ATI RN
psychiatric nurse certification Questions
Question 1 of 5
When a patient is having difficulty making a decision, the nurse has mixed feelings about whether to provide advice. Which principle usually applies? Giving advice
Correct Answer: A
Rationale: Giving advice fosters dependence on the nurse and interferes with a patient's right to make personal decisions. It robs the patient of the opportunity to weigh alternatives and develop problem-solving skills. Furthermore, it may contribute to a patient's feelings of personal inadequacy. Giving advice also keeps the nurse in control and feeling powerful.
Question 2 of 5
A nurse is working with a patient diagnosed with anorexia nervosa. The patient states, 'I don't feel hungry, and I don't need to eat.' Which of the following is the most appropriate nursing intervention?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A nurse is caring for a patient diagnosed with bipolar disorder who is in the manic phase. The nurse notices the patient is exhibiting risky behaviors, such as driving recklessly. What is the priority nursing intervention?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
While talking with a patient diagnosed with major depressive disorder, a nurse notices the patient is unable to maintain eye contact. The patient's chin lowers to the chest. The patient looks at the floor. Which aspect of communication has the nurse assessed?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A patient diagnosed with emphysema has severe shortness of breath and needs portable oxygen when leaving home. Recently the patient has reduced activity because of fear that breathing difficulty will occur. A nurse suggests using guided imagery. Which image should the patient be encouraged to visualize?
Correct Answer: C
Rationale: The patient has dysfunctional images of dyspnea. Guided imagery can help replace the dysfunctional image with a positive coping image. Athletes have found that picturing successful images can enhance performance. Encouraging the patient to imagine a regular breathing depth and rate will help improve oxygen-carbon dioxide exchange and help achieve further relaxation. Other options focus on unrealistic goals (being younger, not needing supplemental oxygen) or restrict her quality of life.