ATI RN
Multiple Choice Questions on Psychiatric Emergencies Questions
Question 1 of 5
A patient has tried a variety of CAM approaches to manage health concerns. The nurse asks, “How is going to CAM practitioners different from seeing your medical doctors?†The patient is most likely to respond, “The CAM practitioners
Correct Answer: B
Rationale: Step 1: CAM practitioners often focus on holistic care, considering the patient's physical, mental, and emotional well-being. Step 2: By spending more time talking with the patient, CAM practitioners aim to understand the root causes of health concerns. Step 3: This approach allows for a more personalized treatment plan that goes beyond just addressing symptoms. Step 4: In contrast, medical doctors may have limited time for consultations and tend to focus more on diagnosing and treating specific symptoms. Step 5: Therefore, the patient is likely to respond that CAM practitioners spend more time talking with them and not just about their symptoms.
Question 2 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 3 of 5
Which complementary and alternative therapy may be safely combined with traditional Western medicine in the treatment of anxiety disorder?
Correct Answer: C
Rationale: The correct answer is C: Meditative practices. Meditative practices, such as mindfulness meditation, have been shown to effectively reduce anxiety symptoms when combined with traditional Western medicine. Meditation promotes relaxation and stress reduction, complementing the treatment of anxiety disorders. Electroconvulsive therapy (A) is a drastic treatment typically used for severe depression, not anxiety. Mega doses of vitamins (B) have not been proven effective for anxiety treatment and can be harmful in high quantities. Herbal therapy (D) may have interactions with traditional medications and should be used cautiously.
Question 4 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 5 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.