ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 of 5
A nurse is providing care for a client who experienced sexual assault. Which of the following communication strategies should the nurse use?
Correct Answer: B
Rationale: Speaking softly helps convey empathy and creates a safe, non-threatening environment for a client who has experienced sexual assault. This approach can make the client feel more comfortable. Asking about the perpetrator may be intrusive, direct eye contact can feel intimidating, and sitting next to the client may feel too close, potentially increasing discomfort for a trauma survivor.
Question 2 of 5
A nurse is caring for a client who has been admitted for a psychiatric evaluation after displaying aggressive behavior towards their partner and 2-year-old child. Which of the following client statements should the nurse identify as potentially contributing to aggression?
Correct Answer: B
Rationale: Childhood physical abuse, such as being hit by a parent, is a significant risk factor for developing aggressive behaviors in adulthood, as it can model violence as a coping mechanism. The other statements, involving a parent’s abuse history, occasional alcohol use, or positive childhood experiences, are less directly linked to the client’s current aggression.
Question 3 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: Caregivers with higher education levels often have better access to resources, knowledge, and support networks, creating a more stable environment that can mitigate adverse childhood experiences. Lack of closeness, social isolation, or young/single caregivers are risk factors, not protective, as they may increase stress or limit support.
Question 4 of 5
A nurse is caring for a client who regularly uses methamphetamine and is experiencing blood vessel constriction and spasming. The nurse should identify that the client is at high risk for developing which of the following conditions?
Correct Answer: C
Rationale: Methamphetamine’s vasoconstrictive effects increase blood pressure and strain the cardiovascular system, elevating the risk for heart disease and stroke. It does not directly cause bone loss, brain trauma, or liver/pancreatic disease, though chronic use may have other systemic effects.
Question 5 of 5
A nurse is educating a client who is prescribed clozapine. Which of the following findings should the nurse identify as consistent with agranulocytosis and instruct the client to monitor?
Correct Answer: C
Rationale: Agranulocytosis, a severe side effect of clozapine, involves a significant reduction in white blood cells, increasing infection risk. Symptoms like sore throat, fever, and muscle aches indicate possible infection due to neutropenia, requiring immediate monitoring. Restlessness, respiratory depression, and anxiety/suicidal ideations are not characteristic of agranulocytosis.