ATI RN
Psychiatric Emergency Questions
Question 1 of 5
Which event is most likely to precipitate grief across a community?
Correct Answer: B
Rationale: The correct answer is B because the sudden and violent death of a community leader like the principal of a local high school is likely to have a profound impact on the community, leading to widespread grief. This event directly affects the safety and well-being of individuals within the community, causing shock and emotional turmoil. It disrupts the sense of security and stability that the principal represents. In contrast, the other choices may cause concern or inconvenience, but they are less likely to evoke the same level of emotional response and communal grief. Robberies, the death of an elderly pastor, or infrastructure issues like crumbling concrete pilings may be concerning, but they do not have the same emotional weight and impact on the community as the tragic and violent death of a school principal.
Question 2 of 5
Which outcome would be most appropriate for a symptom-management group for persons diagnosed with schizophrenia? Group members will
Correct Answer: D
Rationale: The correct answer is D because a symptom-management group for individuals with schizophrenia aims to help them learn strategies to cope with their illness effectively. This is crucial for improving their quality of life and managing symptoms. Options A, B, and C are incorrect as they do not directly address the primary goal of the symptom-management group, which is to teach coping mechanisms for dealing with the challenges of schizophrenia. A focusing on medication names is not the main goal, resolving family conflicts may not directly address individual coping skills, and just lowering anxiety levels does not necessarily equip individuals with long-term coping strategies.
Question 3 of 5
For which patient would it be most important for the nurse to urge immediate discontinuation of kava? A patient with a comorbid diagnosis of
Correct Answer: A
Rationale: The correct answer is A: cirrhosis. Kava is metabolized in the liver and can potentially worsen liver function. In patients with cirrhosis, the liver is already compromised, so the nurse should urge immediate discontinuation to prevent further harm. Osteoarthritis, multiple sclerosis, and chronic back pain are not directly affected by kava's metabolism in the liver, so discontinuation is not as critical for these conditions.
Question 4 of 5
A nurse plans health education for a patient who will be receiving warfarin for several weeks after knee-replacement surgery. Which substance should the nurse caution the patient to avoid?
Correct Answer: A
Rationale: The correct answer is A: Fish oil. Warfarin is an anticoagulant that helps prevent blood clots. Fish oil contains omega-3 fatty acids, which also have anticoagulant properties and can increase the risk of bleeding when taken with warfarin. Black cohosh, lavender, and mandarin are not known to interact significantly with warfarin. It is essential for the nurse to caution the patient about avoiding fish oil to prevent potential complications.
Question 5 of 5
Which patient would most likely benefit from taking St. John's wort? A patient with
Correct Answer: C
Rationale: The correct answer is C - a patient with mild depressive symptoms would most likely benefit from taking St. John's wort due to its potential antidepressant effects. St. John's wort is commonly used as a natural remedy for mild to moderate depression. It works by increasing the levels of serotonin, dopamine, and norepinephrine in the brain, which can help improve mood and alleviate depressive symptoms. Choice A (mood swings) is incorrect because St. John's wort is not typically used to address mood swings. Choice B (hypomanic symptoms) is also incorrect as St. John's wort may worsen manic symptoms in individuals with bipolar disorder. Choice D (panic disorder with agoraphobia) is not the most likely condition to benefit from St. John's wort, as it is not primarily used for treating panic disorders.