ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 of 5
A nurse is educating a group of clients about addiction. The nurse should include that which of the following factors increases the potential for addiction?
Correct Answer: B
Rationale: Exposure to substances during adolescence, when the brain is still developing, increases addiction risk due to impacts on decision-making and impulse control areas. Insurance availability, cognitive deficits, or adult-onset use are not as directly linked to increased addiction potential.
Question 2 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 3 of 5
A nurse is caring for a client who has a serious mental illness. The client states, 'Kiss me baby! You know you want to!' Which of the following should the nurse identify as the priority to address?
Correct Answer: D
Rationale: The client’s inappropriate and suggestive statement indicates a lack of understanding of professional boundaries, which is a priority to address to maintain a safe and therapeutic environment. Elevated blood pressure, heart rate, and inappropriate clothing are important but secondary concerns, as they do not pose an immediate risk to the therapeutic relationship or safety.
Question 4 of 5
A nurse is caring for a client who has been prescribed a benzodiazepine for anxiety. Which of the following instructions should the nurse include in the client’s teaching?
Correct Answer: B
Rationale: Benzodiazepines can cause sedation and impaired coordination, making driving unsafe. Taking as needed, increasing doses, or abruptly stopping can lead to misuse, tolerance, or withdrawal, and should be avoided.
Question 5 of 5
A nurse is caring for a client who describes extreme fear of having or acquiring a disease. The client is also exhibiting behaviors like repeated body checking. The nurse should identify that the client is exhibiting manifestations of which of the following disorders?
Correct Answer: B
Rationale: Illness anxiety disorder involves excessive fear of having a serious illness despite minimal medical evidence, often with behaviors like repeated body checking. Somatic symptom disorder focuses on physical symptoms, factitious disorder involves feigning symptoms, and functional neurological symptom disorder involves neurological symptoms, none of which match the described fear-driven behavior.