ATI RN
Multiple Choice Questions on Psychiatric Emergencies Questions
Question 1 of 5
A 15-year-old girl failed her exams. For three days she has been complaining that teachers are abusing her, and she complains of hearing voices when no one is around. She says that the teachers have conspired against her and want to expel her from school. Which is the most likely diagnosis?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A girl's normal language milestone is spending her time seeing her own hands and does not interact with others. Likely diagnosis is:
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
The RN documents the mental status of a female client who has been hospitalized for several days by court order. The client states, 'I don't need to be here' and tells the RN that she believes the television talks to her. The RN should document these assessment findings in which section of the mental status exam?
Correct Answer: B
Rationale: The correct answer is B: Insight and judgement. In this scenario, the client's statement "I don't need to be here" reflects insight, the ability to recognize one's own condition. Additionally, the belief that the television talks to her indicates impaired judgement, as it is a sign of a psychotic symptom. Both insight and judgement are crucial components of mental status evaluation, as they provide important information about the client's awareness and decision-making abilities. A: Level of concentration is not directly related to the client's statements about her need to be hospitalized or the belief about the television. C: Remote memory refers to the ability to recall past events, which is not being assessed by the client's current statements. D: Mood and affect pertain to emotional state, which is not the primary focus of the client's statements in this case.
Question 4 of 5
A male client comes to the emergency center because he has an erection that will not resolve. The client reports that he is taking trazodone (Desyrel) for insomnia. Which information is most important for the nurse to ask the client?
Correct Answer: B
Rationale: Correct Answer: B Rationale: Trazodone can cause priapism, a prolonged painful erection unrelated to sexual stimulation. Asking if the client has taken any medications for erectile dysfunction will help differentiate between priapism due to trazodone and other causes of priapism. This is crucial for appropriate treatment and management. Incorrect Choices: A: Asking about alcohol consumption is important in some situations but not the priority in this case as trazodone is the likely cause of priapism. C: While important to assess overall sexual health, it is not the most immediate concern when the client presents with priapism related to trazodone. D: This choice is incomplete and does not provide any relevant information related to the client's condition.
Question 5 of 5
The occupational health nurse is working with a female employee who was just notified that her child was involved in a MVA and taken to the hospital. The employee states, 'I can't believe this. What should I do?' Which response is best for the RN to provide in this crisis?
Correct Answer: D
Rationale: The correct answer is D: Call for transportation to the hospital. This response is the best because it addresses the immediate need for the employee to be with her child at the hospital. Providing transportation shows support and helps the employee to take action quickly. A: Tell me what you think should happen - This response puts the onus on the employee to make a decision when she is in a crisis situation, which may not be the most helpful approach. B: How serious was the collision? - While showing concern, this response does not address the immediate need for the employee to be with her child at the hospital. C: What do you think you should do? - Similar to choice A, this response also shifts the responsibility to the employee and may not be the most supportive in a crisis.