ATI RN
Psychiatric Emergency Questions
Question 1 of 5
Which client statement suggests to the RN that the client is using a defense mechanism of projection to deal with anxiety related to admission to a psychiatric unit?
Correct Answer: B
Rationale: The correct answer is B because the client is attributing their presence in the psychiatric unit to external factors (police involvement) rather than acknowledging their own internal struggles. This aligns with the defense mechanism of projection, where individuals attribute their own thoughts or feelings onto others. Choice A demonstrates displacement, choice C shows rationalization, and choice D reflects denial, making them incorrect options.
Question 2 of 5
The nurse in the day shift receives report about a client with depression who was in bed most of the weekend. The nurse walks into the client's room in the morning and finds the client in bed. What intervention is best for the nurse to implement?
Correct Answer: A
Rationale: Correct Answer: A: Assist the client to get out of bed and involved in an activity. Rationale: 1. Depression often leads to social withdrawal and lack of motivation. 2. Encouraging activity helps combat physical and emotional stagnation. 3. Engaging in activity can boost mood and energy levels. 4. It promotes social interaction and prevents isolation. 5. Resting excessively may exacerbate depressive symptoms. In summary, Choice A is the best intervention as it addresses the client's need for activity, social interaction, and mood improvement, while the other choices do not actively address these aspects of care.
Question 3 of 5
A nurse is planning care for a depressed client. Which approach is most therapeutic?
Correct Answer: A
Rationale: The correct answer is A, allowing the client time to complete activities. This approach is therapeutic as it promotes autonomy and self-efficacy, which are crucial in managing depression. By giving the client the freedom to complete activities at their own pace, it fosters a sense of control and empowerment. Encouraging participation in group therapy (B) can also be beneficial, but it may not be as effective if the client is not ready or willing. Setting strict deadlines (C) can increase stress and worsen depressive symptoms. Providing constant supervision (D) may feel intrusive and undermine the client's independence. Ultimately, choice A aligns with the principles of client-centered care and empowerment, making it the most therapeutic approach in this scenario.
Question 4 of 5
A teenager in a group is reading a handout but interrupts his peers and talks about pets. What action should the nurse take?
Correct Answer: A
Rationale: The correct answer is A because redirecting the teenager to read the handout helps maintain focus on the intended activity, promoting group participation and learning. This action teaches respectful behavior and reinforces the importance of staying on topic. Asking him to leave (B) is too harsh and may isolate him. Encouraging a pet discussion (C) rewards off-task behavior. Ignoring (D) may signal that distractions are acceptable.
Question 5 of 5
When preparing to administer a domestic violence screening tool to a female client, which statement should the RN provide?
Correct Answer: A
Rationale: Rationale: A. The correct answer emphasizes the importance of screening all clients for domestic abuse, as it is common and often underreported. B. While ensuring the client's safety is important, it does not address the prevalence of domestic violence in society. C. Domestic abuse screening may not be required by law in all jurisdictions, making this statement inaccurate. D. All clients should be encouraged to participate in screening to identify potential abuse, regardless of personal comfort levels.