ATI RN
Multiple Choice Questions on Psychiatric Emergencies Questions
Question 1 of 5
A patient with a new diagnosis of cancer says, 'My father died of pancreatic cancer. I took care of him during his illness, so I know what is ahead for me.' Which nursing diagnosis applies?
Correct Answer: A
Rationale: Rationale: 1. Anticipatory grieving is appropriate as the patient is already preparing for the loss. 2. Ineffective coping is not the best choice as the patient is not actively avoiding dealing with the situation. 3. Ineffective denial is not applicable as the patient is acknowledging the situation openly. 4. Spiritual distress does not directly address the patient's emotional response to the cancer diagnosis.
Question 2 of 5
A widow repeatedly tells details of finding her elderly husband not breathing, performing cardiopulmonary resuscitation, and seeing him pronounced dead. Family members are concerned and ask, 'What can we do?' The nurse should counsel the family that
Correct Answer: C
Rationale: The correct answer is C because repeating the story and her feelings is a helpful and necessary part of the grieving process. It allows the widow to process her emotions and come to terms with her loss. By actively listening to her and providing support, the family can help her cope with her grief. Option A is incorrect because asking the widow not to retell the story may hinder her grieving process. Option B is incorrect as limiting the retelling could suppress her emotions. Option D is incorrect as retelling memories in this context is more about grieving the loss of a loved one rather than a part of the aging process.
Question 3 of 5
A leader plans to start a new self-help group. Which intervention would be most helpful for assuring mutual respect within the group?
Correct Answer: A
Rationale: The correct answer is A because it sets the foundation for mutual respect from the beginning, emphasizing its importance and establishing it as a group norm. This approach promotes a positive and respectful group culture. Option B is incorrect as excluding potential members preemptively may not address disrespectful behavior effectively and can create a negative atmosphere. Option C provides information but may not actively promote mutual respect within the group, lacking the direct emphasis on its importance like option A. Option D, while addressing disrespectful behavior, may create conflict and tension within the group if not handled tactfully, rather than fostering a culture of mutual respect.
Question 4 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 5 of 5
A patient has tried a variety of CAM approaches to manage health concerns. The nurse asks, “How is going to CAM practitioners different from seeing your medical doctors?†The patient is most likely to respond, “The CAM practitioners
Correct Answer: B
Rationale: Step 1: CAM practitioners often focus on holistic care, considering the patient's physical, mental, and emotional well-being. Step 2: By spending more time talking with the patient, CAM practitioners aim to understand the root causes of health concerns. Step 3: This approach allows for a more personalized treatment plan that goes beyond just addressing symptoms. Step 4: In contrast, medical doctors may have limited time for consultations and tend to focus more on diagnosing and treating specific symptoms. Step 5: Therefore, the patient is likely to respond that CAM practitioners spend more time talking with them and not just about their symptoms.