ATI RN
Nurse in Psychiatry Test Bank Questions
Question 1 of 5
The common element seen in every type of bereavement is:
Correct Answer: B
Rationale: The correct answer is B because it captures the essence of bereavement - the experience of loss. This choice acknowledges that bereavement involves losing something significant, which is a universal aspect of grieving. Other choices are incorrect - A is not always predictable, C is not always acute depression, and D focuses on a specific aspect of grief rather than the core element of loss.
Therefore, B is the most comprehensive and inclusive choice.
Question 2 of 5
Planning for a patient with Asperger's disorder will be facilitated if the nurse understands that this disorder is different from autism. The nurse will base care on knowledge that Asperger's disorder is characterized by:
Correct Answer: B
Rationale: The correct answer is B: Age-appropriate language development. Asperger's disorder is characterized by normal to above-average language development, whereas autism typically presents with delays or impairments in language skills. This is important for planning care as it influences communication strategies and interventions for individuals with Asperger's.
A: Repetitive patterns of behavior are more indicative of autism, not specific to Asperger's.
C: Stereotypic movements and speech patterns are also more associated with autism and not a defining feature of Asperger's.
D: Obsession with objects that move in a spinning motion is a specific behavior that may be seen in some individuals with autism, but it is not a defining characteristic of Asperger's disorder.
Question 3 of 5
A nurse assesses four patients between the ages of 70 and 80. Which patient has the highest risk for alcohol abuse? The patient who:
Correct Answer: C
Rationale: The correct answer is C because the patient who started drinking daily after retirement as a coping mechanism for arthritis has the highest risk for alcohol abuse. This behavior indicates a potential dependence on alcohol to manage physical and emotional discomfort, leading to increased consumption and potential addiction.
Choice A is not the correct answer because consuming 1 glass of wine nightly with dinner is generally considered moderate drinking and does not necessarily indicate alcohol abuse.
Choice B is also not the correct answer as social drinking throughout adult life, even if justified as a reward, does not inherently suggest alcohol abuse without further evidence of problematic drinking patterns.
Choice D is incorrect as the patient has a history of alcohol abuse but currently abstains and seeks support through AA, indicating active efforts to maintain sobriety and reduce the risk of alcohol abuse.
Question 4 of 5
Which response by the nurse would best assist a patient in de-escalating aggressive behavior?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates active listening and shows empathy towards the patient, which can help them feel heard and understood. By inviting the patient to express their feelings and concerns, the nurse can help de-escalate the situation by addressing the underlying issues.
Choice B is incorrect because it may come across as confrontational and could further provoke the patient's aggression.
Choice C is also incorrect as it threatens the patient with consequences, which can escalate the situation.
Choice D is not appropriate as it distracts from addressing the current issue of aggression and may not be well-received by the patient in that moment.
Question 5 of 5
The nurse is collecting the paintings from the patients after the art session is over. After art therapy, a patient hands the nurse a paper that consists of several black scribbles. Which statement demonstrates the nurse understands the goals and objectives of the therapy?
Correct Answer: B
Rationale: The correct answer is B because it shows empathy and encouragement for the patient to express their feelings. By asking what prompted the artwork, the nurse demonstrates understanding and willingness to explore the patient's emotions.
Choice A is judgmental and dismissive, not fostering a therapeutic relationship.
Choice C is directive and may pressure the patient.
Choice D makes an assumption about the patient's emotions without allowing them to share their perspective.