ATI RN
Multiple Choice Questions on Psychiatric Emergencies Questions
Question 1 of 5
Which behaviors indicate the child's parents are mourning ineffectively? (Select all that apply)
Correct Answer: D
Rationale: The correct answer is D because sealing the child's room and not allowing anyone to change it indicates a refusal to accept the reality of the child's death, hindering the mourning process. This behavior can lead to prolonged grief and prevent the parents from moving forward in their grieving journey. A: Keeping a place set for the deceased child at the family dinner table can be a way for the parents to remember and honor the child, which may not necessarily indicate ineffective mourning. B: Throwing flowers on the lake at each anniversary date of the accident is a symbolic gesture of remembrance and can be a healthy way for parents to express their grief. C: Having a prayer service every year on the anniversary of the child's death is a common practice for many individuals grieving and does not necessarily indicate ineffective mourning.
Question 2 of 5
A 7-year-old male client has severe bruising on his arms and injuries to his abdomen. The nurse should consider child abuse if the parents act in what manner?
Correct Answer: B
Rationale: The correct answer is B because delaying seeking treatment for injuries in a child can indicate neglect or intentional harm. This behavior raises suspicion of child abuse as it shows a lack of concern for the child's well-being. Choices A, C, and D do not directly suggest child abuse as they could be seen as normal parental behavior. Asking the child to explain (A) could be a way to understand the situation, showing concern (C) is a common parental reaction, and staying with the child (D) is also expected during an assessment.
Question 3 of 5
A nurse in an emergency department is assessing a client who has traumatic injuries following an assault. The client sits quietly and calmly in the examination room and states, 'I'm fine.' The nurse should recognize the client's behaviors as which of the following reactions?
Correct Answer: D
Rationale: The correct answer is D: Denial. The client's calm demeanor and statement of being fine despite traumatic injuries indicate denial as a defense mechanism to cope with the distressing situation. Denial involves avoiding the reality of a stressful event or situation. In this case, the client is not acknowledging the severity of their injuries or the emotional impact of the assault. A: Displacement involves transferring emotions from one target to another. B: Projection involves attributing one's own thoughts or feelings to others. C: Undoing involves trying to reverse or negate thoughts, feelings, or actions.
Question 4 of 5
A nurse notes that a client is extremely withdrawn, delusional, and emotionally exhausted. The nurse assesses the client's anxiety as which level?
Correct Answer: D
Rationale: The correct answer is D: Panic anxiety. This level of anxiety is characterized by extreme withdrawal, delusions, and emotional exhaustion, which align with the client's symptoms. Panic anxiety is the highest level of anxiety, causing overwhelming feelings of fear and loss of control. The client's severe symptoms indicate an intense level of anxiety beyond what is typically seen in mild, moderate, or severe anxiety levels. Mild anxiety (choice A) is characterized by slight discomfort, moderate anxiety (choice B) involves increased tension and focus on a specific concern, and severe anxiety (choice C) includes an inability to think clearly and physical symptoms like sweating and trembling. Panic anxiety is the most appropriate choice due to the severity of the client's symptoms.
Question 5 of 5
A fourth-grade boy teases and makes jokes about a cute girl in his class. A nurse would recognize this behavior as indicative of which defense mechanism?
Correct Answer: C
Rationale: The correct answer is C: Reaction formation. This defense mechanism involves expressing the opposite of one's true feelings or impulses. In this scenario, the boy may actually have feelings of attraction towards the girl but is teasing her as a way to mask those feelings. Displacement (A) involves redirecting emotions from the original source to a substitute target. Projection (B) is attributing one's own unacceptable feelings onto others. Sublimation (D) is channeling unacceptable impulses into constructive activities. In this case, the boy's behavior aligns most closely with reaction formation as he is displaying the opposite of his true emotions.