ATI RN
Multiple Choice Questions on Psychiatric Emergencies Questions
Question 1 of 5
When assessing a patient's plan for suicide, what aspect has priority?
Correct Answer: C
Rationale: The correct answer is C because assessing the availability of means and lethality of the method is crucial in preventing suicide. This information helps determine the level of immediate risk and allows for interventions to restrict access to lethal means. It is a priority over the patient's financial and educational status (A) as these factors may not directly impact suicide risk. Patient's insight into suicidal motivation (B) is important but does not address the immediate risk. Quality and availability of social support (D) is significant but assessing means and lethality takes precedence in immediate risk assessment.
Question 2 of 5
A patient was arrested for breaking windows in the home of a former domestic partner. The patient's history also reveals childhood abuse by a punitive parent, torturing family pets, and an arrest for disorderly conduct. Which nursing diagnosis has priority?
Correct Answer: D
Rationale: The correct answer is D: Risk for other-directed violence. Priority is given to the safety of the patient and others. The patient's history of past violent behavior, including breaking windows and torturing animals, suggests a propensity for violence. This places the patient and others at risk of harm. Option A (Risk for injury) is not as appropriate as it focuses on the patient's risk of self-harm rather than harming others. Option B (Ineffective coping) may be a contributing factor, but the immediate concern is the risk of violence. Option C (Impaired social interaction) does not address the potential for harm. Therefore, prioritizing the diagnosis of Risk for other-directed violence is crucial in ensuring the safety of all involved.
Question 3 of 5
An intramuscular dose of antipsychotic medication needs to be administered to a patient who is becoming increasingly more aggressive and refused to leave the day room. The nurse should enter the day room
Correct Answer: B
Rationale: The correct answer is B because it prioritizes safety and de-escalation by having multiple staff members present for support while maintaining a calm and respectful tone. This approach aims to minimize confrontation and coercion, promoting a collaborative environment. Option A lacks support from additional staff and may not adequately address the patient's escalating behavior. Option C involves physical restraint, which should be avoided unless absolutely necessary for safety. Option D introduces a security guard, potentially escalating the situation and may be perceived as threatening by the patient. Overall, option B is the most appropriate and therapeutic approach in this scenario.
Question 4 of 5
A patient with a new diagnosis of cancer says, 'My father died of pancreatic cancer. I took care of him during his illness, so I know what is ahead for me.' Which nursing diagnosis applies?
Correct Answer: A
Rationale: Rationale: 1. Anticipatory grieving is appropriate as the patient is already preparing for the loss. 2. Ineffective coping is not the best choice as the patient is not actively avoiding dealing with the situation. 3. Ineffective denial is not applicable as the patient is acknowledging the situation openly. 4. Spiritual distress does not directly address the patient's emotional response to the cancer diagnosis.
Question 5 of 5
A child drowned while swimming in a local lake 2 years ago. Which behavior best indicates the child's parents are mourning in an effective way? The parents
Correct Answer: D
Rationale: The correct answer is D because throwing flowers on the lake at each anniversary date indicates a healthy way of mourning by honoring and remembering the child in a positive and symbolic manner. It shows an active and ongoing effort to pay tribute to the deceased child while also finding closure. A: Forbidding other children from swimming may indicate overprotectiveness or fear rather than effective mourning. B: Keeping a place set for the deceased child at the dinner table could be a constant reminder and hinder the mourning process by not allowing for acceptance and moving on. C: Sealing the child's room exactly as it was could prevent the parents from processing their grief and moving forward in a healthy manner. In summary, choice D is the most effective way of mourning as it allows for remembrance, closure, and honoring the deceased child without hindering the grieving process.