ATI RN
Psychiatric Emergency Questions
Question 1 of 5
During group therapy, one patient says to another, 'When I first started in this group, you were unable to make a decision, but now you can. You've made so much progress that I am beginning to think maybe I can conquer my fears too.' Which therapeutic factor is evident by this statement?
Correct Answer: A
Rationale: The correct answer is A: Hope. The patient expressing belief in their own ability to overcome fears based on observing another's progress demonstrates the therapeutic factor of hope. This instills optimism and motivation in the patient, showing that change is possible. Altruism (B) involves gaining satisfaction from helping others, not necessarily from receiving inspiration. Catharsis (C) is the emotional release of pent-up feelings, not directly related to the patient's progress. Cohesiveness (D) refers to the bond and unity within the group, not the individual's personal growth.
Question 2 of 5
For which patient would it be most important for the nurse to urge immediate discontinuation of kava? A patient with a comorbid diagnosis of
Correct Answer: A
Rationale: The correct answer is A: cirrhosis. Kava is metabolized in the liver and can potentially worsen liver function. In patients with cirrhosis, the liver is already compromised, so the nurse should urge immediate discontinuation to prevent further harm. Osteoarthritis, multiple sclerosis, and chronic back pain are not directly affected by kava's metabolism in the liver, so discontinuation is not as critical for these conditions.
Question 3 of 5
A nurse plans health education for a patient who will be receiving warfarin for several weeks after knee-replacement surgery. Which substance should the nurse caution the patient to avoid?
Correct Answer: A
Rationale: The correct answer is A: Fish oil. Warfarin is an anticoagulant that helps prevent blood clots. Fish oil contains omega-3 fatty acids, which also have anticoagulant properties and can increase the risk of bleeding when taken with warfarin. Black cohosh, lavender, and mandarin are not known to interact significantly with warfarin. It is essential for the nurse to caution the patient about avoiding fish oil to prevent potential complications.
Question 4 of 5
Which patient would most likely benefit from taking St. John's wort? A patient with
Correct Answer: C
Rationale: The correct answer is C - a patient with mild depressive symptoms would most likely benefit from taking St. John's wort due to its potential antidepressant effects. St. John's wort is commonly used as a natural remedy for mild to moderate depression. It works by increasing the levels of serotonin, dopamine, and norepinephrine in the brain, which can help improve mood and alleviate depressive symptoms. Choice A (mood swings) is incorrect because St. John's wort is not typically used to address mood swings. Choice B (hypomanic symptoms) is also incorrect as St. John's wort may worsen manic symptoms in individuals with bipolar disorder. Choice D (panic disorder with agoraphobia) is not the most likely condition to benefit from St. John's wort, as it is not primarily used for treating panic disorders.
Question 5 of 5
An 18-year-old referred to the mental health center often cooks gourmet meals but eats only tiny portions. The patient wears layers of loose clothing saying, 'I like the style.' The patient's weight dropped from 130 to 95 pounds. She has amenorrhea. Which diagnosis is most likely?
Correct Answer: B
Rationale: The correct answer is B: Anorexia nervosa. The patient displays key symptoms such as severe restriction of food intake leading to significantly low body weight, fear of gaining weight, distorted body image, and amenorrhea. These criteria align with the diagnosis of anorexia nervosa according to the DSM-5. Choices A, C, and D do not fully capture the severity and specific characteristics exhibited by the patient. Choice A lacks the criteria for anorexia nervosa, while choices C and D do not match the symptoms described in the scenario.