ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 of 5
A nurse on an inpatient mental health unit is caring for a client who is experiencing panic level anxiety. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Panic-level anxiety is characterized by intense fear and physical symptoms like shakiness or tremors due to heightened physiological arousal. Voice tremors, depersonalization, and poor concentration may occur but are less specific or more cognitive than the physical manifestation of shakiness.
Question 2 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 statement 'I don’t have anyone I can talk to about my problems' indicates a lack of social support, which is concerning for an adolescent with a history of depression and suicidal ideation. Social support is critical for mental health, and this statement suggests a need for immediate intervention to connect the client with resources or support systems. The other statements reflect positive behaviors or manageable issues.
Question 3 of 5
A community health nurse is preparing an educational activity that addresses the domains of learning. The nurse should know that the affective domain focuses on which of the following?
Correct Answer: D
Rationale: The affective domain of learning focuses on emotions, attitudes, values, and beliefs, influencing how learners internalize and respond to information. The psychomotor domain involves physical skills, desire to participate relates to motivation, and knowledge/skill level pertains to the cognitive domain.
Question 4 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: A serum lithium level of 1.6 mEq/L indicates lithium toxicity, as the therapeutic range is typically 0.6-1.2 mEq/L. Neurological symptoms like blurred vision and jerking motor movements are common in lithium toxicity due to its effects on the central nervous system. Fever, fluctuating blood pressure, lip smacking, or tongue thrusting are not typical, and while GI discomfort and poor coordination may occur, they are less specific.
Question 5 of 5
A nurse is preparing an in-service for a group of staff members about dissociative identity disorder. Which of the following should the nurse identify as a risk factor for this disorder?
Correct Answer: B
Rationale: Trauma during developmental years, particularly in early childhood, is a significant risk factor for dissociative identity disorder (DI
D), as it can lead to identity fragmentation as a coping mechanism. Self-injurious behavior, borderline personality disorder, and schizophrenia may involve dissociative symptoms but are not primary risk factors for DID.