ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 of 5
A nurse is interviewing a client who states, 'I am at a total loss and don't know what to do anymore. I feel hopeless.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Reflecting the client’s feelings of hopelessness and validating their emotional state ('You feel like you have no remaining options...') demonstrates empathy and active listening, fostering trust and opening the door for further exploration of their concerns. Other responses either assume medication issues, redirect to future therapy, or misinterpret the client’s need, missing the opportunity to address their immediate emotional distress.
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 nurse is assisting a client to develop a plan to increase daily exercise. Which of the following interventions should the nurse include in the plan to elicit accountability?
Correct Answer: D
Rationale: Sharing an exercise log with a support person promotes accountability by creating a sense of responsibility and encouragement, motivating the client to adhere to their exercise plan. Setting duration, listing exercises, or defining a timeframe are goal-setting strategies but do not inherently foster accountability.
Question 4 of 5
A nurse is caring for a client who is taking fluphenazine and is experiencing tardive dyskinesia. Which of the following medications should the nurse anticipate the provider to prescribe for this client?
Correct Answer: C
Rationale: Valbenazine is approved for treating tardive dyskinesia, a side effect of long-term antipsychotic use like fluphenazine, characterized by involuntary movements. Diphenhydramine treats acute dystonia, naloxone reverses opioid overdose, and fluoxetine is an antidepressant, none of which address tardive dyskinesia.
Question 5 of 5
A nurse is assessing a client who reports feeling detached from their surroundings, as if they are in a dream. Which of the following disorders should the nurse suspect?
Correct Answer: B
Rationale: Depersonalization/derealization disorder involves feelings of detachment from oneself or surroundings, often described as dream-like. Dissociative identity disorder involves multiple personalities, PTSD involves trauma-related symptoms, and schizophrenia involves psychosis, none of which primarily feature this detachment.