ATI RN
Psychiatric Emergencies Questions
Question 1 of 5
A hospice patient tells the nurse, 'Life has been good. I am proud of being self-educated. I overcame adversity and always gave my best. I intend to die as I lived.' The nurse planning care for this patient would recognize the importance of
Correct Answer: D
Rationale: The correct answer is D because the patient expresses a sense of pride in their self-education, resilience, and determination to face challenges. By supporting the patient's use of their own resources to meet challenges, the nurse aligns with the patient's values and autonomy, promoting dignity and empowerment. Providing aggressive pain management (A) may not address the patient's psychological and emotional needs. Helping the patient reassess existing conflicts (B) may not be necessary if the patient is content with their life. While focusing on the meaning in life and death (C) is important, in this case, supporting the patient's self-reliance is more relevant.
Question 2 of 5
During a group therapy session, a newly admitted patient suddenly says to the nurse, 'How old are you? You seem too young to be leading a group.' Select the nurse's most appropriate response.
Correct Answer: D
Rationale: The correct answer is D because it reflects empathy and addresses the patient's underlying concern about the nurse's experience. By acknowledging the patient's question and addressing their potential worry about the nurse's capability, this response validates the patient's feelings and redirects the focus back to the therapy session. Choice A is open-ended and encourages further dialogue but does not directly address the patient's concern about the nurse's experience. Choice B is defensive and does not address the patient's underlying worry. Choice C dismisses the patient's question and may come off as dismissive or confrontational. In summary, answer D is the best choice as it shows empathy, addresses the patient's concern, and redirects the focus back to the therapy session.
Question 3 of 5
A patient asks, “What is the major difference between conventional health care and complementary and alternative medicine (CAM)?†The nurse's best reply is that conventional health care
Correct Answer: A
Rationale: The correct answer is A because conventional health care typically focuses on medical interventions and treatments done to the patient, whereas CAM emphasizes the interaction between the body and mind with an actively involved patient. This highlights the patient's role in their own healing process and the importance of holistic well-being. Choice B is incorrect because CAM is not solely religiously based and is not always highly regulated. Choice C is incorrect as CAM practices can also be profit-motivated, and conventional health care is not solely controlled by the health care industry. Choice D is incorrect because conventional health care can also be holistic and focused on health promotion, and CAM can also promote health and well-being rather than just treating illnesses.
Question 4 of 5
A patient tells the nurse, “I prefer to treat my physical problems with herbs and vitamins. They are natural substances, and natural products are safe.†Which response by the nurse would be most appropriate?
Correct Answer: C
Rationale: The correct response is C: "The word natural can be a marketing term used to imply a product is healthy, but that's not always true." Rationale: 1. Natural does not always mean safe or effective. Many natural products can have side effects or interact with medications. 2. The term "natural" is often used in marketing to appeal to consumers, but it does not guarantee safety or efficacy. 3. Healthcare decisions should be based on evidence and expert advice rather than solely on the perception of natural products. 4. The nurse's response educates the patient about the potential misconceptions surrounding natural remedies and encourages critical thinking about healthcare choices. Summary: - Choice A is incorrect because natural substances are not inherently safer than conventional medical remedies. - Choice B is incorrect as it focuses on the psychological aspect of control rather than the safety and effectiveness of natural remedies. - Choice D is incorrect as it dismisses the patient's preference without providing proper education on the topic.
Question 5 of 5
A patient report, “Last night I had several mixed drinks at a party. When I got home, I had difficulty falling sleep. I made two cups of herbal tea with lavender. This morning, I feel very groggy and have a headache.†The nurse should explain that
Correct Answer: B
Rationale: Step 1: Lavender is known to have sedative effects. Step 2: Alcohol is a central nervous system depressant. Step 3: Combining lavender with alcohol can increase sedation effects. Step 4: Patient experienced difficulty sleeping and grogginess, indicating increased sedation. Step 5: Headache can be a side effect of increased sedation. Therefore, choice B is correct. Choice A is incorrect because the issue is not about timing, but the interaction between substances. Choice C is incorrect as herbal teas don't always cause nervous system side effects. Choice D is incorrect because the symptoms are likely due to the interaction between alcohol and lavender, not just a hangover.