ATI RN
Multiple Choice Questions on Psychiatric Emergencies Questions
Question 1 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 2 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 3 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.
Question 4 of 5
An immigrant from China needs a colonic resection but is anxious and reluctant about surgery. This patient usually follows traditional Chinese health practices. Which comment by the nurse would most likely reduce the patient's anxiety and reluctance?
Correct Answer: D
Rationale: Step-by-step rationale for why answer D is correct: 1. Acknowledges patient's anxiety and reluctance. 2. Offers an alternative traditional Chinese health practice (acupuncture). 3. Shows respect for patient's cultural background and preferences. 4. Addresses potential pain management concerns. 5. Promotes trust and collaboration between patient and healthcare team. Summary of other choices: A: Incorrect - Relates surgery to traditional Chinese concepts inaccurately. B: Incorrect - Uses vague language that may confuse or increase anxiety. C: Incorrect - Patronizing tone, lacks specific information or alternative options.
Question 5 of 5
A patient had a venous thrombosis 3 weeks ago and is now taking warfarin. When visiting the laboratory to have a prothrombin time drawn, the patient reports drinking ginseng tea to stimulate the immune system. Which nursing diagnosis applies?
Correct Answer: B
Rationale: The correct answer is B: Deficient knowledge related to potentially harmful drug interactions. The patient's use of ginseng tea can interact with warfarin, potentially leading to increased risk of bleeding. This nursing diagnosis is appropriate as the patient lacks knowledge about the potential harmful interaction between ginseng and warfarin. A: Impaired memory related to neurological changes is not the correct answer because there is no indication in the scenario that the patient is experiencing memory issues due to neurological changes. C: Ineffective denial related to mismanagement of therapeutic regime is not the correct answer as there is no evidence in the scenario to suggest that the patient is in denial about their treatment regimen. D: Effective management of the therapeutic regime related to augmentation of anticoagulant therapy is not the correct answer because the patient's use of ginseng tea can interfere with warfarin therapy, indicating a lack of understanding rather than effective management.