ATI RN
Psychiatric Emergencies Questions
Question 1 of 5
A 25-year-old woman complains of a creepy crawling sensation in her legs. It is more at night and prevents her from sleeping. She is relieved of these symptoms by either walking or moving her legs. Which of the following drugs is used in treating the condition?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A client with depression remains in bed most of the day and declines activities. Which nursing problem has the greatest priority for this client?
Correct Answer: C
Rationale: The correct answer is C because addressing the client's refusal to address nutritional needs is the top priority. This is crucial for physical health and recovery from depression. Neglecting nutrition can lead to further physical and mental health deterioration. Loss of interest in diversional activity (A) and low self-esteem (D) are important but addressing basic needs like nutrition takes precedence. Social isolation (B) is also significant, but ensuring proper nutrition is more urgent for immediate well-being.
Question 3 of 5
The RN is planning client teaching for a 35-year-old client with alcoholic cirrhosis. Which self-care measure should the RN emphasize for the client's recovery?
Correct Answer: D
Rationale: The correct answer is D: Alcohol abstinence. For a client with alcoholic cirrhosis, the most crucial self-care measure is to completely stop alcohol consumption to prevent further liver damage and promote recovery. Alcohol is the primary cause of cirrhosis, so abstaining from it is essential. Support group meetings (A) can be beneficial but not as critical as stopping alcohol intake. Vitamin supplements (B) may help with nutritional deficiencies but do not address the root cause. A diet with adequate calories and protein (C) is important for overall health but cannot reverse the effects of alcohol-related cirrhosis.
Question 4 of 5
A male client in the mental health unit is guarded and vaguely answers the nurse's questions. He isolates in his room and sometimes opens the door to peek into the hall. Which problem can the RN anticipate?
Correct Answer: D
Rationale: The correct answer is D: Delusions of persecution. The client's behavior of being guarded, isolating, and peeking into the hall suggests paranoia and fear of being persecuted. This aligns with delusions of persecution, a common symptom seen in clients with mental health conditions like schizophrenia. Visual hallucinations (A) and auditory hallucinations (B) typically involve seeing or hearing things that are not there, which are not evident in the scenario. Excessive motor activity (C) does not fit the client's observed behavior of isolating in the room. Delusions of grandeur are not mentioned in the scenario, making option D the most suitable choice.
Question 5 of 5
A client who recently experienced the death of a significant other arrives at the mental health center. The client reports loss of interest in usual activities, expresses a wish to be with the deceased significant other, has been eating very little, and has not slept in several days. Which client statement is most important for the RN to explore at this time?
Correct Answer: B
Rationale: The correct answer is B: Wishing to be with the deceased spouse. This statement indicates a desire for death or suicidal ideation, which is a critical concern that requires immediate exploration and intervention. The client may be at risk for self-harm or suicide. It is essential for the RN to assess the severity of this statement and ensure the client's safety. A: Not sleeping for several days - While important, this symptom may be related to grief and depression. However, it is not as urgent as assessing for suicidal ideation. C: Lack of interest in usual activities - Common in grief and depression, but does not indicate immediate risk of harm. D: Eating very little - Also common in grief, but not as urgent as assessing for suicidal ideation.