ATI RN
Multiple Choice Questions on Psychiatric Emergencies Questions
Question 1 of 5
A patient in a group therapy session listens to others and then remarks, 'I used to think I was the only one who felt afraid. I guess I'm not as alone as I thought.' This comment is an example of
Correct Answer: C
Rationale: The correct answer is C: universality. This patient's comment reflects the realization that their experiences of fear are shared by others in the group, leading to a sense of commonality and connection. Universality in group therapy helps individuals feel understood and less isolated in their struggles. Altruism (A) involves helping others, ventilation (B) refers to expressing emotions, and group cohesiveness (D) pertains to the bond within the group, but neither of these concepts directly captures the essence of shared experiences leading to a sense of universality.
Question 2 of 5
An immigrant from China needs a colonic resection but is anxious and reluctant about surgery. This patient usually follows traditional Chinese health practices. Which comment by the nurse would most likely reduce the patient's anxiety and reluctance?
Correct Answer: D
Rationale: Step-by-step rationale for why answer D is correct: 1. Acknowledges patient's anxiety and reluctance. 2. Offers an alternative traditional Chinese health practice (acupuncture). 3. Shows respect for patient's cultural background and preferences. 4. Addresses potential pain management concerns. 5. Promotes trust and collaboration between patient and healthcare team. Summary of other choices: A: Incorrect - Relates surgery to traditional Chinese concepts inaccurately. B: Incorrect - Uses vague language that may confuse or increase anxiety. C: Incorrect - Patronizing tone, lacks specific information or alternative options.
Question 3 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 4 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 5 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.