ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client who was admitted for alcohol detoxification. Which of the following findings should the nurse expect to observe that indicate the client is experiencing alcohol withdrawal?
Correct Answer: D
Rationale: Alcohol withdrawal is characterized by symptoms such as increased heart rate (tachycardia), sweating, tremors, anxiety, nausea, vomiting, and agitation. These symptoms result from the autonomic nervous system’s response to the sudden cessation of alcohol. Decreased blood pressure, constipation, pupil constriction, and bone/muscle aches are more associated with other conditions, such as opioid withdrawal, and are not typical of alcohol withdrawal.
Question 3 of 5
A nurse is caring for a client who has illness anxiety disorder. Which of the following medications should the nurse expect the provider to prescribe?
Correct Answer: D
Rationale: Escitalopram, an SSRI, is commonly prescribed for illness anxiety disorder to reduce excessive worry and anxiety by increasing serotonin levels. Carbamazepine (anticonvulsant), haloperidol, and olanzapine (antipsychotics) are used for other conditions like seizures, schizophrenia, or bipolar disorder, not primarily for anxiety disorders.
Question 4 of 5
A nurse is reviewing factors that determine a client's health risk with a newly licensed nurse. Which of the following factors should the nurse include?
Correct Answer: C
Rationale: Vulnerable populations, such as those with low socioeconomic status or chronic health conditions, have increased susceptibility to health risks due to factors like limited healthcare access and social determinants of health. This is a key factor in determining health risk. Variability in stressor effects, older adult sensitivity, and resilience are relevant but not as directly tied to health risk determination.
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.