ATI RN
Psychiatry Test Bank Questions
Question 1 of 5
An elderly patient must be physically restrained. Who is responsible for the patient's safety?
Correct Answer: C
Rationale: The nurse is responsible for the patient’s safety, including the appropriate use of restraints and ensuring the patient is monitored appropriately. The nurse is accountable for assessing the need for restraints, their proper application, and ongoing evaluation of the patient’s condition while restrained
Question 2 of 5
An elderly patient brings a bag of medications to the clinic. The nurse finds a bottle labeled Ativan and one labeled lorazepam, both of which are to be taken BID. There are also bottles labeled hydrochlorothiazide, Inderal, and rofecoxib, each to be taken once daily. Which conclusion is accurate?
Correct Answer: B
Rationale: The correct answer is B) Lorazepam and Ativan are the same drug, so the dose is excessive. This is because Ativan is the brand name for lorazepam, so having both medications listed separately means the patient is taking a double dose of the same drug, which is potentially harmful. Option A is incorrect because there are no known significant interactions between rofecoxib and Ativan. Option C is incorrect as lorazepam does not interfere with the action of Inderal. Option D is not directly supported by the information provided in the question. From an educational perspective, this question highlights the importance of medication reconciliation and understanding brand versus generic names. It emphasizes the need for healthcare providers to clarify and consolidate medication lists to prevent duplications and potential drug interactions, especially in elderly patients who may be more vulnerable to the adverse effects of polypharmacy.
Question 3 of 5
When differentiating between bereavement symptoms and depression, the nurse will base the formulation on knowledge that in bereavement:
Correct Answer: B
Rationale: In differentiating between bereavement symptoms and depression, understanding that symptoms in bereavement tend to remit and exacerbate is crucial. Bereavement is a normal response to loss and involves a range of emotions that naturally fluctuate over time. This is in contrast to depression, where symptoms persist for an extended period. Option A is incorrect because suicidal thoughts are not a typical feature of uncomplicated bereavement. While grief can be intense, it does not necessarily lead to suicidal ideation. Option C is incorrect because overwhelming guilt is more commonly associated with depression rather than typical bereavement. Option D is incorrect as psychomotor retardation, a common symptom of depression, is not a defining feature of normal bereavement. Educationally, grasping the nuances between bereavement and depression is vital for healthcare professionals, especially in psychiatric settings. Recognizing the differences allows for appropriate assessment, intervention, and support for individuals experiencing grief and those with clinical depression. It underscores the importance of understanding normal variations in mood and behavior during the grieving process.
Question 4 of 5
During a grief-processing group, an elderly patient stated, For the first time since my husband died, Im having more good days than bad. This statement suggests that the patient has:
Correct Answer: B
Rationale: The correct answer is B) Reached the phase of reestablishment. This is because the patient's statement indicates a positive shift in their emotional state, moving towards a more stable and positive outlook on life after experiencing loss. Reestablishment is a phase in the grief process where individuals begin to adapt to life without their loved one and find a new sense of normalcy. Option A) Replacing old memories with new ones is incorrect as the patient's statement does not indicate a replacement of memories but rather a shift in emotional well-being. Option C) Completing her grief work successfully is premature as grief is a complex and ongoing process, and one positive statement does not necessarily signify complete resolution. Option D) Determining she is ready to terminate the support group is also incorrect as the patient's progress in grief work should be assessed based on more than just one statement. In an educational context, understanding the phases of grief is crucial for healthcare professionals, especially in fields like psychiatry where supporting individuals through loss and bereavement is common. Recognizing signs of progress, like the patient's statement in this scenario, can help healthcare providers offer appropriate support and interventions at different stages of the grieving process.
Question 5 of 5
Which intervention will the nurse planning care for a patient with acute grief implement?
Correct Answer: B
Rationale: In the context of pharmacology and psychiatric care, selecting option B) Providing information about the grief process as the correct intervention for a patient experiencing acute grief is crucial. This choice aligns with best practices in patient care because it empowers the patient with knowledge and understanding, which are essential for coping with grief. Educating the patient about the normal stages of grief, common reactions, and available support options can help them navigate their emotions and feel more in control of their healing process. Options A, C, and D are incorrect for several reasons. Option A, encouraging dependence on the nurse for support, is not ideal because it may foster an unhealthy reliance on the nurse rather than promoting the patient's autonomy and self-efficacy in managing their grief. Option C, suggesting utilization of community resources in a few weeks, may delay crucial support that the patient needs during the acute phase of grief. Option D, advising the patient to minimize contact with nonfamily members, could isolate the patient further and hinder their access to potential sources of comfort and assistance. In an educational context, understanding the appropriate interventions for patients experiencing grief is essential for healthcare providers, especially in psychiatric settings where mental health support is critical. By choosing the correct intervention, nurses can contribute to the patient's emotional well-being and recovery process, demonstrating the importance of holistic care in pharmacology and psychiatric nursing practice.