ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 of 5
A nurse is speaking with a client who experienced physical assault. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Allowing the client to control the conversation empowers them to share their experience at their own pace, fostering trust and facilitating open communication. This is particularly important for trauma survivors. Asking detailed questions about the assailant, insisting on reporting, or touching without consent can further traumatize the client or undermine their sense of control.
Question 2 of 5
A nurse is caring for an adolescent client who was sexually assaulted. The client is having difficulty remembering events related to the assault. Which of the following is the client likely experiencing?
Correct Answer: A
Rationale: Dissociative amnesia involves difficulty remembering important personal information, typically of a traumatic or stressful nature, that is inconsistent with ordinary forgetting. This is a common response to trauma such as sexual assault, where the mind blocks out memories as a coping mechanism. Depersonalization/derealization involves detachment from oneself or surroundings, dissociative identity disorder involves multiple personality states, and factitious disorder involves falsifying symptoms, none of which align with memory loss related to trauma.
Question 3 of 5
A nurse is caring for a client who has illness anxiety disorder. Which of the following medications should the nurse expect the provider to prescribe?
Correct Answer: D
Rationale: Escitalopram, an SSRI, is commonly prescribed for illness anxiety disorder to reduce excessive worry and anxiety by increasing serotonin levels. Carbamazepine (anticonvulsant), haloperidol, and olanzapine (antipsychotics) are used for other conditions like seizures, schizophrenia, or bipolar disorder, not primarily for anxiety disorders.
Question 4 of 5
A nurse is caring for a client who was admitted for alcohol detoxification. Which of the following findings should the nurse expect to observe that indicate the client is experiencing alcohol withdrawal?
Correct Answer: D
Rationale: Alcohol withdrawal is characterized by symptoms such as increased heart rate (tachycardia), sweating, tremors, anxiety, nausea, vomiting, and agitation. These symptoms result from the autonomic nervous system’s response to the sudden cessation of alcohol. Decreased blood pressure, constipation, pupil constriction, and bone/muscle aches are more associated with other conditions, such as opioid withdrawal, and are not typical of alcohol withdrawal.
Question 5 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.