ATI RN
PICO Question Psychiatric Emergency Nursing Questions
Question 1 of 5
A nurse taught a patient about a tyramine-restricted diet. Which menu selection would the nurse approve?
Correct Answer: B
Rationale: Rationale: Option B is the correct choice because it adheres to a tyramine-restricted diet. Mashed potatoes, ground beef patty, corn, green beans, and apple pie are all low in tyramine. Tyramine is found in aged, fermented, and pickled foods, as well as in certain fruits and vegetables. The other options contain foods high in tyramine: hot dogs, banana bread, caffeinated coffee (Option A); avocado, ham, chocolate cake (Option C); and smoked sausage, cheddar cheese, and yeast rolls (Option D). Therefore, Option B is the best choice for a tyramine-restricted diet.
Question 2 of 5
A patient diagnosed with major depressive disorder repeatedly tells staff, 'I have cancer. It's my punishment for being a bad person.' Diagnostic tests reveal no cancer. Select the priority nursing diagnosis.
Correct Answer: B
Rationale: The correct answer is B: Risk for suicide. The patient's belief of having cancer as punishment indicates distorted thinking and a high level of hopelessness, which increases the risk for suicide. This is a priority because it addresses the immediate safety of the patient. Powerlessness (A) may be relevant but doesn't address the imminent risk of harm. Stress overload (C) is not as critical as suicide risk in this scenario. Spiritual distress (D) may be present but doesn't address the immediate safety concern of potential suicide.
Question 3 of 5
A patient diagnosed with major depressive disorder began taking escitalopram 5 days ago. The patient now says, 'This medicine isn't working.' The nurse's best intervention would be to
Correct Answer: C
Rationale: Rationale: C is correct because it addresses the patient's concern by explaining the time lag before antidepressants relieve symptoms. It educates the patient on the delayed onset of action for antidepressants, setting realistic expectations. A: Increasing the dose without waiting for the full effect can lead to adverse effects. B: Reassurance without providing education may not address the patient's misunderstanding. D: Critical assessment for improvement is important, but educating the patient about the medication is the immediate priority.
Question 4 of 5
Transcranial Magnetic Stimulation (TCM) is scheduled for a patient diagnosed with major depressive disorder. Which comment by the patient indicates teaching about the procedure was effective?
Correct Answer: B
Rationale: The correct answer is B. This statement indicates understanding of potential side effects of TMS, which may include dizziness or mild headaches post-procedure. This shows the patient has grasped the information provided during teaching. Choice A is incorrect as TMS does not require anesthesia. Choice C is incorrect as TMS does not typically require extended recovery time. Choice D is unrelated to the procedure and pertains to dietary restrictions for MAOIs.
Question 5 of 5
Select the priority nursing intervention when caring for a patient after an overdose of amphetamines.
Correct Answer: A
Rationale: The correct answer is A: Monitor vital signs. This is the priority nursing intervention because amphetamine overdose can lead to serious cardiovascular complications such as tachycardia, hypertension, and arrhythmias. Monitoring vital signs allows the nurse to assess the patient's cardiovascular status and intervene promptly if any abnormalities are detected. Observing for depression (B) is important but not the priority in the immediate aftermath of an overdose. Awakening the patient every 15 minutes (C) may disrupt rest and recovery, which is not ideal. Using warmers to maintain body temperature (D) is not the priority as cardiovascular stability takes precedence.