ATI RN
Synopsis of Psychiatry Test Bank Questions
Question 1 of 5
For which patient is the nurse most likely to need to schedule a pre-ECT workup and teaching?
Correct Answer: D
Rationale: The nurse is most likely to need to schedule a pre-electroconvulsive therapy (ECT) workup and teaching for Patient D, who has depression associated with the diagnosis of an inoperable brain tumor. In such cases, ECT may be considered as a treatment option due to the severity of the depression and the limitations in using other treatments. Before ECT can be initiated in a patient with such complex medical conditions, it is crucial to conduct a thorough evaluation and preparation process, which includes obtaining informed consent, assessing the patient's medical history, conducting pre-ECT laboratory tests, and providing patient and family education about the procedure. Given the unique circumstances of Patient D's inoperable brain tumor, the nurse must ensure all necessary steps are taken to ensure the safety and efficacy of ECT as a treatment option.
Question 2 of 5
A patient returned from attending the service memorializing his wife, who died after a sudden illness. Although those around him were visibly saddened, he smiled and remained in control. He refused support from friends, stating, “I can handle anything that comes my way.” The patient’s behavior is an example of grief.
Correct Answer: B
Rationale: The patient's behavior of smiling and remaining in control while refusing support from friends, despite attending a service memorializing his wife's death, is indicative of distorted grief. In distorted grief, individuals may show seemingly inappropriate reactions or behaviors that do not align with the typical grieving process. The patient's avoidance of accepting support and expression of excessive self-reliance in the face of a significant loss suggest a distorted way of coping with grief. In normal grief, individuals may experience a range of emotions and accept support from others as they navigate through the grieving process.
Question 3 of 5
The community health nurse is visiting a patient diagnosed with dysfunctional grieving since the death of his wife and child over a year ago. Which actions should the nurse implement first?
Correct Answer: B
Rationale: Assessing the risk of self-directed violence is the priority when dealing with a patient diagnosed with dysfunctional grieving. Individuals experiencing complicated grief may be at an increased risk for self-harm or suicidal ideation. By assessing the risk of self-directed violence first, the nurse can ensure the patient's safety and provide appropriate interventions if necessary. Once the risk is assessed and managed, the nurse can then proceed with other interventions such as promoting interaction with others and facilitating the expression of feelings related to the loss.
Question 4 of 5
Which person has the greatest potential for developing dysfunctional grief?
Correct Answer: D
Rationale: The person with the greatest potential for developing dysfunctional grief is an adult who has dealt with the loss of several family members over their lifetime. Losing multiple family members can create a cumulative effect, leading to unresolved grief and complicated bereavement reactions. These repeated losses can overwhelm an individual's coping mechanisms and increase the risk of developing dysfunctional grief patterns. The ongoing experience of loss and grief can make it challenging for the individual to process their emotions effectively and adjust to their new reality, potentially leading to prolonged and complicated mourning.
Question 5 of 5
A patient is in a smoking cessation program that encourages self-control therapy interventions. Which intervention would the nurse suggest?
Correct Answer: B
Rationale: In this scenario, the correct intervention suggested by the nurse would be option B, which is keeping a behavioral diary that tracks when the patient smokes. This intervention is focused on increasing the patient's awareness of their smoking behavior, which is a crucial step in self-control therapy for smoking cessation. By tracking when they smoke, the patient can identify patterns, triggers, and situations that prompt smoking, making it easier to develop strategies to manage and eventually reduce or quit smoking. Option A, limiting smoking to certain times of the day, does not address the underlying triggers and behaviors associated with smoking. It may provide a structure but lacks the depth of understanding and self-awareness that keeping a behavioral diary offers. Option C, identifying factors that encouraged the patient to start smoking, is more focused on exploring past influences rather than actively engaging in the present behavior change process. While understanding these factors is important, it may not be as immediately impactful as tracking current behavior patterns. Option D, making plans to spend money saved when smoking stops, is more of a motivational strategy rather than a direct self-control intervention. While it can be a useful incentive, it does not directly address the behavioral aspects of smoking cessation that the patient needs to work on. In an educational context, it is important for nurses and healthcare professionals to understand the principles of self-control therapy and behavior change techniques in smoking cessation programs. By guiding patients through self-monitoring activities like keeping a behavioral diary, healthcare providers can empower individuals to take an active role in understanding and modifying their behaviors towards achieving successful smoking cessation outcomes.