ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 of 5
A nurse is discussing schizophrenia spectrum disorders with a client. The client states, 'My friend says that before I started hearing voices, I stopped hanging out with them. Why is that?' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct response is A: Before symptoms of schizophrenia begin, people often isolate themselves. This is an early warning. This is the correct answer because it reflects a common prodromal phase of schizophrenia where individuals may withdraw from social interactions before experiencing overt symptoms like hearing voices. This early warning sign can help in early detection and intervention.
Choice B is incorrect because research suggests that social withdrawal can be a common early sign of schizophrenia.
Choice C is incorrect as introversion alone does not explain the pattern of social withdrawal seen in schizophrenia.
Choice D is incorrect as it suggests a causal relationship between avoiding a friend and hearing voices, which is not an accurate explanation for the situation.
Question 2 of 5
A nurse is caring for a client who is concerned about developing a mental health disorder as a result of their childhood experiences. Which of the following familial characteristics is a protective factor for adverse childhood experiences?
Correct Answer: A
Rationale: The correct answer is A: Families where caregivers have college degrees or higher. This is a protective factor for adverse childhood experiences because parents with higher education levels are more likely to have better coping skills, resources, and access to support services. They are better equipped to provide a stable and nurturing environment for their children, which can help mitigate the impact of adverse experiences. Other choices are incorrect because B indicates poor communication and lack of support, C suggests social isolation which can exacerbate mental health issues, and D implies potential stressors for young caregivers or single parents.
Question 3 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: The correct answer is C: Codependency. Codependency refers to a dysfunctional relationship where one person enables another's addiction, poor mental health, or irresponsible behavior. In this scenario, the partner demanding to oversee the client's treatment and experiencing health deterioration indicates a codependent behavior. The partner's focus on controlling the client's treatment and neglecting their own health suggests an unhealthy dependency on the client. This behavior can hinder the partner's ability to prioritize their own well-being and boundaries.
Incorrect choices:
A: Manipulation - There is no clear evidence of manipulation in the scenario.
B: Marginalization - Marginalization refers to the exclusion of individuals or groups from full participation. This behavior is not evident in the partner's actions.
D: Enabling - Enabling typically involves supporting or allowing destructive behaviors, but in this case, the partner is seeking control rather than enabling the client's behavior.
In summary, the correct answer is C because the partner's actions align with characteristics
Question 4 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: The correct answer is D because considering an individual's learning style helps in better receiving, processing, remembering, and applying information. This is important as it acknowledges that individuals have unique ways of learning. Option A is incorrect because the psychomotor domain focuses on physical skills, not thought processes. Option B is incorrect as learning is a collaborative process between the educator and the learner. Option C is incorrect because learning theories encompass various aspects of the learning process, not just retention. In summary, understanding individual learning styles is crucial for effective learning and retention of information.
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: The correct answer is B: Stage 3 (severe) alcohol withdrawal. The client is experiencing hallucinations, a symptom of severe withdrawal known as delirium tremens (DTs). DTs typically occur 48-72 hours after the last drink and are characterized by severe confusion, hallucinations, and autonomic instability. The client's symptoms, including seeing spiders and calling for their mother, indicate a disorientation to person, place, and time, which is consistent with DTs. The elevated blood pressure and tachypnea also suggest autonomic hyperactivity seen in severe withdrawal.
Choices A, C, and D are incorrect because the client's symptoms go beyond mild or moderate withdrawal and are not indicative of a psychotic disorder.