ATI RN
Multiple Choice Questions on Psychiatric Emergencies Questions
Question 1 of 5
Select the priority outcome for a patient completing the fourth alcohol detoxification program in the past year. Prior to discharge, the patient will
Correct Answer: A
Rationale: The correct answer is A because it addresses the fundamental issue of recognizing the need for long-term treatment, which is crucial for sustained recovery. It indicates the patient's acceptance of their condition and willingness to seek further help. Option B focuses on coping mechanisms that may hinder progress. Option C addresses anger management, which is not the immediate priority after detox. Option D, while important, does not directly relate to the patient's readiness for ongoing treatment. Overall, choosing option A ensures the patient's commitment to continuing care and increasing their chances of successful recovery.
Question 2 of 5
After one of their identical twin daughters commits suicide, the parents express concern that the other twin may also have suicidal tendencies. Which reply should the nurse provide?
Correct Answer: A
Rationale: Rationale for Correct Answer (A): 1. Genetics play a significant role in suicide risk, as studies have shown a hereditary component. 2. Identical twins share 100% of their genes, making the other twin more vulnerable. 3. Monitoring and support can help identify warning signs and provide necessary interventions. 4. Proactive measures can reduce the risk of suicide in the remaining twin. Summary of Incorrect Choices: B: Apathy is not the primary cause of suicide, and motivation alone is not a comprehensive solution. C: Identifying with a suicide victim may increase the risk of suicidal behavior in the other twin. D: Fraternal twins share only 50% of their genes, so they do not have the same high genetic risk as identical twins.
Question 3 of 5
A patient was arrested for breaking windows in the home of a former domestic partner. The patient's history also reveals childhood abuse by a punitive parent, torturing family pets, and an arrest for disorderly conduct. Which nursing diagnosis has priority?
Correct Answer: D
Rationale: The correct answer is D: Risk for other-directed violence. Priority is given to the safety of the patient and others. The patient's history of past violent behavior, including breaking windows and torturing animals, suggests a propensity for violence. This places the patient and others at risk of harm. Option A (Risk for injury) is not as appropriate as it focuses on the patient's risk of self-harm rather than harming others. Option B (Ineffective coping) may be a contributing factor, but the immediate concern is the risk of violence. Option C (Impaired social interaction) does not address the potential for harm. Therefore, prioritizing the diagnosis of Risk for other-directed violence is crucial in ensuring the safety of all involved.
Question 4 of 5
An intramuscular dose of antipsychotic medication needs to be administered to a patient who is becoming increasingly more aggressive and refused to leave the day room. The nurse should enter the day room
Correct Answer: B
Rationale: The correct answer is B because it prioritizes safety and de-escalation by having multiple staff members present for support while maintaining a calm and respectful tone. This approach aims to minimize confrontation and coercion, promoting a collaborative environment. Option A lacks support from additional staff and may not adequately address the patient's escalating behavior. Option C involves physical restraint, which should be avoided unless absolutely necessary for safety. Option D introduces a security guard, potentially escalating the situation and may be perceived as threatening by the patient. Overall, option B is the most appropriate and therapeutic approach in this scenario.
Question 5 of 5
A patient with a new diagnosis of cancer says, 'My father died of pancreatic cancer. I took care of him during his illness, so I know what is ahead for me.' Which nursing diagnosis applies?
Correct Answer: A
Rationale: Rationale: 1. Anticipatory grieving is appropriate as the patient is already preparing for the loss. 2. Ineffective coping is not the best choice as the patient is not actively avoiding dealing with the situation. 3. Ineffective denial is not applicable as the patient is acknowledging the situation openly. 4. Spiritual distress does not directly address the patient's emotional response to the cancer diagnosis.