ATI RN
PICO Question Psychiatric Emergency Nursing Questions
Question 1 of 5
What is the nursing assessment priority for patients in crisis?
Correct Answer: C
Rationale: The correct answer is C because assessing for suicidal or homicidal thoughts or plans (option A) is crucial to ensure patient safety in a crisis. Additionally, assessing the patient's perception of the event, available supports, and coping skills (option B) is essential to understand the patient's mental state and provide appropriate interventions. Combining both assessments (options A and B) allows nurses to comprehensively address the patient's immediate safety and mental health needs during a crisis. Option D is incorrect as both assessments are vital in crisis situations.
Question 2 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 3 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 4 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.
Question 5 of 5
A nurse is caring for a 4-year-old child who has croup and wet the bed overnight. When the parents visit the next day, the nurse explains the situation, and one of the parents says, 'She never wet the bed at home. I am so embarrassed.' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A. The nurse should reassure the parent that it is expected for hospitalized children to regress in their toileting skills due to stress or illness. By explaining this, the nurse provides reassurance that the child's bedwetting is temporary and not a cause for concern. This response shows empathy, understanding, and offers a logical explanation for the situation. Other choices are incorrect: B: This response is confrontational and does not address the parent's concerns or provide reassurance. C: This response dismisses the parent's feelings and does not offer any explanation or support. D: While this response shows empathy, it does not provide a clear explanation or reassurance about the situation, which is essential in this scenario.