ATI RN
Psychiatric Emergencies Questions
Question 1 of 5
Which finding indicates successful completion of an individual's grief and mourning?
Correct Answer: B
Rationale: The correct answer is B because it reflects a healthy progression through the grieving process. Remembering both the positive and negative aspects of the relationship indicates acceptance and a realistic view. Choice A suggests a lack of progress as the widow has not moved on from keeping belongings untouched. Choice C indicates unresolved grief with continued attachment. Choice D signals emotional suppression and denial of grief, which is not indicative of successful mourning. In summary, choice B demonstrates a balanced and adaptive response to grief, while the other options reflect various stages of unresolved or maladaptive grieving.
Question 2 of 5
A patient tells members of a therapy group, 'I hear voices saying my doctor is poisoning me.' Another patient replies, 'I once heard voices too. They sounded real, but I found out later they were not. The voices you hear are not real either.' Which therapeutic factor is exemplified in this interchange?
Correct Answer: D
Rationale: The correct answer is D: Interpersonal learning. In this interchange, the second patient shares their own experience of hearing voices, helping the first patient gain insight that the voices may not be real. This demonstrates how interpersonal interactions in therapy can lead to learning and understanding about one's own experiences through the experiences of others. This process of gaining insight and learning from others is a key aspect of interpersonal learning in group therapy. A: Catharsis is the emotional release or relief experienced by a patient by expressing their feelings. This is not exemplified in the given interchange. B: Universality refers to recognizing shared experiences among group members. While there is a sense of shared experience in the interchange, the focus is more on personal insight gained from another's experience. C: Imitative behavior is when group members mimic behaviors of others in the group. This is not demonstrated in the interchange as the focus is on sharing and learning from experiences rather than imitation.
Question 3 of 5
During a group therapy session, a newly admitted patient suddenly says to the nurse, 'How old are you? You seem too young to be leading a group.' Select the nurse's most appropriate response.
Correct Answer: D
Rationale: The correct answer is D because it reflects empathy and addresses the patient's underlying concern about the nurse's experience. By acknowledging the patient's question and addressing their potential worry about the nurse's capability, this response validates the patient's feelings and redirects the focus back to the therapy session. Choice A is open-ended and encourages further dialogue but does not directly address the patient's concern about the nurse's experience. Choice B is defensive and does not address the patient's underlying worry. Choice C dismisses the patient's question and may come off as dismissive or confrontational. In summary, answer D is the best choice as it shows empathy, addresses the patient's concern, and redirects the focus back to the therapy session.
Question 4 of 5
A patient asks, “What is the major difference between conventional health care and complementary and alternative medicine (CAM)?†The nurse's best reply is that conventional health care
Correct Answer: A
Rationale: The correct answer is A because conventional health care typically focuses on medical interventions and treatments done to the patient, whereas CAM emphasizes the interaction between the body and mind with an actively involved patient. This highlights the patient's role in their own healing process and the importance of holistic well-being. Choice B is incorrect because CAM is not solely religiously based and is not always highly regulated. Choice C is incorrect as CAM practices can also be profit-motivated, and conventional health care is not solely controlled by the health care industry. Choice D is incorrect because conventional health care can also be holistic and focused on health promotion, and CAM can also promote health and well-being rather than just treating illnesses.
Question 5 of 5
A patient tells the nurse, “I prefer to treat my physical problems with herbs and vitamins. They are natural substances, and natural products are safe.†Which response by the nurse would be most appropriate?
Correct Answer: C
Rationale: The correct response is C: "The word natural can be a marketing term used to imply a product is healthy, but that's not always true." Rationale: 1. Natural does not always mean safe or effective. Many natural products can have side effects or interact with medications. 2. The term "natural" is often used in marketing to appeal to consumers, but it does not guarantee safety or efficacy. 3. Healthcare decisions should be based on evidence and expert advice rather than solely on the perception of natural products. 4. The nurse's response educates the patient about the potential misconceptions surrounding natural remedies and encourages critical thinking about healthcare choices. Summary: - Choice A is incorrect because natural substances are not inherently safer than conventional medical remedies. - Choice B is incorrect as it focuses on the psychological aspect of control rather than the safety and effectiveness of natural remedies. - Choice D is incorrect as it dismisses the patient's preference without providing proper education on the topic.