ATI RN
PICO Question Psychiatric Emergency Nursing Questions
Question 1 of 5
The feeling experienced by a patient that should be assessed by the nurse as most predictive of elevated suicide risk is
Correct Answer: A
Rationale: The correct answer is A: hopelessness. Hopelessness is a key predictor of elevated suicide risk as it reflects a sense of despair and lack of belief in positive outcomes. Patients who feel hopeless may be more likely to consider suicide as a way to escape their perceived unending suffering. In contrast, sadness (B) is a common emotion that may not necessarily indicate an immediate suicide risk. Elation (C) is also not indicative of suicide risk, as individuals experiencing high levels of joy are less likely to consider suicide. Anger (D) may be a sign of distress but is not as strongly associated with suicide risk as hopelessness.
Question 2 of 5
A confused older adult patient in a skilled nursing facility was asleep when unlicensed assistive personnel (UAP) entered the room quietly and touched the bed to see if it was wet. The patient awakened and hit the UAP in the face. Which statement best explains the patient's action?
Correct Answer: D
Rationale: The correct answer is D because the patient's action of hitting the UAP is likely due to a misinterpretation of the situation as potentially harmful. The patient was asleep and abruptly awakened by a touch, leading to a defensive response. This is a common reaction in situations where individuals feel threatened or startled. The other choices are incorrect because A is a generalization without specific relevance to this scenario, B is not supported by evidence in the question stem, and C assumes the patient learned violent behavior from others, which is not indicated in the scenario.
Question 3 of 5
After an assault by a patient, a nurse has difficulty sleeping, startles easily, and is preoccupied with the incident. The nurse said, 'That patient should not be allowed to get away with that behavior.' Which response poses the greatest barrier to the nurse's ability to provide therapeutic care?
Correct Answer: C
Rationale: The correct answer is C because harboring a wish for revenge can significantly impede a nurse's ability to provide therapeutic care. This response indicates unresolved anger and potential desire for retaliation, which can lead to compromised objectivity, empathy, and professionalism in patient care. It can also hinder the development of a therapeutic nurse-patient relationship. Startle reactions (A), difficulty sleeping (B), and preoccupation with the incident (D) are common responses to trauma but do not pose as significant a barrier as a wish for revenge.
Question 4 of 5
A nurse talks with a woman whose husband died while jogging. Select the appropriate statement for the nurse.
Correct Answer: C
Rationale: The correct answer is C because it acknowledges the woman's emotions and shows empathy towards her loss. It validates her feelings and offers support, recognizing the pain she must be going through. Option A may come off as dismissive of her grief. Option B could be seen as minimizing the loss. Option D assumes a quick recovery, which may not be realistic for someone grieving. In summary, answer C is correct as it shows empathy and understanding towards the woman's situation, while the other options may be perceived as insensitive or unrealistic.
Question 5 of 5
A patient with pancreatic cancer says, 'I know I am dying, but I am still alive. I want to be in control as long as I can.' Which reply by the nurse shows active listening?
Correct Answer: B
Rationale: The correct answer is B because it acknowledges the patient's emotional state and demonstrates empathy. By acknowledging the patient's emotional well-being and addressing the mind and spirit, the nurse actively listens to the patient's concerns beyond the physical symptoms. Choice A focuses solely on pain management, which does not address the patient's emotional needs. Choice C shifts the focus to others rather than the patient's own feelings. Choice D does not show active listening as it presents a closed-ended question rather than reflecting the patient's emotions.