ATI RN
PICO Question Psychiatric Emergency Nursing Questions
Question 1 of 5
An elderly client was neglected by family in the home setting. The abuse was reported. What factor would have allowed the client to remain in the home?
Correct Answer: C
Rationale: The correct answer is C because competent adults have the right to decide where they want to live, even if abuse or neglect is present. In this case, the elderly client has the autonomy to choose to remain in the home despite the reported abuse. A: This is incorrect because neglect can be just as harmful as physical abuse, and the client's well-being should be prioritized regardless of the type of abuse. B: This is incorrect as any individual who is being abused or neglected, regardless of age, should be protected and supported, not just children. D: While monitoring the situation is important, it does not address the client's right to make their own decisions about where they want to live.
Question 2 of 5
A nurse is assessing a client who experiences occasional feelings of sadness because of the recent death of a beloved pet. The client's appetite, sleep patterns, and daily routine have not changed. How would the nurse interpret the client's behaviors?
Correct Answer: D
Rationale: Rationale for Correct Answer (D): The client experiencing occasional feelings of sadness due to the recent death of a beloved pet, with no changes in appetite, sleep patterns, or daily routine, does not meet the criteria for a diagnosis of depression. Here's a step-by-step rationale: 1. **Occasional Feelings of Sadness**: It is normal for individuals to experience feelings of sadness following a significant loss, such as the death of a beloved pet. 2. **No Changes in Appetite, Sleep Patterns, or Daily Routine**: The client's lack of changes in these areas suggests that their functioning is not significantly impaired. 3. **No Persistent or Severe Symptoms**: The client's behaviors do not indicate the presence of a major depressive episode, as there are no persistent or severe symptoms such as significant weight loss/gain, insomnia/hypersomnia, or psychomotor agitation/retardation. 4. **No Impairment in Functioning**: Since the client's behaviors
Question 3 of 5
A psychiatric nurse intern states, “This client's use of defense mechanisms should be eliminated.†Which is a correct evaluation of this nurse's statement?
Correct Answer: A
Rationale: The correct answer is A because defense mechanisms can be adaptive responses to stress, helping individuals cope and manage anxiety. It is important to understand that defense mechanisms serve a purpose in protecting the individual's psychological well-being. Eliminating them completely can be harmful as they may be necessary for emotional regulation. Choice B is incorrect as defense mechanisms can sometimes be adaptive. Choice C is incorrect as defense mechanisms are utilized by everyone, not just those with weak ego integrity. Choice D is incorrect as fostering defense mechanisms excessively can lead to maladaptive coping strategies.
Question 4 of 5
Which nursing statement regarding the concept of psychosis is most accurate?
Correct Answer: B
Rationale: The correct answer is B because individuals experiencing psychoses often have distorted perceptions of reality, leading to significant distress. They may have hallucinations or delusions, causing fear, confusion, and emotional turmoil. Choice A is incorrect as individuals with psychosis may not realize their behaviors are maladaptive due to their altered perception. Choice C is incorrect because individuals with psychosis may lack insight into their psychological problems. Choice D is incorrect as psychosis involves a disconnect from reality, leading to irrational thoughts and beliefs.
Question 5 of 5
According to Maslow's hierarchy of needs, which situation on an inpatient psychiatric unit would require priority intervention by a nurse?
Correct Answer: B
Rationale: The correct answer is B because Maslow's hierarchy of needs prioritizes safety and security needs. Aggressive behavior jeopardizes the safety of others, requiring immediate intervention to prevent harm. Choices A, C, and D relate more to social and esteem needs, which are of lower priority according to Maslow's theory. Addressing them would be important but not as urgent as ensuring physical safety in the case of aggressive behavior.