ATI RN
Psychiatric Emergencies Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A psychiatric clinical nurse specialist uses cognitive therapy with a patient with anorexia nervosa. Which statement by the nurse supports this type of therapy?
Correct Answer: D
Rationale: The correct answer is D because it reflects a core principle of cognitive therapy, which is challenging distorted beliefs. By pointing out that being thin hasn't solved the patient's problems, the nurse is helping the patient recognize the irrationality of their belief that thinness equals happiness. This approach aims to modify negative thought patterns and promote healthier perspectives. Choices A, B, and C do not directly address challenging distorted beliefs or irrational thoughts, which are central to cognitive therapy for eating disorders like anorexia nervosa.
Question 5 of 5
John is on the Alcohol Treatment Unit. He walks into the dayroom where other clients are watching a program on TV. He picks up the remote and changes the channel and says, 'That's a stupid program! I want to watch something else!' In what stage of development is John fixed according to Sullivan's interpersonal theory?
Correct Answer: B
Rationale: The correct answer is B: Childhood. In Sullivan's interpersonal theory, John's behavior of changing the TV channel impulsively and expressing his dissatisfaction with the program indicates a lack of ability to delay gratification. This behavior is typical of children who have not yet developed the maturity to consider the feelings or needs of others before acting on their own desires. Choosing A is incorrect because John's behavior does not relate to forming peer relationships. Choosing C is incorrect because John's action is not specifically related to struggling with identity formation. Choosing D is incorrect because John's behavior does not reflect working to develop lasting relationships, but rather an inability to delay gratification.