ATI RN
Psychiatric Emergencies Questions
Question 1 of 5
A client is diagnosed with terminal cancer. Which situation should the nurse assess as reflecting Kubler-Ross's grief state of anger?
Correct Answer: A
Rationale: The correct answer is A because the client's statement of feeling that his faith has failed him and refusal to attend church indicate anger, which is a stage of grief according to Kubler-Ross. The client is expressing frustration and resentment towards his faith. Choice B reflects acceptance and preparation for death, not anger. Choice C shows a coping mechanism of setting a future goal, which is a form of denial or bargaining, not anger. Choice D reflects bargaining with God, which is another stage of grief, not anger. In summary, the other choices do not specifically demonstrate anger as a grief state according to Kubler-Ross, making choice A the correct answer.
Question 2 of 5
A client who is being treated for chronic kidney disease complains to the health-care provider that he does not like the food available to him while hospitalized. The health-care provider insists that the client strictly adhere to the diet plan. What action can be expected if the client uses the defense mechanism of displacement?
Correct Answer: C
Rationale: The correct answer is C: The client snaps at the nurse and criticizes the nursing care provided. Displacement is a defense mechanism where emotions are redirected from the original source to a less threatening target. In this case, the client's frustration towards the healthcare provider's diet plan is displaced onto the nurse, leading to snapping and criticizing the nursing care. This behavior allows the client to express their anger indirectly. Incorrect choices: A: The client assertively confronts the health-care provider. This is not an example of displacement; it is direct confrontation. B: The client insists on being discharged and goes for a long, brisk walk. This choice does not demonstrate displacement but rather avoidance of the situation. D: The client hides his anger by explaining the logical reasoning for the diet to his spouse. This choice does not involve displacement but rather rationalizing the situation to cope with anger.
Question 3 of 5
Devastated by a divorce from an abusive husband, a wife completes grief counseling. Which statement by the wife would indicate to a nurse that the client is in the acceptance stage of grief?
Correct Answer: C
Rationale: The correct answer is C because the statement indicates that the wife has gained insight and reflection on the experience, showing acceptance. Choice A reflects regret and longing for reconciliation, not acceptance. Choice B demonstrates anger and resentment, not acceptance. Choice D suggests ongoing distress and difficulty coping, not acceptance. Acceptance involves acknowledging the reality of the situation, learning from it, and moving forward positively.
Question 4 of 5
Which psychotherapeutic technique is commonly used in interpersonal psychotherapy (IPT)?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
Which measure would be considered a form of primary prevention for suicide?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.