ATI RN
Kaplan and Sadocks Synopsis of Psychiatry Questions Questions
Question 1 of 5
Nursing preparation for a client undergoing electroconvulsive therapy (ECT) resemble those used for general anesthesia. The nurse should follow these steps for this procedure (place in the order they will occur):
Correct Answer: C
Rationale: Rationale: 1. Educating the patient and family is crucial as it helps alleviate anxiety and ensures informed consent. 2. Monitoring vital signs (A) should be done before, during, and after the procedure, not necessarily in a specific order. 3. Medication administration (B) should be based on physician's orders but is not the initial step. 4. Checking a signed consent (D) is important but typically done before proceeding with any procedure, not necessarily in a specific order.
Question 2 of 5
A patient states, "I’m not worth anything. I have negative thoughts about myself. I feel anxious and shaky all the time. Sometimes I feel so sad that I want to go to sleep and never wake up." Which nursing intervention should have the highest priority?
Correct Answer: D
Rationale: The correct answer is D: Suicide precautions. The patient's statement indicates they are experiencing severe depression and suicidal ideation. Suicide precautions should be the highest priority to ensure the patient's safety. This includes removing any potential means of self-harm, constant monitoring, and close supervision. Self-esteem-building activities (A) may be helpful in the long term but are not the immediate priority. Anxiety self-control measures (B) are important but addressing suicidal ideation takes precedence. Sleep enhancement activities (C) are also important but not the highest priority when dealing with suicidal thoughts.
Question 3 of 5
Nursing preparation for a client undergoing electroconvulsive therapy (ECT) resemble those used for general anesthesia. The nurse should follow these steps for this procedure (place in the order they will occur):
Correct Answer: C
Rationale: Rationale: 1. Educating the patient and family is crucial as it helps alleviate anxiety and ensures informed consent. 2. Monitoring vital signs (A) should be done before, during, and after the procedure, not necessarily in a specific order. 3. Medication administration (B) should be based on physician's orders but is not the initial step. 4. Checking a signed consent (D) is important but typically done before proceeding with any procedure, not necessarily in a specific order.
Question 4 of 5
A patient is scheduled to attend an occupational therapy group to work on the identified goal of “recognizing and using more effective coping techniques.” What measure can the nurse use to continue to support the patient’s attainment of this goal after he returns to the unit?
Correct Answer: A
Rationale: The correct answer is A: Praising him for positive behavioral changes. This measure reinforces the patient's use of effective coping techniques, providing positive feedback and motivation. This positive reinforcement encourages the patient to continue utilizing these strategies. Choices B, C, and D are incorrect: B: Avoiding setting limits that would increase his anxiety level - This does not actively support the patient's goal of recognizing and using more effective coping techniques. C: Isolating him from more seriously ill patients - Isolation does not promote the practice of coping techniques and may hinder the patient's social interaction and progress. D: Recommending that he avoid group activities for a while - Avoiding group activities contradicts the goal of attending occupational therapy groups and working towards improved coping techniques.
Question 5 of 5
Which person has the greatest potential for developing dysfunctional grief?
Correct Answer: C
Rationale: The correct answer is C because sudden, traumatic deaths can lead to complicated grief reactions. This type of loss can disrupt the individual's ability to process and accept the death, resulting in prolonged and intense emotional distress. The other choices, A, B, and D, do not inherently indicate a higher potential for dysfunctional grief as they do not involve the same level of suddenness or trauma. Teen popularity, expressing love for a deceased spouse, and experiencing multiple losses over time are common situations that may not necessarily lead to dysfunctional grief if appropriate support and coping mechanisms are in place.
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