ATI RN
Psychiatric Emergencies Questions
Question 1 of 5
A patient asks, “What is the major difference between conventional health care and complementary and alternative medicine (CAM)?†The nurse's best reply is that conventional health care
Correct Answer: A
Rationale: The correct answer is A because conventional health care typically focuses on medical interventions and treatments done to the patient, whereas CAM emphasizes the interaction between the body and mind with an actively involved patient. This highlights the patient's role in their own healing process and the importance of holistic well-being. Choice B is incorrect because CAM is not solely religiously based and is not always highly regulated. Choice C is incorrect as CAM practices can also be profit-motivated, and conventional health care is not solely controlled by the health care industry. Choice D is incorrect because conventional health care can also be holistic and focused on health promotion, and CAM can also promote health and well-being rather than just treating illnesses.
Question 2 of 5
A patient report, “Last night I had several mixed drinks at a party. When I got home, I had difficulty falling sleep. I made two cups of herbal tea with lavender. This morning, I feel very groggy and have a headache.†The nurse should explain that
Correct Answer: B
Rationale: Step 1: Lavender is known to have sedative effects. Step 2: Alcohol is a central nervous system depressant. Step 3: Combining lavender with alcohol can increase sedation effects. Step 4: Patient experienced difficulty sleeping and grogginess, indicating increased sedation. Step 5: Headache can be a side effect of increased sedation. Therefore, choice B is correct. Choice A is incorrect because the issue is not about timing, but the interaction between substances. Choice C is incorrect as herbal teas don't always cause nervous system side effects. Choice D is incorrect because the symptoms are likely due to the interaction between alcohol and lavender, not just a hangover.
Question 3 of 5
During an assessment interview, a patient diagnosed with inflammatory bowel disease accompanied by frequent episodes of diarrhea says, “I've been using probiotics in small doses for about a week.†When the nurse assesses mental status, expected findings would be
Correct Answer: A
Rationale: The correct answer is A: intact cognitive function. Probiotics do not typically affect mental status. The patient's ability to think clearly and logically should remain unaffected. Slow verbal responses (B) are not expected as probiotics are not known to cause cognitive impairment. Paranoid thinking (C) and slurred speech (D) are also not correlated with probiotic use. It is important to assess cognitive function during the interview to ensure the patient is mentally alert and oriented.
Question 4 of 5
Disturbed body image is the nursing diagnosis for a patient with an eating disorder. Which outcome indicator is most applicable to this diagnosis?
Correct Answer: D
Rationale: The correct answer is D: Patient satisfaction with body appearance. This outcome indicator is most applicable to disturbed body image as it directly assesses the patient's perception and feelings about their body. It reflects the patient's psychological well-being and self-esteem, which are key components of body image. In contrast, choices A, B, and C focus more on objective physical measurements or adherence to treatment plans, which are not as directly related to the patient's perception of their body. Choice A is more about physical congruence, choice B is about following a treatment plan, and choice C is about achieving a specific weight range, none of which directly address the patient's body image concerns.
Question 5 of 5
A patient with anorexia nervosa is treated as an outpatient. Select the desired outcome related to the nursing diagnosis Imbalanced nutrition: less than body requirements. Within 1 week, the patient will:
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. The desired outcome for a patient with anorexia nervosa is to gain weight to meet body requirements. 2. Gaining 1 to 2 pounds in a week is a realistic and achievable goal for improving nutrition status. 3. Monitoring weight gain is crucial in tracking progress and ensuring the patient's health is improving. 4. The other choices are incorrect as exercising excessively, taking laxatives, and focusing solely on weighing oneself do not directly address the nutritional needs of the patient.