ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 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: Opioids are commonly prescribed for pain management, and individuals with chronic pain conditions, like the client’s back pain from a gymnastics injury, are at increased risk for opioid use disorder if they misuse these medications. Additionally, opioids can have anxiolytic effects, potentially used to self-medicate anxiety, a known diagnosis in this client. Other options, like sleep promotion, parental influence, or hallucinations, are less directly supported by the scenario.
Question 2 of 5
A nurse is caring for an adolescent client who has a history of depression and suicidal ideation. Which of the following client statements should the nurse identify as requiring further intervention?
Correct Answer: C
Rationale: The statement 'I don’t have anyone I can talk to about my problems' indicates a lack of social support, which is concerning for an adolescent with a history of depression and suicidal ideation. Social support is critical for mental health, and this statement suggests a need for immediate intervention to connect the client with resources or support systems. The other statements reflect positive behaviors or manageable issues.
Question 3 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 4 of 5
A nurse is meeting with a client and their family at a local treatment clinic. The client's partner demands to see the client's records and treatment plan, and states they need to be responsible for overseeing the treatment. The client's partner reports that their own health has deteriorated since caring for the client. The nurse should recognize that the client's partner is displaying which of the following behaviors?
Correct Answer: C
Rationale: Codependency involves excessive reliance on another person for identity or emotional well-being, often at the expense of one’s own health, as seen in the partner’s deteriorating health and need to control the client’s treatment. Manipulation, marginalization, and enabling involve different dynamics, such as deceit, exclusion, or supporting harmful behaviors, which do not fit the scenario.
Question 5 of 5
A nurse is caring for a client who has been diagnosed with major depressive disorder. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Promoting participation in structured activities can improve mood, provide routine, and enhance social engagement for clients with major depressive disorder. Isolation, limiting activity, or using stimulants are inappropriate and may worsen symptoms.