ATI RN
PICO Question Psychiatric Emergency Nursing Questions
Question 1 of 5
Which CAM method is associated with using allergy injections of small amounts of an allergen in solution?
Correct Answer: B
Rationale: The correct answer is B: Homeopathy. Homeopathy involves using small doses of a substance that would cause symptoms in larger amounts to treat those same symptoms. In this case, using small amounts of an allergen in solution is a homeopathic approach to desensitize the body to the allergen. Naturopathy focuses on natural remedies, chiropractic on spinal manipulation, and Shiatsu on Japanese bodywork therapy, none of which involve allergy injections.
Question 2 of 5
A patient diagnosed with depression confidently tells the nurse, “I've been supplementing my paroxetine with St. John's wort. It has helped a great deal.†What is the nurse's priority action?
Correct Answer: C
Rationale: The correct answer is C: Educate the patient about the risks of selective serotonin syndrome. St. John's wort is known to interact with many medications, including paroxetine. This combination can increase serotonin levels in the brain, leading to a potentially dangerous condition called serotonin syndrome. The nurse's priority is to ensure the patient understands this risk and the importance of consulting with their healthcare provider before combining medications. Incorrect choices: A: Assess changes in the patient's level of depression. While monitoring the patient's depression is important, addressing the potential drug interaction and safety concerns takes precedence. B: Remind the patient to use a secondary form of birth control. This is not the priority in this situation as the main concern is the drug interaction. D: Suggest adding valerian to the treatment regimen to further improve results. Introducing another supplement without addressing the potential interaction with St. John's wort and paroxetine is not appropriate.
Question 3 of 5
A history reveals that a patient virtually stopped eating 5 months ago and lost 25% of body weight. The nurse says, 'Describe what you think about your present weight and how you look.' Which response would be most consistent with anorexia nervosa?
Correct Answer: A
Rationale: The correct answer is A: "I'm fat and ugly." Rationale: 1. This response indicates a distorted body image commonly seen in individuals with anorexia nervosa. 2. Anorexia nervosa is characterized by a fear of gaining weight and a preoccupation with body image. 3. The statement reflects a negative perception of oneself in terms of weight and appearance, which aligns with the psychological aspect of anorexia nervosa. 4. Other choices do not exhibit the same level of dissatisfaction with body weight and appearance as seen in anorexia nervosa.
Question 4 of 5
A patient with anorexia nervosa is resistant to weight gain. What is the rationale for establishing a contract with the patient to participate in measures to produce a specified weekly weight gain?
Correct Answer: B
Rationale: The correct answer is B because involving the patient in decision making increases their sense of control and promotes adherence to treatment. By establishing a contract with the patient for a specified weekly weight gain, the patient feels empowered and motivated to actively participate in their recovery process. This sense of control can help the patient overcome resistance to weight gain and improve compliance with treatment recommendations. Explanation for other choices: A: While collecting objective and subjective data is important in managing anorexia nervosa, it does not directly address the rationale for establishing a contract with the patient. C: Consent is indeed essential for treatment, but this choice does not address the importance of patient involvement in decision making for promoting adherence to treatment. D: While a team approach to treatment planning is crucial, it does not specifically explain the rationale for establishing a contract with the patient for weight gain.
Question 5 of 5
Mr. J. has been diagnosed with schizophrenia. He refuses to eat, and told the nurse he knew he was 'being poisoned.' According to Erikson's theory, in what developmental stage would you place Mr. J.?
Correct Answer: C
Rationale: The correct answer is C: Trust vs. mistrust. In Erikson's theory, this stage occurs in infancy, where the primary conflict is between developing trust in others and experiencing mistrust. Mr. J.'s belief that he is being poisoned reflects a deep sense of mistrust, which aligns with the characteristics of this developmental stage. It indicates a lack of trust in his environment and possibly in his own perceptions. Choices A, B, and D do not directly address the core issue of trust and mistrust in early development, making them incorrect for this scenario.