ATI RN
Psychiatry Test Bank Questions
Question 1 of 5
The patient and the nurse have agreed on problems to be addressed during a short course of outpatient therapy. At the beginning of the appointment, the patient states, “I’d like to work on the issue of relationships today.” Which assessment can be made?
Correct Answer: C
Rationale: The correct assessment to be made in this scenario is that the relationship is moving from the orientation phase to the working phase. In the orientation phase of the nurse-patient therapeutic relationship, the focus is on building rapport, establishing trust, and determining the patient's needs and goals. As the patient voluntarily expresses a desire to work on the issue of relationships, it indicates a transition to the working phase where the patient actively identifies problems to address and goals to achieve. This shift demonstrates progress in the therapeutic relationship as the patient is engaging in the therapeutic process and contributing to the agenda set for the appointment. It signifies a readiness for collaborative problem solving and intervention planning, emphasizing the importance of the patient's involvement in decision-making and goal-setting in the therapeutic process.
Question 2 of 5
Which activity therapy should the nurse recommend to the treatment team to assist the patient to relieve tension and achieve increased body awareness?
Correct Answer: B
Rationale: Dance therapy is a form of activity therapy that uses movement and dance to promote emotional, social, cognitive, and physical integration and well-being. It can help individuals relieve tension, connect with their bodies, and increase body awareness. Through dancing, patients can release emotions, express themselves non-verbally, and improve their overall sense of well-being. Additionally, dance therapy can also help improve muscle tone, coordination, and flexibility, thereby contributing to physical health. Overall, dance therapy can be a beneficial intervention to assist the patient in relieving tension and achieving increased body awareness.
Question 3 of 5
Immediately after electroconvulsive therapy, in which position should a nurse place the client?
Correct Answer: A
Rationale: Immediately after ECT, the patient may still be recovering from the effects of muscle relaxants and the seizure. Positioning the client on their side helps prevent aspiration in case of vomiting and maintains an open airwa
Question 4 of 5
According to Piaget, which of the following would the nurse consider normal when assessing a 6-year-old?
Correct Answer: C
Rationale: At 6 years old, children are typically in the concrete operational stage of development, characterized by logical thinking and enjoyment of problem-solving activities like puzzles.
Question 5 of 5
Which patient would the nurse determine to be at highest risk for dysfunctional grief? The patient:
Correct Answer: A
Rationale: The patient whose 16-year-old daughter was raped and killed while going on an errand for the patient would be determined to be at highest risk for dysfunctional grief. This traumatic event involves sudden and violent loss of a child, which can lead to complicated or dysfunctional grief reactions. The circumstances of the death, involving violence, unexpectedness, and the close relationship with the deceased, can significantly impact the grieving process. The patient may struggle with intense emotions, guilt, anger, and unresolved trauma, making them more vulnerable to experiencing dysfunctional grief. It is essential for healthcare professionals to provide appropriate support and interventions to help the patient navigate through this complex grieving process.
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