ATI RN
Psychiatric Emergency Questions
Question 1 of 5
A terminally ill patient says, 'I know I will never get well, but,' and the patient's voice trails off. Select the most therapeutic response by the nurse.
Correct Answer: A
Rationale: The correct answer is A because it encourages the patient to express their thoughts and feelings, showing empathy and support. It validates the patient's emotions and allows them to explore their hopes and concerns. Choice B focuses on information rather than emotional support. Choice C is dismissive and lacks empathy, potentially causing distress. Choice D deflects the patient's expression of emotions and directs them elsewhere, missing an opportunity for therapeutic communication.
Question 2 of 5
During group therapy, one patient says to another, 'When I first started in this group, you were unable to make a decision, but now you can. You've made so much progress that I am beginning to think maybe I can conquer my fears too.' Which therapeutic factor is evident by this statement?
Correct Answer: A
Rationale: The correct answer is A: Hope. The patient expressing belief in their own ability to overcome fears based on observing another's progress demonstrates the therapeutic factor of hope. This instills optimism and motivation in the patient, showing that change is possible. Altruism (B) involves gaining satisfaction from helping others, not necessarily from receiving inspiration. Catharsis (C) is the emotional release of pent-up feelings, not directly related to the patient's progress. Cohesiveness (D) refers to the bond and unity within the group, not the individual's personal growth.
Question 3 of 5
Which outcome would be most appropriate for a symptom-management group for persons diagnosed with schizophrenia? Group members will
Correct Answer: D
Rationale: The correct answer is D because a symptom-management group for individuals with schizophrenia aims to help them learn strategies to cope with their illness effectively. This is crucial for improving their quality of life and managing symptoms. Options A, B, and C are incorrect as they do not directly address the primary goal of the symptom-management group, which is to teach coping mechanisms for dealing with the challenges of schizophrenia. A focusing on medication names is not the main goal, resolving family conflicts may not directly address individual coping skills, and just lowering anxiety levels does not necessarily equip individuals with long-term coping strategies.
Question 4 of 5
For which patient would it be most important for the nurse to urge immediate discontinuation of kava? A patient with a comorbid diagnosis of
Correct Answer: A
Rationale: The correct answer is A: cirrhosis. Kava is metabolized in the liver and can potentially worsen liver function. In patients with cirrhosis, the liver is already compromised, so the nurse should urge immediate discontinuation to prevent further harm. Osteoarthritis, multiple sclerosis, and chronic back pain are not directly affected by kava's metabolism in the liver, so discontinuation is not as critical for these conditions.
Question 5 of 5
A nurse plans health education for a patient who will be receiving warfarin for several weeks after knee-replacement surgery. Which substance should the nurse caution the patient to avoid?
Correct Answer: A
Rationale: The correct answer is A: Fish oil. Warfarin is an anticoagulant that helps prevent blood clots. Fish oil contains omega-3 fatty acids, which also have anticoagulant properties and can increase the risk of bleeding when taken with warfarin. Black cohosh, lavender, and mandarin are not known to interact significantly with warfarin. It is essential for the nurse to caution the patient about avoiding fish oil to prevent potential complications.