ATI RN
PICO Question Psychiatric Emergency Nursing Questions
Question 1 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 2 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 3 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.
Question 4 of 5
Select the best desired outcome for a patient who uses valerian. The patient will report
Correct Answer: B
Rationale: The correct answer is B: undisturbed sleep throughout the night. Valerian is commonly used as an herbal remedy for insomnia and sleep disorders. The desired outcome for a patient using valerian is to achieve improved sleep quality, characterized by uninterrupted and restful sleep throughout the night. This is because valerian has sedative properties that help promote relaxation and induce sleep. Option A is not specific to the intended use of valerian, which is primarily for sleep-related issues. Option C is not directly related to the primary purpose of valerian. Option D, early morning waking without an alarm clock, does not necessarily indicate improved sleep quality and may not be a realistic expectation for all patients. Therefore, option B is the best desired outcome for a patient using valerian to address sleep disturbances.
Question 5 of 5
A patient diagnosed with depression confidently tells the nurse, “I've been supplementing my paroxetine with St. John's wort. It has helped a great deal.†What is the nurse's priority action?
Correct Answer: C
Rationale: The correct answer is C: Educate the patient about the risks of selective serotonin syndrome. St. John's wort is known to interact with many medications, including paroxetine. This combination can increase serotonin levels in the brain, leading to a potentially dangerous condition called serotonin syndrome. The nurse's priority is to ensure the patient understands this risk and the importance of consulting with their healthcare provider before combining medications. Incorrect choices: A: Assess changes in the patient's level of depression. While monitoring the patient's depression is important, addressing the potential drug interaction and safety concerns takes precedence. B: Remind the patient to use a secondary form of birth control. This is not the priority in this situation as the main concern is the drug interaction. D: Suggest adding valerian to the treatment regimen to further improve results. Introducing another supplement without addressing the potential interaction with St. John's wort and paroxetine is not appropriate.