ATI RN
Psychiatry Test Bank Questions
Question 1 of 5
Which assessment finding should be considered a high risk factor for adolescent suicide?
Correct Answer: A
Rationale: In the context of adolescent suicide risk assessment, option A, being sexually abused, is considered a high-risk factor for several reasons. Adolescents who have experienced sexual abuse may suffer from various psychological traumas, such as depression, anxiety, and post-traumatic stress disorder, which significantly increase their vulnerability to suicidal ideation and behavior. Options B, having experienced panic attacks, and C, being mildly cognitively impaired, while important factors to consider in a comprehensive psychiatric assessment, do not directly correlate with as high a risk of suicide in adolescents as a history of sexual abuse does. Panic attacks and cognitive impairments can contribute to mental health challenges but do not carry the same level of immediate risk as a history of sexual abuse. Option D, having a diagnosis of type 1 diabetes, is also a relevant factor to consider in the overall assessment of an adolescent's mental health and well-being. However, it is not typically considered as high a risk factor for suicide as a history of sexual abuse, which is more directly linked to mental health issues and suicidal behavior in adolescents. In an educational context, it is crucial for healthcare providers, particularly those in psychiatry or mental health fields, to be able to recognize and prioritize risk factors for adolescent suicide accurately. Understanding the significance of different risk factors can help in conducting thorough assessments, developing appropriate interventions, and implementing preventive strategies to support at-risk adolescents effectively.
Question 2 of 5
In a sad voice, an elderly patient tells the nurse of the recent deaths of a spouse and close friend. The patient has no other family and only a few acquaintances in the community. The nurse’s priority is to determine whether which nursing diagnosis applies to this patient?
Correct Answer: A
Rationale: In this scenario, the correct nursing diagnosis is A) Risk for suicide related to recent deaths of significant others. This is the priority because the patient's recent losses put them at an increased risk for suicidal ideation or behavior. The nurse must assess this risk to ensure the patient's safety. Option B) Anxiety related to sudden and abrupt lifestyle changes may be present, but it is not the priority in this case as the patient's risk for suicide takes precedence. Option C) Social isolation related to loss of existing family is a valid concern, but it is not as urgent as the risk for suicide, which requires immediate attention. Option D) Spiritual distress related to anger with God is important to address but is not the priority when the patient's life is at risk. In an educational context, this question highlights the importance of prioritizing nursing interventions based on the level of risk to the patient. Understanding how to identify and address immediate life-threatening concerns is crucial in psychiatric nursing practice. It emphasizes the need for thorough assessment and critical thinking to provide safe and effective care to patients in vulnerable situations.
Question 3 of 5
An elderly patient must be physically restrained. Who is responsible for the patient's safety?
Correct Answer: C
Rationale: The nurse is responsible for the patient’s safety, including the appropriate use of restraints and ensuring the patient is monitored appropriately. The nurse is accountable for assessing the need for restraints, their proper application, and ongoing evaluation of the patient’s condition while restrained
Question 4 of 5
A nurse wants to assess for suicidal ideation in an elderly patient. Select the best question to begin this assessment.
Correct Answer: B
Rationale: The best question to begin assessing for suicidal ideation in an elderly patient is option B: "Are there any things going on in your life that would cause you to consider suicide?" This question is open-ended, non-judgmental, and directly addresses the patient's current life stressors or challenges that may be contributing to suicidal thoughts. Option A is not the best choice because it focuses on the patient's beliefs about the right to die, which may not directly reveal their current suicidal ideation. Option C is not ideal as it asks about vulnerability to depression rather than directly addressing suicidal thoughts. Option D is less effective as it assumes the patient would disclose their feelings of suicidality, which they may not feel comfortable doing initially. In an educational context, it is vital to teach healthcare providers to use open-ended questions to assess suicidal ideation effectively. By starting with a question that explores the patient's current stressors or triggers, nurses can gather valuable information to assess the patient's suicide risk accurately and provide appropriate interventions. This approach also helps build rapport and trust with the patient, fostering a therapeutic relationship conducive to honest communication about sensitive topics like suicidal thoughts.
Question 5 of 5
An elderly patient brings a bag of medications to the clinic. The nurse finds a bottle labeled Ativan and one labeled lorazepam, both of which are to be taken BID. There are also bottles labeled hydrochlorothiazide, Inderal, and rofecoxib, each to be taken once daily. Which conclusion is accurate?
Correct Answer: B
Rationale: The correct answer is B) Lorazepam and Ativan are the same drug, so the dose is excessive. This is because Ativan is the brand name for lorazepam, so having both medications listed separately means the patient is taking a double dose of the same drug, which is potentially harmful. Option A is incorrect because there are no known significant interactions between rofecoxib and Ativan. Option C is incorrect as lorazepam does not interfere with the action of Inderal. Option D is not directly supported by the information provided in the question. From an educational perspective, this question highlights the importance of medication reconciliation and understanding brand versus generic names. It emphasizes the need for healthcare providers to clarify and consolidate medication lists to prevent duplications and potential drug interactions, especially in elderly patients who may be more vulnerable to the adverse effects of polypharmacy.