ATI RN
Psychiatric Emergency Questions
Question 1 of 5
What is the focus of priority nursing interventions for the period immediately after electroconvulsive therapy (ECT) treatment?
Correct Answer: B
Rationale: The correct answer is B: Supporting physiological stability. After ECT, priority is to monitor vital signs, airway, and consciousness level to ensure the patient's physical well-being. This includes assessing for any adverse effects such as hypotension or arrhythmias. Nutrition and hydration (A) are important but secondary to physiological stability. Reducing disorientation and confusion (C) may be addressed after ensuring physiological stability. Assisting the patient with negative thoughts (D) is important but is not the immediate focus post-ECT.
Question 2 of 5
A patient diagnosed with major depressive disorder refuses solid foods. In order to meet nutritional needs, which beverage will the nurse offer to this patient?
Correct Answer: D
Rationale: The correct answer is D: Milk. Milk is a nutrient-dense beverage that can provide essential nutrients like protein, calcium, and vitamins D and B12, which are important for overall health and well-being. It can help meet the patient's nutritional needs despite refusing solid foods. Tomato juice (A) and orange juice (B) may not provide sufficient protein and other essential nutrients. Hot tea (C) is a non-nutrient beverage and does not offer the necessary nutrients for meeting the patient's nutritional requirements.
Question 3 of 5
A patient is experiencing psychomotor agitation associated with major depressive disorder. Which observation would the nurse associate with this symptom? The patient
Correct Answer: A
Rationale: The correct answer is A because psychomotor agitation in major depressive disorder typically manifests as excessive physical activity, such as pacing aimlessly around the room. This behavior is driven by inner restlessness and an inability to sit still. Choice B is incorrect because asking the nurse to repeat instructions is more indicative of cognitive impairment or difficulty with concentration rather than psychomotor agitation. Choice C is incorrect as complaints of prickly skin sensations are more likely related to anxiety or sensory issues rather than psychomotor agitation. Choice D is incorrect because slowed verbal responses are associated with psychomotor retardation, the opposite of psychomotor agitation seen in major depressive disorder.
Question 4 of 5
Family members of an individual undergoing a residential alcohol rehabilitation program ask, 'How can we help?' Select the nurse's best response.
Correct Answer: D
Rationale: The correct answer is D because making the individual responsible for the consequences of their behavior promotes accountability and aids in their recovery. This approach empowers the individual to take ownership of their actions and understand the impact of their behavior. It also helps in setting boundaries and establishing clear expectations. Choice A is incorrect as it implies acceptance of relapses as inevitable, which can be discouraging for the individual and hinder their progress. Choice B suggests a confrontational approach that may create tension and resistance. Choice C focuses on visitation frequency rather than the effectiveness of support and guidance.
Question 5 of 5
Symptoms of withdrawal from opioids for which the nurse should assess include
Correct Answer: B
Rationale: The correct answer is B because symptoms of opioid withdrawal typically include nausea, vomiting, diaphoresis, anxiety, and hyperreflexia. Nausea and vomiting are common gastrointestinal symptoms, diaphoresis is excessive sweating, anxiety is a psychological symptom, and hyperreflexia is an increase in reflexes. These symptoms are classic manifestations of opioid withdrawal. Choices A, C, and D do not align with the typical symptoms of opioid withdrawal. A includes symptoms more consistent with opioid intoxication, C includes nonspecific symptoms, and D includes unrelated symptoms.