ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who states, 'When I get in the car to drive to work in the morning, my hands go numb. It is to the point where I can't grip the steering wheel.' Which of the following conditions is the client likely experiencing?
Correct Answer: D
Rationale: Functional neurological symptom disorder (FNS
D) involves neurological symptoms, like hand numbness, not explained by medical conditions but linked to psychological distress. Factitious disorder involves feigning symptoms, dissociative amnesia involves memory loss, and depersonalization/derealization involves detachment, none of which match the somatic symptoms described.
Question 2 of 5
A community health nurse is reviewing different learning concepts and approaches to incorporate into a health program that they are developing. Which of the following statements by the nurse is correct?
Correct Answer: D
Rationale: Considering an individual’s learning style enhances their ability to receive, process, remember, and apply information by tailoring education to their preferences. The psychomotor domain involves physical skills, learning is a shared responsibility, and learning theories encompass the entire learning process, not just retention, making the other options incorrect.
Question 3 of 5
A nurse is interviewing a client who states, 'I am at a total loss and don't know what to do anymore. I feel hopeless.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Reflecting the client’s feelings of hopelessness and validating their emotional state ('You feel like you have no remaining options...') demonstrates empathy and active listening, fostering trust and opening the door for further exploration of their concerns. Other responses either assume medication issues, redirect to future therapy, or misinterpret the client’s need, missing the opportunity to address their immediate emotional distress.
Question 4 of 5
A nurse is presenting an in-service about the cycle of violence to nursing staff. The nurse should include that which of the following occurs during phase 1 of the cycle of violence?
Correct Answer: A
Rationale: Phase 1 of the cycle of violence, the tension-building phase, is characterized by escalating arguments and conflicts, increasing tension in the relationship. Physical harm occurs in phase 2 (acute phase), promises to change occur in phase 3 (honeymoon phase), and law enforcement involvement is not specific to phase 1.
Question 5 of 5
A nurse is caring for a client who was hospitalized with a high blood alcohol content level. The provider fears the client may go into withdrawal and require medical supervision. The client's manifestations included anxiety, tremors, BP 166/100 mm Hg, and tachypnea about 1 hr ago. Now the client begins yelling out that they are seeing spiders crawling all over the walls. They believe they are at home and begin calling for their mother. The nurse should recognize that the client is experiencing which of the following stages of alcohol withdrawal?
Correct Answer: B
Rationale: Stage 3 (severe) alcohol withdrawal, also known as delirium tremens, includes severe symptoms like hallucinations (e.g., seeing spiders), confusion (believing they are at home), and disorientation (calling for their mother). Earlier symptoms like anxiety, tremors, and elevated vital signs align with progressing withdrawal. Stage 1 is mild (e.g., anxiety), Stage 2 is moderate (e.g., seizures), and these symptoms are not indicative of a primary psychotic disorder.