ATI RN
Psychiatric Emergencies Questions
Question 1 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 2 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.
Question 3 of 5
The nurse has just admitted Nancy to the psychiatric unit. The psychiatrist has diagnosed Nancy with major depressive disorder. The nurse says to Nancy, 'Please tell me what it was like when you were growing up.' Which nursing role described by Peplau is the nurse fulfilling in this instance?
Correct Answer: C
Rationale: The correct answer is C: Counselor. In this scenario, the nurse is fulfilling the role of a counselor by engaging Nancy in a therapeutic conversation to explore her past experiences and emotions related to her major depressive disorder diagnosis. This role focuses on providing emotional support, guidance, and facilitating self-exploration. A: Surrogate - This role involves temporarily standing in for another person. In this scenario, the nurse is not acting as a stand-in for anyone but is providing direct emotional support to Nancy. B: Resource person - This role involves providing information and guidance related to the patient's care. While the nurse may provide resources and information, the primary focus in this scenario is on emotional support and therapeutic communication. D: Technical Expert - This role involves providing specialized knowledge and skills related to patient care. While the nurse may use technical expertise in other aspects of care, in this scenario, the focus is on therapeutic communication and emotional support rather than technical knowledge.
Question 4 of 5
What is autonomy?
Correct Answer: C
Rationale: The correct answer is C: The duty to respect the rights of others to make their own decisions. Autonomy refers to the ability of individuals to make their own choices and decisions without external interference. By respecting the rights of others to make decisions, we are upholding their autonomy. Choice A is incorrect because it refers to beneficence, not autonomy. Choice B is incorrect as it relates to non-maleficence, not autonomy. Choice D is incorrect as it pertains to distributive justice, not autonomy. Autonomy is specifically about respecting individuals' rights to self-determination.
Question 5 of 5
What are the SE of atypical antipsychotics?
Correct Answer: A
Rationale: The correct answer is A because atypical antipsychotics commonly cause metabolic side effects such as increased weight, glucose levels, and triglycerides. This occurs due to their effects on appetite, metabolism, and insulin sensitivity. Option B is incorrect as atypical antipsychotics typically lead to weight gain and metabolic disturbances. Option C is incorrect as atypical antipsychotics are associated with several side effects. Option D is incorrect as atypical antipsychotics do not typically increase the risk of seizures.