ATI RN
Multiple Choice Questions on Psychiatric Emergencies Questions
Question 1 of 5
Which complementary and alternative therapy may be safely combined with traditional Western medicine in the treatment of anxiety disorder?
Correct Answer: C
Rationale: The correct answer is C: Meditative practices. Meditative practices, such as mindfulness meditation, have been shown to effectively reduce anxiety symptoms when combined with traditional Western medicine. Meditation promotes relaxation and stress reduction, complementing the treatment of anxiety disorders. Electroconvulsive therapy (A) is a drastic treatment typically used for severe depression, not anxiety. Mega doses of vitamins (B) have not been proven effective for anxiety treatment and can be harmful in high quantities. Herbal therapy (D) may have interactions with traditional medications and should be used cautiously.
Question 2 of 5
Therapeutic nutrition begins for a patient with anorexia nervosa who is 70% of ideal body weight. Which nursing intervention is most important to add to the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Observe for adverse effects associated with refeeding. This is important because refeeding syndrome can occur when a malnourished individual is given too much nutrition too quickly, leading to potentially life-threatening electrolyte imbalances. Monitoring for signs and symptoms of refeeding syndrome is crucial in managing the patient's refeeding process. Choice A (Communicate empathy) is important but not the most critical in this situation. Choice C (Teach about psychological origins) may be helpful in understanding the disorder but is not the priority at this stage. Choice D (Direct patient to balance energy expenditure) is not the most important as refeeding should be carefully monitored before focusing on energy balance.
Question 3 of 5
Mr. J. is a new client on the psychiatric unit. He is 35 years old. Theoretically, in which level of psychosocial development (according to Erikson) would you place Mr. J.?
Correct Answer: A
Rationale: Step 1: Mr. J. is 35 years old, indicating he is in the early adulthood stage of life. Step 2: In early adulthood, individuals are typically focused on forming intimate relationships. Step 3: Intimacy vs. isolation is the psychosocial stage in Erikson's theory that corresponds to early adulthood. Summary: A: Intimacy vs. isolation is correct for Mr. J. as he is at an age where forming close relationships is a key developmental task. B: Generativity vs. self-absorption is more relevant to middle adulthood. C: Trust vs. mistrust is in infancy. D: Autonomy vs. shame and doubt occurs in toddlerhood.
Question 4 of 5
Adam has antisocial personality disorder. He says to the nurse, 'I'm not crazy. I'm just fun-loving. I believe in looking out for myself. Who cares what anyone thinks? If it feels good, do it!' Which of the following describes the psychoanalytical structure of Adam's personality?
Correct Answer: B
Rationale: The correct answer is B: Strong id, weak ego, weak superego. This is because Adam's statement reflects characteristics of a person with strong id, prioritizing immediate gratification and pleasure without considering consequences. His lack of concern for societal norms or moral values indicates a weak superego. Additionally, his statement suggests a weak ego, as he lacks the ability to balance the demands of the id and superego, resulting in impulsive and self-centered behavior. Summary of other choices: A: Weak id, strong ego, weak superego - This is incorrect as Adam's statement reflects a strong id, not a weak one. C: Weak id, weak ego, punitive superego - This is incorrect as Adam's statement does not suggest a punitive superego. D: Strong id, weak ego, punitive superego - This is incorrect as Adam's statement does not indicate a punitive superego but rather a weak one.
Question 5 of 5
The nurse has just admitted Nancy to the psychiatric unit. The psychiatrist has diagnosed Nancy with major depressive disorder. The nurse says to Nancy, 'What questions do you have about being here on the unit?' Which nursing role described by Peplau is the nurse fulfilling in this instance?
Correct Answer: A
Rationale: The correct answer is A: Resource person. In this scenario, the nurse is fulfilling the role of a resource person by offering information and guidance to Nancy about being on the psychiatric unit. This role involves providing knowledge, support, and answering questions to help the patient navigate their environment. Incorrect choices: B: Counselor - The nurse is not providing counseling or therapeutic interventions in this situation. C: Surrogate - The nurse is not acting as a substitute decision-maker for Nancy. D: Technical Expert - The nurse is not primarily focused on providing technical or clinical expertise in this interaction.