ATI RN
Multiple Choice Questions on Psychiatric Emergencies Questions
Question 1 of 5
A patient had a venous thrombosis 3 weeks ago and is now taking warfarin. When visiting the laboratory to have a prothrombin time drawn, the patient reports drinking ginseng tea to stimulate the immune system. Which nursing diagnosis applies?
Correct Answer: B
Rationale: The correct answer is B: Deficient knowledge related to potentially harmful drug interactions. The patient's use of ginseng tea can interact with warfarin, potentially leading to increased risk of bleeding. This nursing diagnosis is appropriate as the patient lacks knowledge about the potential harmful interaction between ginseng and warfarin. A: Impaired memory related to neurological changes is not the correct answer because there is no indication in the scenario that the patient is experiencing memory issues due to neurological changes. C: Ineffective denial related to mismanagement of therapeutic regime is not the correct answer as there is no evidence in the scenario to suggest that the patient is in denial about their treatment regimen. D: Effective management of the therapeutic regime related to augmentation of anticoagulant therapy is not the correct answer because the patient's use of ginseng tea can interfere with warfarin therapy, indicating a lack of understanding rather than effective management.
Question 2 of 5
A patient referred to the eating disorders clinic lost 35 pounds over 3 months. To assess eating patterns, the nurse should ask:
Correct Answer: C
Rationale: The correct answer is C: "What do you eat in a typical day?" This question directly assesses the patient's eating patterns, which is essential in evaluating potential eating disorders. It provides specific information on the patient's dietary habits, allowing the nurse to identify any unhealthy behaviors or patterns. Explanation of why other choices are incorrect: A: "Do you often feel fat?" This question focuses on body image rather than eating patterns. B: "Who plans the family meals?" This question is not directly related to the patient's individual eating habits. D: "What do you think about your present weight?" This question is more about body image and self-perception rather than eating patterns.
Question 3 of 5
Therapeutic nutrition begins for a patient with anorexia nervosa who is 70% of ideal body weight. Which nursing intervention is most important to add to the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Observe for adverse effects associated with refeeding. This is important because refeeding syndrome can occur when a malnourished individual is given too much nutrition too quickly, leading to potentially life-threatening electrolyte imbalances. Monitoring for signs and symptoms of refeeding syndrome is crucial in managing the patient's refeeding process. Choice A (Communicate empathy) is important but not the most critical in this situation. Choice C (Teach about psychological origins) may be helpful in understanding the disorder but is not the priority at this stage. Choice D (Direct patient to balance energy expenditure) is not the most important as refeeding should be carefully monitored before focusing on energy balance.
Question 4 of 5
Mr. J. is a new client on the psychiatric unit. He is 35 years old. Theoretically, in which level of psychosocial development (according to Erikson) would you place Mr. J.?
Correct Answer: A
Rationale: Step 1: Mr. J. is 35 years old, indicating he is in the early adulthood stage of life. Step 2: In early adulthood, individuals are typically focused on forming intimate relationships. Step 3: Intimacy vs. isolation is the psychosocial stage in Erikson's theory that corresponds to early adulthood. Summary: A: Intimacy vs. isolation is correct for Mr. J. as he is at an age where forming close relationships is a key developmental task. B: Generativity vs. self-absorption is more relevant to middle adulthood. C: Trust vs. mistrust is in infancy. D: Autonomy vs. shame and doubt occurs in toddlerhood.
Question 5 of 5
Adam has antisocial personality disorder. He says to the nurse, 'I'm not crazy. I'm just fun-loving. I believe in looking out for myself. Who cares what anyone thinks? If it feels good, do it!' Which of the following describes the psychoanalytical structure of Adam's personality?
Correct Answer: B
Rationale: The correct answer is B: Strong id, weak ego, weak superego. This is because Adam's statement reflects characteristics of a person with strong id, prioritizing immediate gratification and pleasure without considering consequences. His lack of concern for societal norms or moral values indicates a weak superego. Additionally, his statement suggests a weak ego, as he lacks the ability to balance the demands of the id and superego, resulting in impulsive and self-centered behavior. Summary of other choices: A: Weak id, strong ego, weak superego - This is incorrect as Adam's statement reflects a strong id, not a weak one. C: Weak id, weak ego, punitive superego - This is incorrect as Adam's statement does not suggest a punitive superego. D: Strong id, weak ego, punitive superego - This is incorrect as Adam's statement does not indicate a punitive superego but rather a weak one.