ATI RN
Multiple Choice Questions on Psychiatric Emergencies Questions
Question 1 of 5
A nurse is caring for a client who was admitted for suspected abuse. The client is quiet and withdrawn. Which of the following actions should the nurse take to promote client communication?
Correct Answer: A
Rationale: The correct answer is A: Be direct and honest when speaking with the client. This approach establishes trust and promotes open communication. Being direct shows respect and helps the client feel safe to share their thoughts and feelings. Options B and D may further traumatize the client by focusing on the abuse rather than building rapport. Option C may not be appropriate if the family member is involved in the abuse. Being direct and honest is crucial in creating a safe environment for the client to communicate.
Question 2 of 5
Which behaviors indicate the child's parents are mourning ineffectively? (Select all that apply)
Correct Answer: D
Rationale: The correct answer is D because sealing the child's room and not allowing anyone to change it indicates a refusal to accept the reality of the child's death, hindering the mourning process. This behavior can lead to prolonged grief and prevent the parents from moving forward in their grieving journey. A: Keeping a place set for the deceased child at the family dinner table can be a way for the parents to remember and honor the child, which may not necessarily indicate ineffective mourning. B: Throwing flowers on the lake at each anniversary date of the accident is a symbolic gesture of remembrance and can be a healthy way for parents to express their grief. C: Having a prayer service every year on the anniversary of the child's death is a common practice for many individuals grieving and does not necessarily indicate ineffective mourning.
Question 3 of 5
The parent of a child with attention deficit hyperactivity disorder (ADHD) tells the nurse that the child does not follow directions well. What strategy would be best for the nurse to recommend?
Correct Answer: B
Rationale: The correct answer is B: Try having the child repeat the instructions before starting the task. This strategy, known as "active listening," can help children with ADHD improve their focus and understanding of directions. By repeating the instructions, the child reinforces the information in their memory and clarifies any confusion. This approach promotes better compliance with tasks. Incorrect choices: A: Developing a daily schedule plan may be helpful, but it doesn't specifically address improving the child's ability to follow directions. C: Teaching assertiveness is not directly related to addressing the difficulty in following directions. It may not necessarily improve the child's compliance with instructions. D: Placing the child in time out is a punitive measure and does not address the underlying issue of difficulty following directions. It may worsen the child's behavior and does not teach them how to improve their listening skills.
Question 4 of 5
A 7-year-old male client has severe bruising on his arms and injuries to his abdomen. The nurse should consider child abuse if the parents act in what manner?
Correct Answer: B
Rationale: The correct answer is B because delaying seeking treatment for injuries in a child can indicate neglect or intentional harm. This behavior raises suspicion of child abuse as it shows a lack of concern for the child's well-being. Choices A, C, and D do not directly suggest child abuse as they could be seen as normal parental behavior. Asking the child to explain (A) could be a way to understand the situation, showing concern (C) is a common parental reaction, and staying with the child (D) is also expected during an assessment.
Question 5 of 5
A nurse in an emergency department is assessing a client who has traumatic injuries following an assault. The client sits quietly and calmly in the examination room and states, 'I'm fine.' The nurse should recognize the client's behaviors as which of the following reactions?
Correct Answer: D
Rationale: The correct answer is D: Denial. The client's calm demeanor and statement of being fine despite traumatic injuries indicate denial as a defense mechanism to cope with the distressing situation. Denial involves avoiding the reality of a stressful event or situation. In this case, the client is not acknowledging the severity of their injuries or the emotional impact of the assault. A: Displacement involves transferring emotions from one target to another. B: Projection involves attributing one's own thoughts or feelings to others. C: Undoing involves trying to reverse or negate thoughts, feelings, or actions.