ATI RN
PICO Question Psychiatric Emergency Nursing Questions
Question 1 of 5
A patient with pancreatic cancer says, 'I know I am dying, but I am still alive. I want to be in control as long as I can.' Which reply by the nurse shows active listening?
Correct Answer: B
Rationale: The correct answer is B because it acknowledges the patient's emotional state and demonstrates empathy. By acknowledging the patient's emotional well-being and addressing the mind and spirit, the nurse actively listens to the patient's concerns beyond the physical symptoms. Choice A focuses solely on pain management, which does not address the patient's emotional needs. Choice C shifts the focus to others rather than the patient's own feelings. Choice D does not show active listening as it presents a closed-ended question rather than reflecting the patient's emotions.
Question 2 of 5
A young female member in a therapy group says to an older female member, 'You are just like my mother, always trying to control me with your observations and suggestions.' Which therapeutic factor of a group is evident by this behavior?
Correct Answer: D
Rationale: Step 1: The young member's comment reflects transference of feelings towards the older member. Step 2: This transference mirrors dynamics from the young member's primary family group, particularly with her mother. Step 3: Corrective recapitulation refers to reenacting past dynamics in a therapeutic setting for insight and growth. Step 4: By expressing similarities with her mother, the young member is engaging in corrective recapitulation. Summary: A is incorrect because hope isn't the focus, B is incorrect as existential issues aren't directly addressed, and C is incorrect as socializing techniques aren't the main therapeutic factor at play.
Question 3 of 5
A nurse at the well child clinic realizes that many parents have misconceptions about effective ways of disciplining their children. The nurse decides to form a group to address this problem. What should be the focus of the group?
Correct Answer: C
Rationale: The correct answer is C: Health education. The focus of the group should be on educating parents about effective ways of disciplining their children, which falls under the realm of health education. This approach aims to provide parents with knowledge and skills to promote the well-being of their children. Support (A) may be important but is not the primary focus here. Socialization (B) is about teaching children how to interact with others, not disciplining them. Symptom management (D) is more relevant in a healthcare setting for addressing medical conditions, not disciplining strategies. Therefore, C is the most appropriate choice for addressing the issue of misconceptions about disciplining children.
Question 4 of 5
An older male patient has suffered with episodic pruritus and skin eruptions for over 2 years. This patient tells the nurse, “When my skin gets better for a few days, I start worrying that it's going to start itching again soon. I think my worry may actually trigger the problems to start all over again.†Which self-help technique should the nurse consider suggesting for this patient?
Correct Answer: B
Rationale: The correct answer is B: Meditation. Meditation can help the patient manage stress and anxiety, which are known triggers for pruritus and skin eruptions. By practicing mindfulness and relaxation techniques, the patient can reduce the psychological impact of worrying about their condition, leading to potential improvement in their symptoms. Incorrect Choices: A: Melatonin is a hormone that regulates sleep-wake cycles and may not directly address the patient's psychological stress. C: Purification is a vague term and does not offer a specific technique to help the patient manage their worry and stress. D: Acupuncture may have benefits for certain conditions, but it may not specifically address the patient's psychological concerns related to their skin issues.
Question 5 of 5
Which CAM method is associated with using allergy injections of small amounts of an allergen in solution?
Correct Answer: B
Rationale: The correct answer is B: Homeopathy. Homeopathy involves using small doses of a substance that would cause symptoms in larger amounts to treat those same symptoms. In this case, using small amounts of an allergen in solution is a homeopathic approach to desensitize the body to the allergen. Naturopathy focuses on natural remedies, chiropractic on spinal manipulation, and Shiatsu on Japanese bodywork therapy, none of which involve allergy injections.