ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 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: The correct answer is A: Blurred vision and jerking motor movements. A serum lithium level of 1.6 mEq/L indicates lithium toxicity. Blurred vision and jerking motor movements are common manifestations of lithium toxicity due to its effects on the central nervous system. Other symptoms of lithium toxicity may include tremors, ataxia, confusion, and seizures.
Choices B, C, and D do not align with the expected manifestations of lithium toxicity. Fever and fluctuating blood pressure (choice
B) are not typical symptoms, while GI discomfort and poor coordination (choice
C) and lip smacking and tongue thrusting (choice
D) are not commonly associated with lithium toxicity.
Question 2 of 5
A nurse is admitting a client who has dementia related to a traumatic brain injury. Which of the following findings should indicate to the nurse that the client's condition is worsening?
Correct Answer: C
Rationale: The correct answer is C: Shuffling gait. In dementia related to traumatic brain injury, a shuffling gait can indicate worsening condition due to motor impairment and decline in coordination. Visual field cuts (
A) are more related to neurological deficits. Decreased CD4 counts (
B) are associated with immunodeficiency, not directly linked to dementia. Chorea (
D) is characterized by involuntary jerky movements, not typically seen in dementia related to traumatic brain injury.
Question 3 of 5
A nurse is caring for a client who reports a recent increase in stressors. Which of the following concepts should the nurse use to develop necessary context to both understand and deliver nursing care for this client?
Correct Answer: B
Rationale: The correct answer is B: Adaptive vs. maladaptive. When a client reports an increase in stressors, the nurse should assess whether the client's coping mechanisms are adaptive (healthy, effective) or maladaptive (unhealthy, ineffective). Understanding this concept helps the nurse tailor interventions to promote healthy coping strategies and address maladaptive behaviors.
Choices A, C, and D are more focused on moral or ethical judgments, which are not the primary considerations when addressing stress and coping in nursing care.
Question 4 of 5
A nurse is caring for an adolescent client who has a history of depression and suicidal ideation. Which of the following client statements should the nurse identify as requiring further intervention?
Correct Answer: C
Rationale: The correct answer is C. This statement indicates a lack of support system for the client, which is concerning given their history of depression and suicidal ideation. The nurse should further intervene by exploring and helping the client establish a support network.
Choice A shows positive behavior change, B shows engagement in a healthy activity, and D shows determination to catch up on missed classes, all of which are positive and do not raise immediate concern.
Question 5 of 5
A nurse is caring for a client who has been brought into an emergency department of a large hospital. The client's family state that the client 'took some kind of drugs.' The client is dizzy, has recently vomited, and is experiencing paranoia, yelling, 'Stay away from me! You are going to kill me!' The client alternates yelling with mumbling and gesturing. Their eyes are darting back and forth as they are talking to the wall. The nurse should suspect the client has used which of the following substances?
Correct Answer: D
Rationale: The correct answer is D: Hallucinogens. The client's symptoms align with the effects of hallucinogens, such as distorted perceptions, paranoia, hallucinations, and disorganized behavior. Symptoms like dizziness, vomiting, paranoia, and hallucinations are not typically associated with anabolic steroids (
A), opioids (
B), or stimulants (
C). Hallucinogens alter perception, mood, and cognitive processes, leading to symptoms like those exhibited by the client. It is important for the nurse to consider hallucinogen use due to the client's presentation.