ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is taking fluphenazine and is experiencing tardive dyskinesia. Which of the following medications should the nurse anticipate the provider to prescribe for this client?
Correct Answer: C
Rationale: Valbenazine is approved for treating tardive dyskinesia, a side effect of long-term antipsychotic use like fluphenazine, characterized by involuntary movements. Diphenhydramine treats acute dystonia, naloxone reverses opioid overdose, and fluoxetine is an antidepressant, none of which address tardive dyskinesia.
Question 2 of 5
A nurse is working with an older adult client who has been diagnosed with somatic symptom disorder. Which of the following should the nurse consider when working with an older adult who has somatic symptom disorder?
Correct Answer: B
Rationale: Somatic symptom disorder is often underdiagnosed in older adults, as their somatic complaints may be mistaken for age-related physical issues. It is not limited to childhood, does not require diagnosis before 18, and is not typically onset in older adulthood, occurring across age groups.
Question 3 of 5
A nurse is reviewing a client's MRI results that show cortical thinning. The nurse should identify that this finding is evident in which of the following types of dementia?
Correct Answer: B
Rationale: Cortical thinning, particularly in the temporal and parietal lobes, is a hallmark of Alzheimer’s disease, contributing to cognitive decline. HIV-related dementia, prion diseases, and substance use disorders may cause brain changes, but cortical thinning is most characteristic of Alzheimer’s.
Question 4 of 5
A nurse is caring for a client who has been prescribed clozapine. Which of the following topics should the nurse prepare to discuss with the client?
Correct Answer: D
Rationale: Medication adherence is critical for clozapine to prevent relapse of psychotic symptoms, as discontinuation can lead to rapid symptom recurrence. Routine white (not red) blood cell counts monitor for agranulocytosis, fluid intake is not restricted, and tyramine interactions are unrelated to clozapine.
Question 5 of 5
A nurse on an inpatient mental health unit is caring for a client who is experiencing panic level anxiety. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Panic-level anxiety is characterized by intense fear and physical symptoms like shakiness or tremors due to heightened physiological arousal. Voice tremors, depersonalization, and poor concentration may occur but are less specific or more cognitive than the physical manifestation of shakiness.