ATI RN
Psychiatric Emergency Questions
Question 1 of 5
A nurse plans health education for a patient who will be receiving warfarin for several weeks after knee-replacement surgery. Which substance should the nurse caution the patient to avoid?
Correct Answer: A
Rationale: The correct answer is A: Fish oil. Warfarin is an anticoagulant that helps prevent blood clots. Fish oil contains omega-3 fatty acids, which also have anticoagulant properties and can increase the risk of bleeding when taken with warfarin. Black cohosh, lavender, and mandarin are not known to interact significantly with warfarin. It is essential for the nurse to caution the patient about avoiding fish oil to prevent potential complications.
Question 2 of 5
An 18-year-old referred to the mental health center often cooks gourmet meals but eats only tiny portions. The patient wears layers of loose clothing saying, 'I like the style.' The patient's weight dropped from 130 to 95 pounds. She has amenorrhea. Which diagnosis is most likely?
Correct Answer: B
Rationale: The correct answer is B: Anorexia nervosa. The patient displays key symptoms such as severe restriction of food intake leading to significantly low body weight, fear of gaining weight, distorted body image, and amenorrhea. These criteria align with the diagnosis of anorexia nervosa according to the DSM-5. Choices A, C, and D do not fully capture the severity and specific characteristics exhibited by the patient. Choice A lacks the criteria for anorexia nervosa, while choices C and D do not match the symptoms described in the scenario.
Question 3 of 5
A patient has anorexia nervosa. The history shows the patient virtually stopped eating 5 months ago and lost 25% of body weight. The serum potassium is 2.7 mg/dL. Which nursing diagnosis applies?
Correct Answer: D
Rationale: The correct answer is D: Imbalanced nutrition: less than body requirements related to refusal to eat, as evidenced by loss of 25% of body weight and hypokalemia. Rationale: 1. Imbalanced nutrition: The patient's history of virtually stopping eating and losing 25% of body weight indicates a lack of adequate nutrition intake. 2. Less than body requirements: The significant weight loss and prolonged period of decreased food intake support this nursing diagnosis. 3. Refusal to eat: The patient's behavior of stopping eating aligns with this diagnosis. 4. Loss of 25% of body weight: This is a critical indicator of severe malnutrition. 5. Hypokalemia: Low serum potassium levels (2.7 mg/dL) are associated with inadequate nutrition intake and support the diagnosis of imbalanced nutrition. Summary: A: Incorrect. The patient's history does not mention abuse of laxatives. B: Incorrect. There is no mention of self-induced vomiting or
Question 4 of 5
A nurse monitors a patient with anorexia nervosa for complications of refeeding. Which assessment is most important?
Correct Answer: C
Rationale: The correct answer is C: Reports of serum electrolytes. This is crucial as patients with anorexia nervosa are at risk of refeeding syndrome, characterized by electrolyte imbalances. Monitoring serum electrolytes helps detect potential complications such as hypophosphatemia, which can lead to cardiac and respiratory failure. A: Pupillary reaction to light is important but not as critical as monitoring electrolytes in this context. B: Temperature measurements are important for general assessment, but electrolyte monitoring takes precedence in refeeding complications. D: Complaints of sleep disturbances are relevant but do not directly assess the risk of refeeding syndrome.
Question 5 of 5
Janet, a psychiatric client diagnosed with borderline personality disorder, has just been hospitalized for threatening suicide. According to Mahler's theory, Janet did not receive the critical 'emotional refueling' required during the rapprochement phase of development. What are the consequences of this deficiency?
Correct Answer: D
Rationale: The correct answer is D because according to Mahler's theory, during the rapprochement phase, the child learns to balance independence and dependence. If Janet did not receive critical 'emotional refueling' during this phase, she may struggle with abandonment fears and internalized rage. This can lead to difficulties in forming stable relationships and intense fear of being abandoned. Choices A and B are not directly related to the consequences of deficient emotional refueling in Mahler's theory. Choice C, while related to trust issues, does not specifically address the internalized rage and fears of abandonment resulting from the deficiency during the rapprochement phase.