ATI RN
PICO Question Psychiatric Emergency Nursing Questions
Question 1 of 5
After an assault by a patient, a nurse has difficulty sleeping, startles easily, and is preoccupied with the incident. The nurse said, 'That patient should not be allowed to get away with that behavior.' Which response poses the greatest barrier to the nurse's ability to provide therapeutic care?
Correct Answer: C
Rationale: The correct answer is C because harboring a wish for revenge can significantly impede a nurse's ability to provide therapeutic care. This response indicates unresolved anger and potential desire for retaliation, which can lead to compromised objectivity, empathy, and professionalism in patient care. It can also hinder the development of a therapeutic nurse-patient relationship. Startle reactions (A), difficulty sleeping (B), and preoccupation with the incident (D) are common responses to trauma but do not pose as significant a barrier as a wish for revenge.
Question 2 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 3 of 5
A staff nurse asks a hospice nurse, 'Who should be referred for hospice care?' Select the best response.
Correct Answer: B
Rationale: Step-by-step rationale for why answer B is correct: 1. Hospice care is for patients in the end stage of any disease, not limited to cancer. 2. Hospice focuses on providing comfort and support for patients with a life expectancy of six months or less. 3. End-stage patients from various diseases can benefit from hospice services. 4. Answer B aligns with the core principle of hospice care, which is to improve the quality of life for terminally ill patients. Summary: - Choice A is incorrect as hospice is not exclusive to cancer patients. - Choice C is incorrect as hospice is not specifically for end-stage renal disease. - Choice D is incorrect as hospice eligibility is not based on paralysis from neurological diseases.
Question 4 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 5 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.