ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 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 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 providing dietary teaching to a client who has been diagnosed with Alzheimer's disease about including foods to decrease the progression of the disease. Which of the following foods should the nurse recommend?
Correct Answer: C
Rationale: Omega-3 fatty acids, found in fish like tuna, are considered beneficial for brain health, potentially reducing inflammation and supporting cognitive function, which may slow Alzheimer’s progression. Hamburgers and cheese pizza are high in saturated fats, linked to cognitive decline, and turkey, while a good protein source, lacks the specific neuroprotective benefits of omega-3s.
Question 4 of 5
A nurse is caring for a client who has ADHD. Which of the following findings should the nurse expect to observe?
Correct Answer: D
Rationale: Hyperactivity is a hallmark symptom of ADHD, manifesting as excessive fidgeting, restlessness, or difficulty remaining seated. Hypoactivity (reduced activity), hypohidrosis (decreased sweating), and hyperhidrosis (excessive sweating) are not characteristic of ADHD, which primarily involves inattention, impulsivity, and hyperactivity.
Question 5 of 5
A nurse is caring for a client who has been diagnosed with schizophrenia and appears confused and has distortions in their thinking and speech patterns. Which of the following is the priority nursing intervention for this client?
Correct Answer: D
Rationale: Providing reassurance and comfort while ensuring safety is the priority for a client with schizophrenia experiencing confusion and distorted thinking, as it addresses immediate emotional distress and promotes a secure environment. Group activities, PRN medications, or distractions are secondary and require further assessment or clinical justification.