ATI RN
Psychiatric Emergency Questions
Question 1 of 5
The nurse in the day shift receives report about a client with depression who was in bed most of the weekend. The nurse walks into the client's room in the morning and finds the client in bed. What intervention is best for the nurse to implement?
Correct Answer: A
Rationale: Correct Answer: A: Assist the client to get out of bed and involved in an activity. Rationale: 1. Depression often leads to social withdrawal and lack of motivation. 2. Encouraging activity helps combat physical and emotional stagnation. 3. Engaging in activity can boost mood and energy levels. 4. It promotes social interaction and prevents isolation. 5. Resting excessively may exacerbate depressive symptoms. In summary, Choice A is the best intervention as it addresses the client's need for activity, social interaction, and mood improvement, while the other choices do not actively address these aspects of care.
Question 2 of 5
A teenager in a group is reading a handout but interrupts his peers and talks about pets. What action should the nurse take?
Correct Answer: A
Rationale: The correct answer is A because redirecting the teenager to read the handout helps maintain focus on the intended activity, promoting group participation and learning. This action teaches respectful behavior and reinforces the importance of staying on topic. Asking him to leave (B) is too harsh and may isolate him. Encouraging a pet discussion (C) rewards off-task behavior. Ignoring (D) may signal that distractions are acceptable.
Question 3 of 5
When preparing to administer a domestic violence screening tool to a female client, which statement should the RN provide?
Correct Answer: A
Rationale: Rationale: A. The correct answer emphasizes the importance of screening all clients for domestic abuse, as it is common and often underreported. B. While ensuring the client's safety is important, it does not address the prevalence of domestic violence in society. C. Domestic abuse screening may not be required by law in all jurisdictions, making this statement inaccurate. D. All clients should be encouraged to participate in screening to identify potential abuse, regardless of personal comfort levels.
Question 4 of 5
A young adult male client is admitted to the psychiatric unit because of a recent suicide attempt. His wife filed for divorce 6 months ago, he lost his job 3 months ago, and his best friend moved to another city 2 weeks ago. Which intervention should the nurse include in the client's plan of care?
Correct Answer: A
Rationale: The correct answer is A: Encourage activities that allow the client to exert control over his environment. This intervention empowers the client, promoting a sense of autonomy and self-efficacy, which can help improve his mental health. By engaging in activities that provide a sense of control, the client may feel more motivated and hopeful. Incorrect choices: B: Providing constant supervision may be necessary in acute situations but does not address the underlying issues of lack of control and self-esteem. C: Limiting interactions with other clients may lead to social isolation, which is not beneficial for the client's recovery and may exacerbate feelings of loneliness. D: Administering sedative medications may address symptoms temporarily but does not address the root causes of the client's distress. It does not promote empowerment or coping skills development.
Question 5 of 5
Pt is mad at mom for turning him in and wants mom to bring belongings and does not want to talk to her. What action does the nurse need to take before the visit?
Correct Answer: A
Rationale: The correct answer is A because discussing methods of clear communication is essential to address Pt's anger and facilitate a productive interaction with his mom. By helping Pt express his feelings effectively, misunderstandings can be minimized. Choice B is incorrect as simply allowing the client to express anger may not lead to resolution. Choice C is incorrect as forgiveness should be a personal decision, not forced. Choice D is incorrect as postponing the visit does not address the underlying communication issues.