ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 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 2 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 3 of 5
A nurse is caring for a client who screams, 'I can read your minds!' The nurse should identify this finding as a manifestation of which of the following personality disorders?
Correct Answer: C
Rationale: Schizotypal personality disorder is characterized by eccentric behavior and odd beliefs, such as magical thinking (e.g., believing they can read minds). Antisocial personality disorder involves disregard for others, paranoid personality disorder involves pervasive distrust, and avoidant personality disorder involves social inhibition, none of which align with the described belief.
Question 4 of 5
A nurse is discussing treatment options with the guardian of a child who has been diagnosed with dissociative identity disorder. The guardian asks, 'How is nursing care different for children diagnosed with dissociative identity disorder compared to adults?' How should the nurse best respond?
Correct Answer: B
Rationale: Nursing interventions for dissociative identity disorder (DI
D) can be diverse and tailored to the individual needs of the patient, regardless of age. Assessing for thoughts of self-harm or suicidal ideation is a critical component of care for both children and adults with DID, as the disorder is often associated with trauma and emotional distress that can lead to such thoughts. This consistency across age groups makes it a key aspect of nursing care.
Question 5 of 5
A nurse is caring for a client who regularly uses methamphetamine and is experiencing blood vessel constriction and spasming. The nurse should identify that the client is at high risk for developing which of the following conditions?
Correct Answer: C
Rationale: Methamphetamine’s vasoconstrictive effects increase blood pressure and strain the cardiovascular system, elevating the risk for heart disease and stroke. It does not directly cause bone loss, brain trauma, or liver/pancreatic disease, though chronic use may have other systemic effects.