ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who reports a recent increase in stressors. Which of the following concepts should the nurse use to develop necessary context to both understand and deliver nursing care for this client?
Correct Answer: B
Rationale: The concept of adaptive versus maladaptive responses helps the nurse assess whether the client’s coping strategies are effective or harmful in managing stress. This framework guides tailored interventions to promote healthier coping mechanisms. Labeling stressors as justified, right, or good oversimplifies the client’s experience and is less relevant to nursing care planning.
Question 2 of 5
A nurse is assisting a client to develop a plan to increase daily exercise. Which of the following interventions should the nurse include in the plan to elicit accountability?
Correct Answer: D
Rationale: Sharing an exercise log with a support person promotes accountability by creating a sense of responsibility and encouragement, motivating the client to adhere to their exercise plan. Setting duration, listing exercises, or defining a timeframe are goal-setting strategies but do not inherently foster accountability.
Question 3 of 5
A nurse is caring for a client who regularly uses methamphetamine and is experiencing blood vessel constriction and spasming. The nurse should identify that the client is at high risk for developing which of the following conditions?
Correct Answer: C
Rationale: Methamphetamine’s vasoconstrictive effects increase blood pressure and strain the cardiovascular system, elevating the risk for heart disease and stroke. It does not directly cause bone loss, brain trauma, or liver/pancreatic disease, though chronic use may have other systemic effects.
Question 4 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 5 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.