ATI RN
Psychiatric Emergencies Questions
Question 1 of 5
During a group therapy session, a newly admitted patient suddenly says to the nurse, 'How old are you? You seem too young to be leading a group.' Select the nurse's most appropriate response.
Correct Answer: D
Rationale: The correct answer is D because it reflects empathy and addresses the patient's underlying concern about the nurse's experience. By acknowledging the patient's question and addressing their potential worry about the nurse's capability, this response validates the patient's feelings and redirects the focus back to the therapy session. Choice A is open-ended and encourages further dialogue but does not directly address the patient's concern about the nurse's experience. Choice B is defensive and does not address the patient's underlying worry. Choice C dismisses the patient's question and may come off as dismissive or confrontational. In summary, answer D is the best choice as it shows empathy, addresses the patient's concern, and redirects the focus back to the therapy session.
Question 2 of 5
A patient tells the nurse, “I prefer to treat my physical problems with herbs and vitamins. They are natural substances, and natural products are safe.†Which response by the nurse would be most appropriate?
Correct Answer: C
Rationale: The correct response is C: "The word natural can be a marketing term used to imply a product is healthy, but that's not always true." Rationale: 1. Natural does not always mean safe or effective. Many natural products can have side effects or interact with medications. 2. The term "natural" is often used in marketing to appeal to consumers, but it does not guarantee safety or efficacy. 3. Healthcare decisions should be based on evidence and expert advice rather than solely on the perception of natural products. 4. The nurse's response educates the patient about the potential misconceptions surrounding natural remedies and encourages critical thinking about healthcare choices. Summary: - Choice A is incorrect because natural substances are not inherently safer than conventional medical remedies. - Choice B is incorrect as it focuses on the psychological aspect of control rather than the safety and effectiveness of natural remedies. - Choice D is incorrect as it dismisses the patient's preference without providing proper education on the topic.
Question 3 of 5
A patient report, “Last night I had several mixed drinks at a party. When I got home, I had difficulty falling sleep. I made two cups of herbal tea with lavender. This morning, I feel very groggy and have a headache.†The nurse should explain that
Correct Answer: B
Rationale: Step 1: Lavender is known to have sedative effects. Step 2: Alcohol is a central nervous system depressant. Step 3: Combining lavender with alcohol can increase sedation effects. Step 4: Patient experienced difficulty sleeping and grogginess, indicating increased sedation. Step 5: Headache can be a side effect of increased sedation. Therefore, choice B is correct. Choice A is incorrect because the issue is not about timing, but the interaction between substances. Choice C is incorrect as herbal teas don't always cause nervous system side effects. Choice D is incorrect because the symptoms are likely due to the interaction between alcohol and lavender, not just a hangover.
Question 4 of 5
During an assessment interview, a patient diagnosed with inflammatory bowel disease accompanied by frequent episodes of diarrhea says, “I've been using probiotics in small doses for about a week.†When the nurse assesses mental status, expected findings would be
Correct Answer: A
Rationale: The correct answer is A: intact cognitive function. Probiotics do not typically affect mental status. The patient's ability to think clearly and logically should remain unaffected. Slow verbal responses (B) are not expected as probiotics are not known to cause cognitive impairment. Paranoid thinking (C) and slurred speech (D) are also not correlated with probiotic use. It is important to assess cognitive function during the interview to ensure the patient is mentally alert and oriented.
Question 5 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.