ATI RN
Psychobiologic Disorders Med Surg 2 Questions
Question 1 of 5
A patient is experiencing delusions of persecution about being poisoned. The patient has refused all hospital meals for 3 days. Which intervention is most likely to be acceptable to the patient?
Correct Answer: A
Rationale: The patient who is delusional about food being poisoned is likely to believe restaurant food might still be poisoned and to say that the staff member tasting the food has taken an antidote to the poison before tasting. Attempts to tube feed or give nutrition intravenously are seen as aggressive and usually promote violence. Patients perceive foods in sealed containers, packages, or natural shells as being safer.
Question 2 of 5
A patient diagnosed with major depression says, No one cares about me anymore. Im not worth anything. Today the patient is wearing a new shirt and has neat, clean hair. Which remark by the nurse supports building a positive self-esteem for this patient?
Correct Answer: B
Rationale: Patients with depression usually see the negative side of things. The meaning of compliments may be altered to I didnt look nice yesterday or They didnt like my other shirt. Neutral comments such as making an observation avoid negative interpretations. Saying, You look nice or I like your shirt gives approval (non-therapeutic techniques). Saying You must be feeling better today is an assumption, which is non-therapeutic.
Question 3 of 5
A patient says to the nurse, My life doesnt have any happiness in it anymore. I once enjoyed holidays, but now theyre just another day. The nurse documents this report as an example of:
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A nurse worked with a patient diagnosed with major depression, severe withdrawal, and psychomotor retardation. After 3 weeks, the patient did not improve. The nurse is most at risk for feelings of:
Correct Answer: D
Rationale: Nurses may have expectations for self and patients that are not wholly realistic, especially regarding the patients progress toward health. Unmet expectations result in feelings of ineffectiveness, anger, or frustration. Nurses rarely become over-involved with patients with depression because of the patients resistance. Guilt and despair might be seen when the nurse experiences the patients feelings because of empathy. Interest is possible but not the most likely result.
Question 5 of 5
A nurse provided medication education for a patient diagnosed with major depression who began a new prescription for phenelzine (Nardil). Which behavior indicates effective learning? The patient:
Correct Answer: D
Rationale: Over-the-counter medicines may contain vasopressor agents or tyramine, a substance that must be avoided when the patient takes MAOI antidepressants. Medications for colds, allergies, or congestion or any preparation that contains ephedrine or phenylpropanolamine may precipitate a hypertensive crisis. MAOI antidepressant therapy is unrelated to the need for sodium limitation, support stockings, or leg elevation. MAOIs interact with tyramine-containing foods, not selenium, to produce dangerously high blood pressure.