ATI RN
PICO Question Psychiatric Emergency Nursing Questions
Question 1 of 5
A nurse is caring for a client with factitious disorder imposed on another. Which of the following statements by the client would the nurse expect?
Correct Answer: C
Rationale: The correct answer is C because it reflects the typical behavior of someone with factitious disorder imposed on another, where they intentionally cause illness or injury to another person to gain attention or sympathy. This statement indicates a sense of control and manipulation over the situation, blaming others for the behavior. A, B, and D are incorrect because they do not align with the characteristics of factitious disorder imposed on another. Choice A reflects genuine concern for the son's health. Choice B indicates a general feeling of helplessness and not intentionally causing harm to others. Choice D focuses on personal relationships rather than on causing harm to others for attention.
Question 2 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 3 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 4 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.
Question 5 of 5
A nurse is assessing a client who experiences occasional feelings of sadness because of the recent death of a beloved pet. The client's appetite, sleep patterns, and daily routine have not changed. How would the nurse interpret the client's behaviors?
Correct Answer: D
Rationale: Rationale for Correct Answer (D): The client experiencing occasional feelings of sadness due to the recent death of a beloved pet, with no changes in appetite, sleep patterns, or daily routine, does not meet the criteria for a diagnosis of depression. Here's a step-by-step rationale: 1. **Occasional Feelings of Sadness**: It is normal for individuals to experience feelings of sadness following a significant loss, such as the death of a beloved pet. 2. **No Changes in Appetite, Sleep Patterns, or Daily Routine**: The client's lack of changes in these areas suggests that their functioning is not significantly impaired. 3. **No Persistent or Severe Symptoms**: The client's behaviors do not indicate the presence of a major depressive episode, as there are no persistent or severe symptoms such as significant weight loss/gain, insomnia/hypersomnia, or psychomotor agitation/retardation. 4. **No Impairment in Functioning**: Since the client's behaviors