ATI RN
Psychiatric Emergency Questions
Question 1 of 5
A nurse is planning care for a depressed client. Which approach is most therapeutic?
Correct Answer: A
Rationale: The correct answer is A, allowing the client time to complete activities. This approach is therapeutic as it promotes autonomy and self-efficacy, which are crucial in managing depression. By giving the client the freedom to complete activities at their own pace, it fosters a sense of control and empowerment. Encouraging participation in group therapy (B) can also be beneficial, but it may not be as effective if the client is not ready or willing. Setting strict deadlines (C) can increase stress and worsen depressive symptoms. Providing constant supervision (D) may feel intrusive and undermine the client's independence. Ultimately, choice A aligns with the principles of client-centered care and empowerment, making it the most therapeutic approach in this scenario.
Question 2 of 5
When preparing to administer a domestic violence screening tool to a female client, which statement should the RN provide?
Correct Answer: A
Rationale: Rationale: A. The correct answer emphasizes the importance of screening all clients for domestic abuse, as it is common and often underreported. B. While ensuring the client's safety is important, it does not address the prevalence of domestic violence in society. C. Domestic abuse screening may not be required by law in all jurisdictions, making this statement inaccurate. D. All clients should be encouraged to participate in screening to identify potential abuse, regardless of personal comfort levels.
Question 3 of 5
A young adult male client is admitted to the psychiatric unit because of a recent suicide attempt. His wife filed for divorce 6 months ago, he lost his job 3 months ago, and his best friend moved to another city 2 weeks ago. Which intervention should the nurse include in the client's plan of care?
Correct Answer: A
Rationale: The correct answer is A: Encourage activities that allow the client to exert control over his environment. This intervention empowers the client, promoting a sense of autonomy and self-efficacy, which can help improve his mental health. By engaging in activities that provide a sense of control, the client may feel more motivated and hopeful. Incorrect choices: B: Providing constant supervision may be necessary in acute situations but does not address the underlying issues of lack of control and self-esteem. C: Limiting interactions with other clients may lead to social isolation, which is not beneficial for the client's recovery and may exacerbate feelings of loneliness. D: Administering sedative medications may address symptoms temporarily but does not address the root causes of the client's distress. It does not promote empowerment or coping skills development.
Question 4 of 5
Pt is mad at mom for turning him in and wants mom to bring belongings and does not want to talk to her. What action does the nurse need to take before the visit?
Correct Answer: A
Rationale: The correct answer is A because discussing methods of clear communication is essential to address Pt's anger and facilitate a productive interaction with his mom. By helping Pt express his feelings effectively, misunderstandings can be minimized. Choice B is incorrect as simply allowing the client to express anger may not lead to resolution. Choice C is incorrect as forgiveness should be a personal decision, not forced. Choice D is incorrect as postponing the visit does not address the underlying communication issues.
Question 5 of 5
A client who is being treated with lithium carbonate for bipolar disorder develops diarrhea, vomiting, and drowsiness. What action should the nurse take?
Correct Answer: B
Rationale: The correct answer is B. The nurse should notify the healthcare provider of the symptoms prior to the next administration of the drug because these symptoms could indicate lithium toxicity. The healthcare provider needs to assess the client's condition and determine if the dosage needs to be adjusted or if other interventions are necessary. A: Administering an antidote without consulting the healthcare provider could be dangerous and inappropriate without proper evaluation. C: Diarrhea, vomiting, and drowsiness are not normal side effects of lithium and may indicate a problem that requires intervention. D: Holding the medication without consulting the healthcare provider could lead to abrupt withdrawal and potential rebound symptoms.