Review ATI Psychiatric Exam 1

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ATI Psychiatric Exam 1

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Total Questions : 96

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Question 1:

A nurse is providing education to a group of staff members about schizophrenia. Which of the following age groups should the nurse include as the age when schizophrenia is typically diagnosed?

A. Preschooler B. Older adulthood C. School-age D. Young adulthood

Answer and Explanation

Choice A:

A, B, C – schizophrenia has no relationship with preschool, school age or older adulthood.

Choice B:

A, B, C – schizophrenia has no relationship with preschool, school age or older adulthood.

Choice C:

A, B, C – schizophrenia has no relationship with preschool, school age or older adulthood.

Choice D:

Schizophrenia is typically diagnosed in young adulthood, usually in the late teens to early twenties, although it can also occur later in life. Symptoms often emerge during this period of development, characterized by disturbances in thinking, perception, emotions, and behavior. A, B, C – schizophrenia has no relationship with preschool, school age or older adulthood.

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Question 2:

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?

A. "Nursing interventions for this diagnosis are very limited, regardless of age." B. "Assessing for thoughts of self-harm is important, regardless of age." C. "Usually, older clients have better treatment outcomes." D. "Usually, only adults are on psychiatric medication for this disorder."

Answer and Explanation

Choice A:

Nursing interventions for dissociative identity disorder (DID) can be diverse and tailored to the individual needs of the patient, regardless of age. While managing DID in children may present some unique challenges compared to adults, it doesn't mean that nursing interventions are limited. This option may not provide helpful information to the guardian seeking guidance.

Choice B:

Dissociative identity disorder (DID) can affect individuals of any age, including children. While treatment approaches may vary depending on the age of the individual and their specific needs, one aspect that remains consistent across age groups is the importance of assessing for thoughts of self-harm or suicidal ideation.

Choice C:

Treatment outcomes for DID can vary widely depending on various factors, including the severity of symptoms, the presence of comorbid conditions, the quality of therapeutic interventions, and the individual's support system. While some older individuals may respond well to treatment, age alone is not a determining factor in treatment outcomes.

Choice D:

Dissociative identity disorder can occur in both children and adults, and psychiatric medication may be prescribed to individuals of any age depending on the severity of symptoms and individual treatment plans. Medication is often used to manage comorbid conditions such as depression, anxiety, or mood disorders that commonly co- occur with DID.

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Question 3:

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?

A. Report the incident to the appropriate person in the chain of command right away. B. Agree to not report the incident if the coworker seeks treatment. C. Report the incident to the other RNs on the shift. D. Agree to not report the incident if the coworker promises to report themselves to the supervisor.

Answer and Explanation

Choice A:

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.

Choice B:

While it's important to encourage the coworker to seek treatment for their substance abuse issue, withholding reporting of the incident compromises patient safety and violates organizational policies and legal obligations. It's essential to report the incident regardless of the coworker's actions afterward.

Choice C:

Reporting the incident to other RNs on the shift may not be sufficient action to address the seriousness of the situation. While it's important for colleagues to be aware of potential risks to patient safety, the primary responsibility lies with reporting the incident to the appropriate authorities within the organization.

Choice D:

Agreeing not to report the incident in exchange for the coworker promising to report themselves to the supervisor is not an appropriate course of action. It's essential to follow established reporting protocols and ensure that the incident is documented and addressed through the appropriate channels to protect patient safety and uphold professional standards.

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Question 4:

A nurse is caring for a client who is experiencing delusions, hallucinations, and alterations in speech. Which of the following medications should the nurse anticipate the provider to prescribe?

A. Mood stabilizer B. Selective serotonin reuptake inhibitor C. Dopamine antagonist D. Benzodiazepine

Answer and Explanation

Choice A:

Mood stabilizers are primarily used to manage mood swings in conditions like bipolar disorder. While they can help stabilize mood, they are not typically the first-line treatment for psychotic symptoms like delusions and hallucinations.

Choice B:

SSRIs are antidepressant medications that primarily target serotonin levels in the brain. They are used to treat conditions such as depression, anxiety, and some other mood disorders.

Choice C:

Delusions, hallucinations, and alterations in speech are characteristic symptoms of psychosis, which can occur in various psychiatric disorders such as schizophrenia. Dopamine antagonists, also known as antipsychotic medications, are the primary pharmacological treatment for psychosis.

Choice D:

Benzodiazepines are a class of medications primarily used to treat anxiety, insomnia, and seizures.

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Question 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?

A. Dissociative amnesia B. Depersonalization/derealization C. Dissociative identity disorder D. Factitious disorder

Answer and Explanation

Choice A:

Dissociative amnesia involves difficulty remembering important personal information, usually of a traumatic or stressful nature, that is inconsistent with ordinary forgetting. In the case of a client who has been sexually assaulted and is having difficulty remembering events related to the assault, dissociative amnesia is the likely experience.

Choice B:

Depersonalization/derealization disorder involves persistent feelings of detachment from oneself or one's surroundings. While this condition can occur in response to trauma, it typically involves a sense of detachment rather than memory loss.

Choice C:

Dissociative identity disorder (DID) involves the presence of two or more distinct personality states, each with its own pattern of perceiving and interacting with the world.

Choice D:

Factitious disorder involves the deliberate falsification or exaggeration of physical or psychological symptoms in oneself. It is not directly related to memory loss or difficulty remembering events.

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Question 6:

A nurse is caring for a client who has avoidant personality disorder. Which of the following types of therapy should the nurse anticipate for the client?

A. Interpersonal therapy B. Antipsychotic medications C. Dialectical behavior therapy D. Antidepressant medications

Answer and Explanation

Choice A:

Interpersonal therapy (IPT) focuses on improving interpersonal relationships and social functioning, which is crucial for individuals with avoidant personality disorder. This therapy helps clients work through feelings of inadequacy, sensitivity to criticism, and fear of rejection, aiming to enhance their ability to connect with others and improve their social skills.

Choice B:

Antipsychotic medications are primarily used to treat psychotic disorders such as schizophrenia and bipolar disorder with psychotic features. They are not the first-line treatment for avoidant personality disorder.

Choice C:

While DBT is useful for emotional regulation and has applications in various personality disorders, it is primarily designed for borderline personality disorder and may not be the first choice for avoidant personality disorder.

Choice D:

Dialectical behavior therapy (DBT) is a type of cognitive-behavioral therapy (CBT) that emphasizes acceptance and change strategies.

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Question 7:

A nurse is teaching a newly licensed nurse about the needs of clients who are a part of a vulnerable population. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A. "I will make sure to do a limited assessment that focuses on the client's stated reason for the visit." B. "I will avoid asking clients for income or financial information, because this is an invasion of privacy." C. "I will address the problem that the client believes is the most significant." D. "I will not include the client's cultural traditions as I complete my assessment."

Answer and Explanation

Choice A:

This statement suggests a narrow focus on the immediate reason for the client's visit. While addressing the client's presenting concern is important, a limited assessment may overlook underlying issues or social determinants of health that could impact the client's well-being.

Choice B:

While privacy is important, asking clients for income or financial information may be necessary to assess their eligibility for financial assistance programs or to understand socioeconomic factors that may impact their health and access to care.

Choice C:

This statement indicates an understanding of the needs of clients who are part of vulnerable populations because it demonstrates an awareness of the importance of client-centered care. Addressing the problem that the client believes is the most significant acknowledges the client's autonomy, respects their perspective, and ensures that their needs are prioritized.

Choice D:

This statement suggests overlooking the importance of cultural competence in nursing practice. Cultural traditions, beliefs, and practices can significantly influence a client's health beliefs, behaviors, and preferences for care.

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Question 8:

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?

A. Decreased blood pressure and nausea B. Constipation and pupil constriction C. Bone and muscle aches D. Increased heart rate and vomiting

Answer and Explanation

Choice A:

Alcohol withdrawal is more commonly associated with increased blood pressure rather than decreased blood pressure. Nausea can be a symptom of alcohol withdrawal, particularly in the early stages, but it is not necessarily a defining characteristic.

Choice B:

Constipation and pupil constriction are not typically associated with alcohol withdrawal. These symptoms are more commonly seen with opioid withdrawal.

Choice C:

Bone and muscle aches are common symptoms of alcohol withdrawal. They can occur as a result of the body's reaction to the sudden cessation of alcohol intake and the associated changes in neurotransmitter levels.

Choice D:

Alcohol withdrawal is characterized by a range of symptoms that can vary in severity. Some common symptoms include increased heart rate (tachycardia), sweating, tremors, anxiety, nausea, vomiting, and agitation.

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Question 9:

A nurse is discussing relapse potential with a group of clients and their families. The nurse should include which of the following statements about relapse prevention?

A. Relapses signal failure of the abstinence plan, and the plan must be changed. B. Relapses may indicate that the client has very little willpower. C. Relapses should be expected and be looked at as an opportunity. D. Relapses are rare and unlikely to occur.

Answer and Explanation

Choice A:

Relapses are common in the course of recovery from substance use disorders and do not necessarily indicate failure.

Choice B:

Relapse is not solely a result of willpower or lack thereof. It involves various factors, including biological, psychological, social, and environmental influences.

Choice C:

This statement emphasizes a crucial aspect of relapse prevention in substance use disorder treatment. Relapses are common in the recovery process and should not be seen as failures but rather as opportunities for learning and growth.

Choice D:

Relapses are common in the journey of recovery from substance use disorders, especially in the early stages when individuals are still learning to navigate triggers and develop coping strategies.

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Question 10:

A nurse is providing care for a client who experienced sexual assault. Which of the following communication strategies should the nurse use?

A. Ask open-ended questions about the perpetrator. B. Speak softly to the client. C. Provide direct eye contact with the client. D. Sit next to the client.

Answer and Explanation

Choice A:

While it's important to gather relevant information about the assault, asking open-ended questions about the perpetrator may not be the most appropriate approach initially.

Choice B:

Speaking softly helps to convey empathy and can make the client feel more comfortable and less threatened.

Choice C:

Direct eye contact can be perceived as intrusive or threatening, especially for individuals who have experienced trauma such as sexual assault.

Choice D:

Sitting next to the client rather than directly across can create a more relaxed and less intimidating atmosphere. This approach can help establish a sense of partnership and support, making the client feel more at ease.

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ATI Psychiatric Exam 1

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