ATI RN
Psychiatric Emergencies Questions
Question 1 of 5
A patient tells the nurse, “I prefer to treat my physical problems with herbs and vitamins. They are natural substances, and natural products are safe.†Which response by the nurse would be most appropriate?
Correct Answer: C
Rationale: The correct response is C: "The word natural can be a marketing term used to imply a product is healthy, but that's not always true." Rationale: 1. Natural does not always mean safe or effective. Many natural products can have side effects or interact with medications. 2. The term "natural" is often used in marketing to appeal to consumers, but it does not guarantee safety or efficacy. 3. Healthcare decisions should be based on evidence and expert advice rather than solely on the perception of natural products. 4. The nurse's response educates the patient about the potential misconceptions surrounding natural remedies and encourages critical thinking about healthcare choices. Summary: - Choice A is incorrect because natural substances are not inherently safer than conventional medical remedies. - Choice B is incorrect as it focuses on the psychological aspect of control rather than the safety and effectiveness of natural remedies. - Choice D is incorrect as it dismisses the patient's preference without providing proper education on the topic.
Question 2 of 5
During an assessment interview, a patient diagnosed with inflammatory bowel disease accompanied by frequent episodes of diarrhea says, “I've been using probiotics in small doses for about a week.†When the nurse assesses mental status, expected findings would be
Correct Answer: A
Rationale: The correct answer is A: intact cognitive function. Probiotics do not typically affect mental status. The patient's ability to think clearly and logically should remain unaffected. Slow verbal responses (B) are not expected as probiotics are not known to cause cognitive impairment. Paranoid thinking (C) and slurred speech (D) are also not correlated with probiotic use. It is important to assess cognitive function during the interview to ensure the patient is mentally alert and oriented.
Question 3 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 4 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 5 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.