ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to a client who has borderline personality disorder. The client reports being a single parent caring for two toddlers. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Offering information about support groups for parents provides the client with peer support, education, and resources to manage parenting challenges while addressing their mental health condition. This strengths-based approach promotes resilience and autonomy. Suggesting alternative living arrangements, notifying child protective services, or encouraging unit visits are not appropriate without evidence of neglect or specific clinical justification.
Question 2 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.
Question 3 of 5
A nurse is providing education to a group of clients about the importance of sleep hygiene. Which of the following recommendations should the nurse include?
Correct Answer: C
Rationale: Maintaining a consistent sleep schedule regulates the body’s circadian rhythm, promoting healthy sleep patterns. Caffeine, electronic devices, and irregular sleep (like sleeping in) disrupt sleep hygiene and should be avoided.
Question 4 of 5
A nurse is reviewing laboratory results for a client and notes a serum lithium level of 1.6 mEq/L. Which of the following manifestations should the nurse expect the client to report?
Correct Answer: A
Rationale: A serum lithium level of 1.6 mEq/L indicates lithium toxicity, as the therapeutic range is typically 0.6-1.2 mEq/L. Neurological symptoms like blurred vision and jerking motor movements are common in lithium toxicity due to its effects on the central nervous system. Fever, fluctuating blood pressure, lip smacking, or tongue thrusting are not typical, and while GI discomfort and poor coordination may occur, they are less specific.
Question 5 of 5
A nurse is caring for a client who asks the nurse, 'May I please have your home address so that I can send you a note after I get home?' Which of the following responses should the nurse give?
Correct Answer: C
Rationale: This response politely declines the client’s request while explaining that hospital policy prohibits sharing personal information, maintaining professionalism and boundaries. Providing the address compromises privacy, redirecting to the client’s routine avoids the request, and a harsh refusal may distress the client unnecessarily.