ATI RN
Psychiatric Emergencies Questions
Question 1 of 5
Defense mechanism question: for projection.
Correct Answer: A
Rationale: The correct answer is A because it exemplifies the defense mechanism of projection, where one attributes their unacceptable thoughts or feelings to others. In this case, the individual is shifting blame onto the police for being in the psychiatric facility. Choice B is incorrect as it demonstrates rationalization rather than projection. Choice C is incorrect as it reflects denial rather than projection. Choice D is incorrect as it represents displacement rather than projection.
Question 2 of 5
A client with bulimia and depression who is taking Phenelzine (Nardil) 90 mg daily is admitted to an acute care hospital for uncontrolled hypertension. What dietary choice should the nurse instruct the client to avoid?
Correct Answer: A
Rationale: The correct answer is A: Pepperoni pizza. Phenelzine is a monoamine oxidase inhibitor (MAOI) which interacts with tyramine-rich foods, like aged, fermented, or spoiled foods, leading to hypertensive crisis. Pepperoni is high in tyramine due to its fermentation process. Grilled chicken salad, steamed vegetables, and fresh fruit are low in tyramine and safe to consume with Phenelzine.
Question 3 of 5
A 14-year-old client with anorexia is allowed to select which activity?
Correct Answer: A
Rationale: The correct answer is A: Arts and crafts activity. For a 14-year-old with anorexia, engaging in arts and crafts can provide a therapeutic outlet for self-expression, relaxation, and distraction from negative thoughts about body image or food. It promotes creativity and allows the client to explore emotions in a non-threatening way. Physical exercise (B) may exacerbate the client's condition by reinforcing unhealthy behaviors. Cooking class (C) may trigger anxiety around food. Group therapy (D) can be beneficial, but the client may not be ready to openly discuss their struggles with others. Therefore, the arts and crafts activity is the most suitable choice for this client.
Question 4 of 5
A patient tells the nurse that he is going to kill his sister. What should the nurse do?
Correct Answer: A
Rationale: The correct answer is A: Notify the healthcare provider. This is the appropriate action because the patient's statement indicates a serious threat to someone's life, requiring immediate intervention by a higher authority for safety measures. Confronting the patient directly may escalate the situation. Administering sedatives is not appropriate as it does not address the threat. Documenting the statement is important but should not be the first and only action taken in such a critical situation.
Question 5 of 5
A female client requests that her husband be allowed to stay in the room during the admission assessment. When interviewing the client, the RN notes a discrepancy between the client's verbal and nonverbal communication. What action does the RN take?
Correct Answer: A
Rationale: The correct answer is A: Pay close attention and document the nonverbal messages. Nonverbal communication can provide valuable insights into a client's true feelings or concerns. By observing and documenting these cues, the RN can gain a better understanding of the client's needs. This approach allows for a more holistic assessment and helps in providing individualized care. Summary: - B: Asking the client's husband to interpret the discrepancy may not be appropriate as it could breach confidentiality and may not provide accurate information. - C: Ignoring the nonverbal behavior can lead to missing important cues affecting the assessment process. - D: Integrating verbal and nonverbal messages is important, but it starts with paying close attention to and documenting nonverbal messages.