ATI RN
PICO Question Psychiatric Emergency Nursing Questions
Question 1 of 5
What are nursing interventions for dementia related to bowel and bladder function?
Correct Answer: D
Rationale: The correct answer is D because it encompasses comprehensive nursing interventions for dementia-related bowel and bladder function. Beginning a program early helps establish routines, evaluating diaper use ensures proper management, and labeling rooms aids orientation. Choice A addresses proactive intervention, B focuses on practical management, and C supports environmental cues. Overall, combining all three strategies provides a holistic approach to effectively manage bowel and bladder function in dementia patients.
Question 2 of 5
What are interventions for people who are grieving?
Correct Answer: D
Rationale: The correct answer is D because interventions for grieving individuals should encompass a comprehensive approach. A includes using methods to facilitate the grieving process, which can involve therapy or support groups. B encourages the importance of social support in the form of family and friends. C highlights the significance of addressing spiritual needs if required. By choosing all of the above (D), it ensures a holistic and tailored approach to supporting individuals through the grieving process, addressing emotional, social, and spiritual aspects effectively.
Question 3 of 5
A female adolescent client says to the nurse, 'Hey you stupid blonde, what are you looking at?' Which of the following responses would be inappropriate for the nurse to make?
Correct Answer: D
Rationale: The correct answer is D because responding with aggression or a threat ("Don't you ever talk to me like that again") escalates the situation. The nurse should remain calm and professional. A: Asking for clarification is appropriate. B: Expressing lack of understanding is acceptable. C: Setting boundaries and addressing inappropriate behavior is important. Therefore, D is incorrect as it does not de-escalate the situation.
Question 4 of 5
A nurse is caring for a client with factitious disorder imposed on another. Which of the following statements by the client would the nurse expect?
Correct Answer: C
Rationale: The correct answer is C because it reflects the typical behavior of someone with factitious disorder imposed on another, where they intentionally cause illness or injury to another person to gain attention or sympathy. This statement indicates a sense of control and manipulation over the situation, blaming others for the behavior. A, B, and D are incorrect because they do not align with the characteristics of factitious disorder imposed on another. Choice A reflects genuine concern for the son's health. Choice B indicates a general feeling of helplessness and not intentionally causing harm to others. Choice D focuses on personal relationships rather than on causing harm to others for attention.
Question 5 of 5
A school-age child is talking with her grandmother, who is dying. What should the nurse say to the child?
Correct Answer: B
Rationale: The correct answer is B: Even though she may not answer you, she can hear you. This response acknowledges the child's need to communicate with her grandmother and provides reassurance that the grandmother can still hear her. It allows the child to express her thoughts and feelings, promoting emotional connection during this difficult time. Choice A is incorrect because talking loudly is not necessary and may be distressing for the grandmother. Choice C is incorrect as holding her hand does not necessarily indicate that she cannot hear. Choice D is also incorrect because it assumes the grandmother cannot hear, which is not necessarily true.