ATI RN
Psychiatric Emergencies Questions
Question 1 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.
Question 2 of 5
A client is diagnosed with terminal cancer. Which situation should the nurse assess as reflecting Kubler-Ross's grief state of anger?
Correct Answer: A
Rationale: The correct answer is A because the client's statement of feeling that his faith has failed him and refusal to attend church indicate anger, which is a stage of grief according to Kubler-Ross. The client is expressing frustration and resentment towards his faith. Choice B reflects acceptance and preparation for death, not anger. Choice C shows a coping mechanism of setting a future goal, which is a form of denial or bargaining, not anger. Choice D reflects bargaining with God, which is another stage of grief, not anger. In summary, the other choices do not specifically demonstrate anger as a grief state according to Kubler-Ross, making choice A the correct answer.
Question 3 of 5
A client has been given a diagnosis of human immunodeficiency virus (HIV). Which statement made by the client does the nurse recognize as the bargaining stage of grief?
Correct Answer: B
Rationale: The correct answer is B: "If I don't do intravenous (IV) drugs anymore, God won't let me die." This statement reflects the bargaining stage of grief, where the individual tries to negotiate with a higher power to avoid the negative outcome. It shows a sense of trying to control the situation through a specific action. In contrast, choices A, C, and D do not demonstrate bargaining behavior. Choice A expresses anger and blame, not bargaining. Choice C shows acceptance and proactive behavior, not bargaining. Choice D reflects denial or disbelief in the diagnosis, not bargaining.
Question 4 of 5
A client who is being treated for chronic kidney disease complains to the health-care provider that he does not like the food available to him while hospitalized. The health-care provider insists that the client strictly adhere to the diet plan. What action can be expected if the client uses the defense mechanism of displacement?
Correct Answer: C
Rationale: The correct answer is C: The client snaps at the nurse and criticizes the nursing care provided. Displacement is a defense mechanism where emotions are redirected from the original source to a less threatening target. In this case, the client's frustration towards the healthcare provider's diet plan is displaced onto the nurse, leading to snapping and criticizing the nursing care. This behavior allows the client to express their anger indirectly. Incorrect choices: A: The client assertively confronts the health-care provider. This is not an example of displacement; it is direct confrontation. B: The client insists on being discharged and goes for a long, brisk walk. This choice does not demonstrate displacement but rather avoidance of the situation. D: The client hides his anger by explaining the logical reasoning for the diet to his spouse. This choice does not involve displacement but rather rationalizing the situation to cope with anger.
Question 5 of 5
Devastated by a divorce from an abusive husband, a wife completes grief counseling. Which statement by the wife would indicate to a nurse that the client is in the acceptance stage of grief?
Correct Answer: C
Rationale: The correct answer is C because the statement indicates that the wife has gained insight and reflection on the experience, showing acceptance. Choice A reflects regret and longing for reconciliation, not acceptance. Choice B demonstrates anger and resentment, not acceptance. Choice D suggests ongoing distress and difficulty coping, not acceptance. Acceptance involves acknowledging the reality of the situation, learning from it, and moving forward positively.