ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who screams, 'I can read your minds!' The nurse should identify this finding as a manifestation of which of the following personality disorders?
Correct Answer: C
Rationale: Schizotypal personality disorder is characterized by eccentric behavior and odd beliefs, such as magical thinking (e.g., believing they can read minds). Antisocial personality disorder involves disregard for others, paranoid personality disorder involves pervasive distrust, and avoidant personality disorder involves social inhibition, none of which align with the described belief.
Question 2 of 5
A nurse is caring for a client who has a serious mental illness. The client states, 'Kiss me baby! You know you want to!' Which of the following should the nurse identify as the priority to address?
Correct Answer: D
Rationale: The client’s inappropriate and suggestive statement indicates a lack of understanding of professional boundaries, which is a priority to address to maintain a safe and therapeutic environment. Elevated blood pressure, heart rate, and inappropriate clothing are important but secondary concerns, as they do not pose an immediate risk to the therapeutic relationship or safety.
Question 3 of 5
A nurse is caring for a client who has dementia. Which of the following requests should the nurse make to determine the client's social cognition?
Correct Answer: A
Rationale: Social cognition involves understanding social cues, such as recognizing emotions on faces, which is assessed by asking the client to identify emotions on cards. Repeating words tests memory, interpreting pictures tests visual processing, and imitating gestures tests motor skills, none of which specifically assess social cognition.
Question 4 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 5 of 5
A nurse is assessing a client who reports chronic low mood and lack of energy. Which of the following laboratory tests should the nurse anticipate to rule out physical causes?
Correct Answer: B
Rationale: Thyroid function tests are crucial to rule out hypothyroidism, which can cause symptoms like low mood and fatigue, mimicking depression. While other tests may be relevant, thyroid issues are a common physical cause of depressive symptoms.