ATI RN
Multiple Choice Questions on Psychiatric Emergencies Questions
Question 1 of 5
A patient was diagnosed with seasonal affective disorder (SAD). During which month would this patient's symptoms be most acute?
Correct Answer: A
Rationale: The correct answer is A (January). Seasonal affective disorder is a type of depression that occurs during specific seasons, typically in the winter months when there is less natural sunlight. Symptoms are most acute during the darkest and coldest months, such as January. April (B), June (C), and September (D) are less likely to be the peak months for SAD symptoms as they correspond to spring, summer, and early fall when there is more daylight and warmer temperatures, which typically alleviate symptoms of SAD.
Question 2 of 5
A nurse instructs a patient taking a medication that inhibits the action of monoamine oxidase (MAO) to avoid certain foods and drugs because of the risk of
Correct Answer: B
Rationale: The correct answer is B: hypertensive crisis. MAO inhibitors can cause a buildup of tyramine in the body, leading to a sudden increase in blood pressure, potentially resulting in a hypertensive crisis. This is due to the interaction of tyramine with the medication inhibiting MAO. Other choices are incorrect because they do not directly relate to the interaction between MAO inhibitors and tyramine. The risk of hypotensive shock (choice A) is not associated with MAO inhibitors. Cardiac dysrhythmia (choice C) and cardiogenic shock (choice D) are not typically caused by the interaction of MAO inhibitors with certain foods and drugs.
Question 3 of 5
A patient diagnosed with an antisocial personality disorder was treated several times for substance abuse, but each time the patient relapsed. Which treatment approach is most appropriate?
Correct Answer: D
Rationale: The correct answer is D, a residential program. This option is the most appropriate for a patient with antisocial personality disorder and recurring substance abuse issues because it offers a structured and intensive environment for long-term treatment and monitoring. The patient can benefit from 24/7 supervision, therapy, and support to address underlying issues contributing to relapse. In contrast, A (1-week detox) is too short and doesn't address underlying psychological factors. B (outpatient therapy) may not provide enough support and monitoring for this patient. C (12-step program) can be helpful but may not offer the level of structure and supervision needed for someone with antisocial personality disorder. Therefore, D is the best choice for this specific case.
Question 4 of 5
Which assessment findings are likely for an individual who recently injected heroin?
Correct Answer: D
Rationale: The correct answer is D because injecting heroin typically leads to drowsiness, constricted pupils, and slurred speech due to its depressant effects on the central nervous system. Heroin acts as a sedative, causing drowsiness and slowing down brain function. Constricted pupils, known as pinpoint pupils, are a common physical sign of heroin use. Slurred speech may occur due to the drug's impact on coordination and muscle control. Choices A, B, and C are incorrect: A: Anxiety, restlessness, paranoid delusions are more commonly associated with stimulant drugs like cocaine or amphetamines. B: Muscle aching, dilated pupils, tachycardia are more indicative of stimulant drug use rather than heroin. C: Heightened sexuality, insomnia, euphoria are effects more commonly seen with stimulant drugs or hallucinogens, not heroin.
Question 5 of 5
Select the priority outcome for a patient completing the fourth alcohol detoxification program in the past year. Prior to discharge, the patient will
Correct Answer: A
Rationale: The correct answer is A because it addresses the fundamental issue of recognizing the need for long-term treatment, which is crucial for sustained recovery. It indicates the patient's acceptance of their condition and willingness to seek further help. Option B focuses on coping mechanisms that may hinder progress. Option C addresses anger management, which is not the immediate priority after detox. Option D, while important, does not directly relate to the patient's readiness for ongoing treatment. Overall, choosing option A ensures the patient's commitment to continuing care and increasing their chances of successful recovery.