in the brain's structure and function as people age. A is incorrect because changes in personality are not specific to late-onset schizophrenia. B is irrelevant as past cannabis use does not directly correlate with late-onset schizophrenia. D is a distractor as family members mirroring psychotic behaviors is not a typical finding in late-onset schizophrenia.
Question 5 of 5
A nurse is preparing to discharge a client who has been diagnosed with schizophrenia. The client asks, 'I am not sure why I need to have a relapse plan.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer is D because a relapse plan is crucial for clients with schizophrenia to manage their condition effectively. It helps in recognizing symptoms early, which is crucial for timely intervention and preventing a worsening of symptoms. By providing steps to follow if symptoms worsen, the client can take proactive measures to maintain stability.
Choices A and B focus on general support and coping strategies, but do not specifically address symptom recognition and management.
Choice C is incorrect as it implies hospitalization as a primary solution rather than early intervention.