ATI RN
Psychiatric Emergencies Questions
Question 1 of 5
What is a situational crisis?
Correct Answer: A
Rationale: The correct answer is A because a situational crisis typically stems from an external source that is often unexpected, such as natural disasters or accidents. This contrasts with a developmental crisis, which arises internally and is usually predictable. Choice B is incorrect as it describes a developmental crisis, not a situational one. Choice C is also incorrect as it combines elements of both types of crises, which is not accurate in the context of situational crises. Choice D is incorrect as it dismisses the distinction between situational and developmental crises.
Question 2 of 5
A nurse is caring for a client experiencing panic-level anxiety. The nurse understands which of the following nursing actions should be considered a priority?
Correct Answer: B
Rationale: The correct answer is B because staying with the client and reducing stimuli helps provide a sense of safety and security, essential in managing panic-level anxiety. This action can prevent the situation from escalating. Choice A is incorrect as leaving the client alone can worsen their anxiety. Choice C is incorrect because focusing on the trigger may not be immediately helpful in managing the acute anxiety episode. Choice D is also incorrect as guiding through relaxation techniques may not be effective during a panic attack where the client may not be receptive.
Question 3 of 5
A client has been sullen and withdrawn since receiving the news of her cancer diagnosis. As the nurse enters the room, the client asks for assistance with a shower. Which comment by the nurse is the most appropriate?
Correct Answer: C
Rationale: The correct answer is C: "I will be glad to assist. I'll be right back with your supplies." This response acknowledges the client's request for assistance with empathy and reassurance. By stating "I'll be right back with your supplies," the nurse communicates readiness to help promptly. Option A is insensitive and dismissive of the client's emotions. Option B implies that the client's appearance is the root cause of their emotional state. Option D assumes the client's motivation for showering is to please their spouse, which may not be the case. Overall, option C demonstrates empathy, willingness to help, and respect for the client's autonomy.
Question 4 of 5
A child diagnosed with autism spectrum disorder makes no eye contact, does not respond to verbal directions from the staff members, and constantly twists, spins, and headbangs. Which of the following would be the best nursing action?
Correct Answer: B
Rationale: The correct answer is B. Ensuring the child does not receive an injury from body movements is the best nursing action because safety is the top priority when dealing with a child exhibiting self-injurious behaviors like headbanging and spinning. By preventing injuries, the child's well-being is prioritized. Choice A is incorrect because instructing the child to follow directions may not be effective if the child is non-responsive due to their autism spectrum disorder. Choice C is incorrect as placing the child in seclusion is not recommended for managing behaviors related to autism spectrum disorder. It does not address the underlying cause and can lead to further distress. Choice D is incorrect as showing the child how to maintain eye contact may not be feasible or effective at that moment, especially if the child is exhibiting self-injurious behaviors.
Question 5 of 5
Which assessment data should the school nurse recognize as signs of physical neglect?
Correct Answer: C
Rationale: The correct answer is C. Physical neglect is characterized by a lack of adequate care or supervision, resulting in a child's basic needs not being met. The assessment data provided in choice C, such as frequent absences, dirty clothes, withdrawal, and fatigue, are indicators of physical neglect. Absences may be due to lack of attention to the child's well-being, dirty clothes suggest poor hygiene care, and withdrawal and tiredness can stem from emotional neglect and lack of proper nutrition or sleep. Choices A, B, and D are not indicative of physical neglect. Choice A relates to sexual behavior knowledge, choice B to emotional well-being, and choice D to physical abuse.