ATI RN
Psychiatric Emergency Questions
Question 1 of 5
What are key aspects of caring for the dying?
Correct Answer: D
Rationale: The correct answer is D because caring for the dying involves being present, showing empathy, allowing discussion of life successes, helping create a lasting legacy, supporting the family, and resolving conflicts. A is correct as it emphasizes being present and demonstrating empathy. B is also essential as it acknowledges the importance of reflecting on life accomplishments. C is crucial for providing holistic care by supporting the family and addressing conflicts. Therefore, all the aspects mentioned in choices A, B, and C are vital components of comprehensive end-of-life care, making D the correct answer.
Question 2 of 5
A 79-year-old client admits that his daughter hits him while helping him dress each morning. What is the appropriate nursing action?
Correct Answer: C
Rationale: The correct answer is C: The nurse is required to make sure the proper authority is informed. In this situation, the nurse has a duty to report any form of elder abuse to the appropriate authorities to ensure the client's safety and well-being. Reporting to the proper authority can lead to interventions to protect the client from further harm. Incorrect answers: A: The family member is to be charged for his offense - This is not the nurse's role and may escalate the situation. B: It is a requirement that he be removed for his safety - Removing the client may not address the root cause of the abuse. D: A competency hearing must be scheduled for the client - Competency is not the primary concern in this case; the focus should be on addressing the abuse.
Question 3 of 5
A nurse working on an inpatient psychiatric unit observes a client diagnosed with obsessive-compulsive disorder (OCD) rearranging the magazines in the dayroom. The nurse understands this action is primarily meant to do which of the following?
Correct Answer: C
Rationale: The correct answer is C. The client with OCD rearranging the magazines is likely engaging in a compulsive behavior to temporarily reduce the anxiety they are feeling. This action provides the client with a sense of control and relief from their obsessive thoughts, albeit temporarily. This behavior is a manifestation of the client's need to alleviate distress caused by their obsessions. A: While rearranging the magazines may result in a structured environment, the primary motivation is to reduce anxiety, not necessarily to ensure order. B: The client's actions are not primarily intended to show others how to stay organized but rather to cope with their anxiety. D: The client's behavior is not focused on showing the nursing staff they can handle emotions but rather on managing their own distress.
Question 4 of 5
A child is admitted to the inpatient psychiatric unit with a diagnosis of conduct disorder. The nurse would expect to find which of the following symptoms?
Correct Answer: A
Rationale: The correct answer is A: History of cruelty towards people and animals. Conduct disorder is characterized by persistent patterns of behavior that violate the rights of others, such as aggression towards people or animals. This behavior includes physical harm or cruelty. This symptom is a key feature of conduct disorder and distinguishes it from other disorders. Choices B, C, and D are incorrect as they do not align with the typical symptoms of conduct disorder. High anxiety related to separation from home and family (B) is more indicative of separation anxiety disorder. Constant complaints of physical symptoms (C) are more characteristic of somatic symptom disorder. Confabulation when confronted with inappropriate behaviors (D) is not a typical feature of conduct disorder.
Question 5 of 5
The nurse is assessing the client in a fugue state. What assessment findings would the nurse recognize as most significant to experiencing a fugue state?
Correct Answer: D
Rationale: The correct answer is D because a recent history of severe trauma is most significant to experiencing a fugue state. Fugue state is often triggered by severe trauma or stress, causing a person to temporarily lose their sense of identity and wander aimlessly. Choice A, depersonalization, is more related to dissociative disorders rather than fugue state. Choice B, depressive symptoms, may be present but are not specific to a fugue state. Choice C, childhood trauma, may contribute to dissociative disorders but is not directly linked to experiencing a fugue state. Therefore, the recent history of severe trauma is the most relevant assessment finding in this scenario.