ATI RN
Psychiatric Emergencies Questions
Question 1 of 5
A 14-year-old client with anorexia is allowed to select which activity?
Correct Answer: A
Rationale: The correct answer is A: Arts and crafts activity. For a 14-year-old with anorexia, engaging in arts and crafts can provide a therapeutic outlet for self-expression, relaxation, and distraction from negative thoughts about body image or food. It promotes creativity and allows the client to explore emotions in a non-threatening way. Physical exercise (B) may exacerbate the client's condition by reinforcing unhealthy behaviors. Cooking class (C) may trigger anxiety around food. Group therapy (D) can be beneficial, but the client may not be ready to openly discuss their struggles with others. Therefore, the arts and crafts activity is the most suitable choice for this client.
Question 2 of 5
A female client requests that her husband be allowed to stay in the room during the admission assessment. When interviewing the client, the RN notes a discrepancy between the client's verbal and nonverbal communication. What action does the RN take?
Correct Answer: A
Rationale: The correct answer is A: Pay close attention and document the nonverbal messages. Nonverbal communication can provide valuable insights into a client's true feelings or concerns. By observing and documenting these cues, the RN can gain a better understanding of the client's needs. This approach allows for a more holistic assessment and helps in providing individualized care. Summary: - B: Asking the client's husband to interpret the discrepancy may not be appropriate as it could breach confidentiality and may not provide accurate information. - C: Ignoring the nonverbal behavior can lead to missing important cues affecting the assessment process. - D: Integrating verbal and nonverbal messages is important, but it starts with paying close attention to and documenting nonverbal messages.
Question 3 of 5
Following involvement in a MVC, a middle-aged adult client is admitted to the hospital with multiple facial fractures. The client's blood alcohol level is high on admission. Which PRN prescription should be administered if the client begins to exhibit signs and symptoms of delirium tremens (DTs)?
Correct Answer: D
Rationale: The correct answer is D, Lorazepam (Ativan) 2 mg IM. This is because delirium tremens (DTs) is a severe form of alcohol withdrawal that can be life-threatening. Lorazepam is a benzodiazepine that helps to manage the symptoms of alcohol withdrawal, including agitation, hallucinations, and seizures. It works by calming the central nervous system. Prochlorperazine (A) is an antiemetic, not suitable for managing DTs. Hydromorphone (B) is an opioid analgesic, not indicated for alcohol withdrawal. Chlorpromazine (C) is an antipsychotic used for conditions like schizophrenia, not for alcohol withdrawal. In summary, Lorazepam is the appropriate choice for managing DTs due to its effectiveness in calming the central nervous system and managing alcohol withdrawal symptoms.
Question 4 of 5
When developing a plan of care for a client admitted to the psychiatric unit following aspiration of a caustic material related to a suicide attempt, which nursing problem has the highest priority?
Correct Answer: C
Rationale: The correct answer is C: Ineffective breathing pattern. This is the highest priority because aspiration of a caustic material can lead to respiratory distress or compromise. Priority is given to airway and breathing concerns for immediate stabilization. Impaired comfort (A) is important but not life-threatening. Risk for injury (B) may be a concern, but airway takes precedence. Ineffective coping (D) is significant for long-term care but not immediate priority.
Question 5 of 5
A nurse provided medication education for a patient diagnosed with major depressive disorder who began a new prescription for phenelzine (Nardil). Which behavior indicates effective learning? The patient
Correct Answer: D
Rationale: The correct answer is D because conferring with a pharmacist when selecting over-the-counter medications is crucial when taking phenelzine. This is because phenelzine is a monoamine oxidase inhibitor (MAOI) that can interact with various over-the-counter medications, leading to potentially dangerous side effects such as serotonin syndrome. Monitoring sodium intake and weight (choice A) is important for other medications but not specifically for phenelzine. Wearing support stockings and elevating legs (choice B) is not directly related to phenelzine. Identifying foods with high selenium content (choice C) is not relevant as phenelzine does not interact with selenium.