ATI RN
PICO Question Psychiatric Emergency Nursing Questions
Question 1 of 5
A confused older adult patient in a skilled nursing facility was asleep when unlicensed assistive personnel (UAP) entered the room quietly and touched the bed to see if it was wet. The patient awakened and hit the UAP in the face. Which statement best explains the patient's action?
Correct Answer: D
Rationale: The correct answer is D because the patient's action of hitting the UAP is likely due to a misinterpretation of the situation as potentially harmful. The patient was asleep and abruptly awakened by a touch, leading to a defensive response. This is a common reaction in situations where individuals feel threatened or startled. The other choices are incorrect because A is a generalization without specific relevance to this scenario, B is not supported by evidence in the question stem, and C assumes the patient learned violent behavior from others, which is not indicated in the scenario.
Question 2 of 5
A nurse talks with a woman whose husband died while jogging. Select the appropriate statement for the nurse.
Correct Answer: C
Rationale: The correct answer is C because it acknowledges the woman's emotions and shows empathy towards her loss. It validates her feelings and offers support, recognizing the pain she must be going through. Option A may come off as dismissive of her grief. Option B could be seen as minimizing the loss. Option D assumes a quick recovery, which may not be realistic for someone grieving. In summary, answer C is correct as it shows empathy and understanding towards the woman's situation, while the other options may be perceived as insensitive or unrealistic.
Question 3 of 5
A patient with pancreatic cancer says, 'I know I am dying, but I am still alive. I want to be in control as long as I can.' Which reply by the nurse shows active listening?
Correct Answer: B
Rationale: The correct answer is B because it acknowledges the patient's emotional state and demonstrates empathy. By acknowledging the patient's emotional well-being and addressing the mind and spirit, the nurse actively listens to the patient's concerns beyond the physical symptoms. Choice A focuses solely on pain management, which does not address the patient's emotional needs. Choice C shifts the focus to others rather than the patient's own feelings. Choice D does not show active listening as it presents a closed-ended question rather than reflecting the patient's emotions.
Question 4 of 5
A staff nurse asks a hospice nurse, 'Who should be referred for hospice care?' Select the best response.
Correct Answer: B
Rationale: Step-by-step rationale for why answer B is correct: 1. Hospice care is for patients in the end stage of any disease, not limited to cancer. 2. Hospice focuses on providing comfort and support for patients with a life expectancy of six months or less. 3. End-stage patients from various diseases can benefit from hospice services. 4. Answer B aligns with the core principle of hospice care, which is to improve the quality of life for terminally ill patients. Summary: - Choice A is incorrect as hospice is not exclusive to cancer patients. - Choice C is incorrect as hospice is not specifically for end-stage renal disease. - Choice D is incorrect as hospice eligibility is not based on paralysis from neurological diseases.
Question 5 of 5
A young female member in a therapy group says to an older female member, 'You are just like my mother, always trying to control me with your observations and suggestions.' Which therapeutic factor of a group is evident by this behavior?
Correct Answer: D
Rationale: Step 1: The young member's comment reflects transference of feelings towards the older member. Step 2: This transference mirrors dynamics from the young member's primary family group, particularly with her mother. Step 3: Corrective recapitulation refers to reenacting past dynamics in a therapeutic setting for insight and growth. Step 4: By expressing similarities with her mother, the young member is engaging in corrective recapitulation. Summary: A is incorrect because hope isn't the focus, B is incorrect as existential issues aren't directly addressed, and C is incorrect as socializing techniques aren't the main therapeutic factor at play.