ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 of 5
A nurse is presenting an in-service about the cycle of violence to nursing staff. The nurse should include that which of the following occurs during phase 1 of the cycle of violence?
Correct Answer: A
Rationale: Phase 1 of the cycle of violence, the tension-building phase, is characterized by escalating arguments and conflicts, increasing tension in the relationship. Physical harm occurs in phase 2 (acute phase), promises to change occur in phase 3 (honeymoon phase), and law enforcement involvement is not specific to phase 1.
Question 2 of 5
A nurse is reviewing the medical record of a client who is experiencing delirium. Which of the following medications should the nurse identify as a cause of this disorder?
Correct Answer: D
Rationale: Antihistamines, particularly those with anticholinergic properties, are known to cause delirium by disrupting neurotransmitter signaling, leading to confusion and cognitive impairment. Benzodiazepines, sertraline (an SSRI), and amphetamines are less commonly associated with delirium, though they may have other cognitive side effects.
Question 3 of 5
A nurse is caring for a client who screams, 'I can read your minds!' The nurse should identify this finding as a manifestation of which of the following personality disorders?
Correct Answer: C
Rationale: Schizotypal personality disorder is characterized by eccentric behavior and odd beliefs, such as magical thinking (e.g., believing they can read minds). Antisocial personality disorder involves disregard for others, paranoid personality disorder involves pervasive distrust, and avoidant personality disorder involves social inhibition, none of which align with the described belief.
Question 4 of 5
A nurse is caring for a client who has asthma and allergies. The client asks the nurse about environmental influences they should avoid. The nurse should inform the client to avoid which of the following?
Correct Answer: A
Rationale: Cockroach allergens, from droppings or body parts, are potent triggers for asthma and allergies, causing respiratory symptoms. Mold is a less significant trigger, and hepatitis B and radon are unrelated to asthma/allergy exacerbations.
Question 5 of 5
A nurse on a mental health unit is caring for a client who has a new diagnosis of borderline personality disorder. The client states, 'I will just see my regular doctor at my annual checkup after I am discharged.' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Borderline personality disorder requires specialized mental health care, such as from a psychiatrist or psychologist, for ongoing management. Encouraging follow-up with a mental health provider ensures appropriate care. Relying solely on a regular doctor, praising progress without addressing follow-up, or dismissing the need for specialized care are inadequate responses.