ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 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 2 of 5
A nurse is assessing a client who reports chronic low mood and lack of energy. Which of the following laboratory tests should the nurse anticipate to rule out physical causes?
Correct Answer: B
Rationale: Thyroid function tests are crucial to rule out hypothyroidism, which can cause symptoms like low mood and fatigue, mimicking depression. While other tests may be relevant, thyroid issues are a common physical cause of depressive symptoms.
Question 3 of 5
A community health nurse is conducting a presentation about modifiable risk factors at a local community center. A community member asks a question and the nurse does not know the answer. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Admitting not knowing the answer and committing to follow up demonstrates honesty and accountability, ensuring accurate information is provided later. Delaying the question, pausing to research, or guessing risks disrupting the presentation or spreading misinformation.
Question 4 of 5
A nurse is reviewing the medical record of a client who reports severe pain in their head and abdomen. The client's blood toxicology test reveals ingestion of a common insect poison. The client states, 'I like to feel like I am the center of a TV show medical drama. That is why I took the poison.' The client denies suicidal intent or ideation. Which of the following disorders best describes the client's condition?
Correct Answer: B
Rationale: Factitious disorder involves intentionally inducing symptoms (e.g., ingesting poison) to assume the sick role and gain medical attention, as indicated by the client’s desire to feel like the center of a medical drama. Functional neurological symptom disorder, illness anxiety disorder, and somatic symptom disorder involve neurological symptoms, fear of illness, or distress over physical symptoms, respectively, which do not align with the client’s motives.
Question 5 of 5
A nurse is caring for a client who was recently diagnosed with an opioid use disorder. They were a student in a local community college but were recently dismissed for failing their classes. Their previous diagnoses include anxiety, Crohn's disease, and chronic back pain due to a gymnastics injury in high school. Which of the following should the nurse identify as potential underlying reasons why the client might have started using opioids?
Correct Answer: A
Rationale: Opioids are commonly prescribed for pain management, and individuals with chronic pain conditions, like the client’s back pain from a gymnastics injury, are at increased risk for opioid use disorder if they misuse these medications. Additionally, opioids can have anxiolytic effects, potentially used to self-medicate anxiety, a known diagnosis in this client. Other options, like sleep promotion, parental influence, or hallucinations, are less directly supported by the scenario.