ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 of 5
A staff nurse reports an observation of a coworker injecting themselves with a syringe in the bathroom. The coworker admits to stealing narcotics from the medication room. The staff nurse should take which of the following courses of action?
Correct Answer: A
Rationale: When a nurse observes illegal or unethical behavior, such as stealing narcotics, it is their ethical and legal responsibility to report the incident promptly to the appropriate authorities. This ensures patient safety, maintains professional standards, and adheres to organizational policies. Failing to report or making agreements to withhold reporting could compromise patient care and violate legal obligations.
Question 2 of 5
A nurse is caring for a client who is concerned about developing a mental health disorder as a result of their childhood experiences. Which of the following familial characteristics is a protective factor for adverse childhood experiences?
Correct Answer: A
Rationale: Caregivers with higher education levels often have better access to resources, knowledge, and support networks, creating a more stable environment that can mitigate adverse childhood experiences. Lack of closeness, social isolation, or young/single caregivers are risk factors, not protective, as they may increase stress or limit support.
Question 3 of 5
A staff nurse reports an observation of a coworker injecting themselves with a syringe in the bathroom. The coworker admits to stealing narcotics from the medication room. The staff nurse should take which of the following courses of action?
Correct Answer: A
Rationale: When a nurse observes illegal or unethical behavior, such as stealing narcotics, it is their ethical and legal responsibility to report the incident promptly to the appropriate authorities. This ensures patient safety, maintains professional standards, and adheres to organizational policies. Failing to report or making agreements to withhold reporting could compromise patient care and violate legal obligations.
Question 4 of 5
A nurse is providing education about somatic symptom disorder to a client's family. Which of the following pieces of information should the nurse include in the education?
Correct Answer: A
Rationale: Somatic symptom disorder involves real physical symptoms driven by psychological or emotional factors, not intentional fabrication. Suicidal ideation is not a defining feature, symptoms are not faked (unlike factitious disorder), and effective treatments like cognitive-behavioral therapy exist, making this the accurate information to share.
Question 5 of 5
A nurse is caring for a client who has been brought into an emergency department of a large hospital. The client's family state that the client 'took some kind of drugs.' The client is dizzy, has recently vomited, and is experiencing paranoia, yelling, 'Stay away from me! You are going to kill me!' The client alternates yelling with mumbling and gesturing. Their eyes are darting back and forth as they are talking to the wall. The nurse should suspect the client has used which of the following substances?
Correct Answer: D
Rationale: The client’s symptoms, including paranoia, perceptual disturbances (talking to the wall), erratic behavior, and disorientation, are consistent with hallucinogen use, which alters perception and cognition. Anabolic steroids affect physical performance, opioids cause sedation and respiratory depression, and while stimulants can cause paranoia, they are less likely to produce the vivid perceptual changes described.