ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 of 5
A nurse is discussing coping strategies with a client who has experienced a recent loss. Which of the following strategies should the nurse recommend?
Correct Answer: B
Rationale: Engaging in regular physical activity can help manage grief by reducing stress and improving mood through endorphin release. Suppressing emotions, avoiding discussion, or using alcohol are maladaptive and can worsen emotional health.
Question 2 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 3 of 5
A nurse is reviewing the medical record of a client who reports severe pain in their head and abdomen. The client's blood toxicology test reveals ingestion of a common insect poison. The client states, 'I like to feel like I am the center of a TV show medical drama. That is why I took the poison.' The client denies suicidal intent or ideation. Which of the following disorders best describes the client's condition?
Correct Answer: B
Rationale: Factitious disorder involves intentionally inducing symptoms (e.g., ingesting poison) to assume the sick role and gain medical attention, as indicated by the client’s desire to feel like the center of a medical drama. Functional neurological symptom disorder, illness anxiety disorder, and somatic symptom disorder involve neurological symptoms, fear of illness, or distress over physical symptoms, respectively, which do not align with the client’s motives.
Question 4 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 5 of 5
A nurse is planning care for a client who has been brought to the inpatient mental health unit by law enforcement officers after becoming aggressive in a local bar. The nurse should identify that this finding is consistent with which of the following disorders?
Correct Answer: D
Rationale: Antisocial personality disorder (ASP
D) is characterized by a disregard for others’ rights, impulsivity, and aggressive behavior, which aligns with the client’s aggression in a public setting. Narcissistic, borderline, and histrionic personality disorders involve grandiosity, self-directed aggression, or attention-seeking behaviors, respectively, which are less consistent with the described aggression.