ATI RN
Psychiatric Emergencies Questions
Question 1 of 5
Disturbed body image is the nursing diagnosis for a patient with an eating disorder. Which outcome indicator is most applicable to this diagnosis?
Correct Answer: D
Rationale: The correct answer is D: Patient satisfaction with body appearance. This outcome indicator is most applicable to disturbed body image as it directly assesses the patient's perception and feelings about their body. It reflects the patient's psychological well-being and self-esteem, which are key components of body image. In contrast, choices A, B, and C focus more on objective physical measurements or adherence to treatment plans, which are not as directly related to the patient's perception of their body. Choice A is more about physical congruence, choice B is about following a treatment plan, and choice C is about achieving a specific weight range, none of which directly address the patient's body image concerns.
Question 2 of 5
A psychiatric clinical nurse specialist uses cognitive therapy with a patient with anorexia nervosa. Which statement by the nurse supports this type of therapy?
Correct Answer: D
Rationale: The correct answer is D because it reflects a core principle of cognitive therapy, which is challenging distorted beliefs. By pointing out that being thin hasn't solved the patient's problems, the nurse is helping the patient recognize the irrationality of their belief that thinness equals happiness. This approach aims to modify negative thought patterns and promote healthier perspectives. Choices A, B, and C do not directly address challenging distorted beliefs or irrational thoughts, which are central to cognitive therapy for eating disorders like anorexia nervosa.
Question 3 of 5
John is on the Alcohol Treatment Unit. He walks into the dayroom where other clients are watching a program on TV. He picks up the remote and changes the channel and says, 'That's a stupid program! I want to watch something else!' In what stage of development is John fixed according to Sullivan's interpersonal theory?
Correct Answer: B
Rationale: The correct answer is B: Childhood. In Sullivan's interpersonal theory, John's behavior of changing the TV channel impulsively and expressing his dissatisfaction with the program indicates a lack of ability to delay gratification. This behavior is typical of children who have not yet developed the maturity to consider the feelings or needs of others before acting on their own desires. Choosing A is incorrect because John's behavior does not relate to forming peer relationships. Choosing C is incorrect because John's action is not specifically related to struggling with identity formation. Choosing D is incorrect because John's behavior does not reflect working to develop lasting relationships, but rather an inability to delay gratification.
Question 4 of 5
The nurse has just admitted Nancy to the psychiatric unit. The psychiatrist has diagnosed Nancy with major depressive disorder. The nurse says to Nancy, 'Please tell me what it was like when you were growing up.' Which nursing role described by Peplau is the nurse fulfilling in this instance?
Correct Answer: C
Rationale: The correct answer is C: Counselor. In this scenario, the nurse is fulfilling the role of a counselor by engaging Nancy in a therapeutic conversation to explore her past experiences and emotions related to her major depressive disorder diagnosis. This role focuses on providing emotional support, guidance, and facilitating self-exploration. A: Surrogate - This role involves temporarily standing in for another person. In this scenario, the nurse is not acting as a stand-in for anyone but is providing direct emotional support to Nancy. B: Resource person - This role involves providing information and guidance related to the patient's care. While the nurse may provide resources and information, the primary focus in this scenario is on emotional support and therapeutic communication. D: Technical Expert - This role involves providing specialized knowledge and skills related to patient care. While the nurse may use technical expertise in other aspects of care, in this scenario, the focus is on therapeutic communication and emotional support rather than technical knowledge.
Question 5 of 5
What is autonomy?
Correct Answer: C
Rationale: The correct answer is C: The duty to respect the rights of others to make their own decisions. Autonomy refers to the ability of individuals to make their own choices and decisions without external interference. By respecting the rights of others to make decisions, we are upholding their autonomy. Choice A is incorrect because it refers to beneficence, not autonomy. Choice B is incorrect as it relates to non-maleficence, not autonomy. Choice D is incorrect as it pertains to distributive justice, not autonomy. Autonomy is specifically about respecting individuals' rights to self-determination.