ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for an adolescent client who was sexually assaulted. The client is having difficulty remembering events related to the assault. Which of the following is the client likely experiencing?
Correct Answer: A
Rationale: Dissociative amnesia involves difficulty remembering important personal information, typically of a traumatic or stressful nature, that is inconsistent with ordinary forgetting. This is a common response to trauma such as sexual assault, where the mind blocks out memories as a coping mechanism. Depersonalization/derealization involves detachment from oneself or surroundings, dissociative identity disorder involves multiple personality states, and factitious disorder involves falsifying symptoms, none of which align with memory loss related to trauma.
Question 2 of 5
A nurse on an inpatient mental health unit is caring for a client who is experiencing panic level anxiety. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Panic-level anxiety is characterized by intense fear and physical symptoms like shakiness or tremors due to heightened physiological arousal. Voice tremors, depersonalization, and poor concentration may occur but are less specific or more cognitive than the physical manifestation of shakiness.
Question 3 of 5
A community health nurse is preparing an educational activity that addresses the domains of learning. The nurse should know that the affective domain focuses on which of the following?
Correct Answer: D
Rationale: The affective domain of learning focuses on emotions, attitudes, values, and beliefs, influencing how learners internalize and respond to information. The psychomotor domain involves physical skills, desire to participate relates to motivation, and knowledge/skill level pertains to the cognitive domain.
Question 4 of 5
A nurse is discussing treatment options with the guardian of a child who has been diagnosed with dissociative identity disorder. The guardian asks, 'How is nursing care different for children diagnosed with dissociative identity disorder compared to adults?' How should the nurse best respond?
Correct Answer: B
Rationale: Nursing interventions for dissociative identity disorder (DI
D) can be diverse and tailored to the individual needs of the patient, regardless of age. Assessing for thoughts of self-harm or suicidal ideation is a critical component of care for both children and adults with DID, as the disorder is often associated with trauma and emotional distress that can lead to such thoughts. This consistency across age groups makes it a key aspect of nursing care.
Question 5 of 5
A nurse is caring for a client who has obsessive-compulsive disorder (OCD). Which of the following actions should the nurse anticipate the client performing?
Correct Answer: A
Rationale: OCD is characterized by repetitive behaviors or compulsions, such as repeatedly checking locks, to alleviate anxiety from obsessive thoughts. Hallucinations, detachment, and disorganized speech are more associated with schizophrenia or other disorders, not OCD.