ATI RN
PICO Question Psychiatric Emergency Nursing Questions
Question 1 of 5
A female adolescent client says to the nurse, 'Hey you stupid blonde, what are you looking at?' Which of the following responses would be inappropriate for the nurse to make?
Correct Answer: D
Rationale: The correct answer is D because responding with aggression or a threat ("Don't you ever talk to me like that again") escalates the situation. The nurse should remain calm and professional. A: Asking for clarification is appropriate. B: Expressing lack of understanding is acceptable. C: Setting boundaries and addressing inappropriate behavior is important. Therefore, D is incorrect as it does not de-escalate the situation.
Question 2 of 5
A school-age child is talking with her grandmother, who is dying. What should the nurse say to the child?
Correct Answer: B
Rationale: The correct answer is B: Even though she may not answer you, she can hear you. This response acknowledges the child's need to communicate with her grandmother and provides reassurance that the grandmother can still hear her. It allows the child to express her thoughts and feelings, promoting emotional connection during this difficult time. Choice A is incorrect because talking loudly is not necessary and may be distressing for the grandmother. Choice C is incorrect as holding her hand does not necessarily indicate that she cannot hear. Choice D is also incorrect because it assumes the grandmother cannot hear, which is not necessarily true.
Question 3 of 5
A nurse is caring for a 4-year-old child who has croup and wet the bed overnight. When the parents visit the next day, the nurse explains the situation, and one of the parents says, 'She never wet the bed at home. I am so embarrassed.' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A. The nurse should reassure the parent that it is expected for hospitalized children to regress in their toileting skills due to stress or illness. By explaining this, the nurse provides reassurance that the child's bedwetting is temporary and not a cause for concern. This response shows empathy, understanding, and offers a logical explanation for the situation. Other choices are incorrect: B: This response is confrontational and does not address the parent's concerns or provide reassurance. C: This response dismisses the parent's feelings and does not offer any explanation or support. D: While this response shows empathy, it does not provide a clear explanation or reassurance about the situation, which is essential in this scenario.
Question 4 of 5
An elderly client was neglected by family in the home setting. The abuse was reported. What factor would have allowed the client to remain in the home?
Correct Answer: C
Rationale: The correct answer is C because competent adults have the right to decide where they want to live, even if abuse or neglect is present. In this case, the elderly client has the autonomy to choose to remain in the home despite the reported abuse. A: This is incorrect because neglect can be just as harmful as physical abuse, and the client's well-being should be prioritized regardless of the type of abuse. B: This is incorrect as any individual who is being abused or neglected, regardless of age, should be protected and supported, not just children. D: While monitoring the situation is important, it does not address the client's right to make their own decisions about where they want to live.
Question 5 of 5
The family of a 17-year-old client diagnosed with anorexia nervosa is encouraged to attend family therapy sessions. The parents state, 'We don't have the eating disorder. Why should we attend?' What is the best response by the nurse?
Correct Answer: D
Rationale: Rationale for Correct Answer D: 1. Family therapy helps parents understand how family dynamics may contribute to the client's illness. 2. It fosters open communication and support within the family. 3. Understanding triggers and maintaining a supportive environment aids in the client's recovery. 4. Empowering parents with knowledge improves the overall treatment outcomes. Summary of Incorrect Choices: A: Guilt-tripping the parents is not therapeutic and may create resistance. B: While true, this answer lacks specific information on the benefits of family therapy. C: While supportive, it does not address the rationale behind family therapy's effectiveness.