ATI RN
Multiple Choice Questions on Psychiatric Emergencies Questions
Question 1 of 5
A leader plans to start a new self-help group. Which intervention would be most helpful for assuring mutual respect within the group?
Correct Answer: A
Rationale: The correct answer is A because it sets the foundation for mutual respect from the beginning, emphasizing its importance and establishing it as a group norm. This approach promotes a positive and respectful group culture. Option B is incorrect as excluding potential members preemptively may not address disrespectful behavior effectively and can create a negative atmosphere. Option C provides information but may not actively promote mutual respect within the group, lacking the direct emphasis on its importance like option A. Option D, while addressing disrespectful behavior, may create conflict and tension within the group if not handled tactfully, rather than fostering a culture of mutual respect.
Question 2 of 5
A patient has tried a variety of CAM approaches to manage health concerns. The nurse asks, “How is going to CAM practitioners different from seeing your medical doctors?†The patient is most likely to respond, “The CAM practitioners
Correct Answer: B
Rationale: Step 1: CAM practitioners often focus on holistic care, considering the patient's physical, mental, and emotional well-being. Step 2: By spending more time talking with the patient, CAM practitioners aim to understand the root causes of health concerns. Step 3: This approach allows for a more personalized treatment plan that goes beyond just addressing symptoms. Step 4: In contrast, medical doctors may have limited time for consultations and tend to focus more on diagnosing and treating specific symptoms. Step 5: Therefore, the patient is likely to respond that CAM practitioners spend more time talking with them and not just about their symptoms.
Question 3 of 5
An immigrant from China needs a colonic resection but is anxious and reluctant about surgery. This patient usually follows traditional Chinese health practices. Which comment by the nurse would most likely reduce the patient's anxiety and reluctance?
Correct Answer: D
Rationale: Step-by-step rationale for why answer D is correct: 1. Acknowledges patient's anxiety and reluctance. 2. Offers an alternative traditional Chinese health practice (acupuncture). 3. Shows respect for patient's cultural background and preferences. 4. Addresses potential pain management concerns. 5. Promotes trust and collaboration between patient and healthcare team. Summary of other choices: A: Incorrect - Relates surgery to traditional Chinese concepts inaccurately. B: Incorrect - Uses vague language that may confuse or increase anxiety. C: Incorrect - Patronizing tone, lacks specific information or alternative options.
Question 4 of 5
A patient had a venous thrombosis 3 weeks ago and is now taking warfarin. When visiting the laboratory to have a prothrombin time drawn, the patient reports drinking ginseng tea to stimulate the immune system. Which nursing diagnosis applies?
Correct Answer: B
Rationale: The correct answer is B: Deficient knowledge related to potentially harmful drug interactions. The patient's use of ginseng tea can interact with warfarin, potentially leading to increased risk of bleeding. This nursing diagnosis is appropriate as the patient lacks knowledge about the potential harmful interaction between ginseng and warfarin. A: Impaired memory related to neurological changes is not the correct answer because there is no indication in the scenario that the patient is experiencing memory issues due to neurological changes. C: Ineffective denial related to mismanagement of therapeutic regime is not the correct answer as there is no evidence in the scenario to suggest that the patient is in denial about their treatment regimen. D: Effective management of the therapeutic regime related to augmentation of anticoagulant therapy is not the correct answer because the patient's use of ginseng tea can interfere with warfarin therapy, indicating a lack of understanding rather than effective management.
Question 5 of 5
Which complementary and alternative therapy may be safely combined with traditional Western medicine in the treatment of anxiety disorder?
Correct Answer: C
Rationale: The correct answer is C: Meditative practices. Meditative practices, such as mindfulness meditation, have been shown to effectively reduce anxiety symptoms when combined with traditional Western medicine. Meditation promotes relaxation and stress reduction, complementing the treatment of anxiety disorders. Electroconvulsive therapy (A) is a drastic treatment typically used for severe depression, not anxiety. Mega doses of vitamins (B) have not been proven effective for anxiety treatment and can be harmful in high quantities. Herbal therapy (D) may have interactions with traditional medications and should be used cautiously.