ATI RN
PICO Question Psychiatric Emergency Nursing Questions
Question 1 of 5
Which individual in the emergency department should be considered at highest risk for completing suicide?
Correct Answer: D
Rationale: The correct answer is D because the 79-year-old single, white male diagnosed with terminal cancer of the prostate is at the highest risk for completing suicide. This individual is facing a terminal illness, which can lead to feelings of hopelessness and despair, increasing the risk of suicide. The other choices do not present such high-risk factors for suicide. A: While the adolescent Asian American girl may face pressures from high achievements and asthma, these factors do not inherently place her at the highest risk for suicide. B: The 38-year-old single, African American female church member with fibrocystic breast disease may face challenges, but they do not indicate a high risk for suicide. C: The 60-year-old married Hispanic man with 12 grandchildren who has type 2 diabetes has family support and does not have as severe risk factors as the individual in choice D.
Question 2 of 5
After an assault by a patient, a nurse has difficulty sleeping, startles easily, and is preoccupied with the incident. The nurse said, 'That patient should not be allowed to get away with that behavior.' Which response poses the greatest barrier to the nurse's ability to provide therapeutic care?
Correct Answer: C
Rationale: The correct answer is C because harboring a wish for revenge can significantly impede a nurse's ability to provide therapeutic care. This response indicates unresolved anger and potential desire for retaliation, which can lead to compromised objectivity, empathy, and professionalism in patient care. It can also hinder the development of a therapeutic nurse-patient relationship. Startle reactions (A), difficulty sleeping (B), and preoccupation with the incident (D) are common responses to trauma but do not pose as significant a barrier as a wish for revenge.
Question 3 of 5
A nurse talks with a woman whose husband died while jogging. Select the appropriate statement for the nurse.
Correct Answer: C
Rationale: The correct answer is C because it acknowledges the woman's emotions and shows empathy towards her loss. It validates her feelings and offers support, recognizing the pain she must be going through. Option A may come off as dismissive of her grief. Option B could be seen as minimizing the loss. Option D assumes a quick recovery, which may not be realistic for someone grieving. In summary, answer C is correct as it shows empathy and understanding towards the woman's situation, while the other options may be perceived as insensitive or unrealistic.
Question 4 of 5
A patient with pancreatic cancer says, 'I know I am dying, but I am still alive. I want to be in control as long as I can.' Which reply by the nurse shows active listening?
Correct Answer: B
Rationale: The correct answer is B because it acknowledges the patient's emotional state and demonstrates empathy. By acknowledging the patient's emotional well-being and addressing the mind and spirit, the nurse actively listens to the patient's concerns beyond the physical symptoms. Choice A focuses solely on pain management, which does not address the patient's emotional needs. Choice C shifts the focus to others rather than the patient's own feelings. Choice D does not show active listening as it presents a closed-ended question rather than reflecting the patient's emotions.
Question 5 of 5
A staff nurse asks a hospice nurse, 'Who should be referred for hospice care?' Select the best response.
Correct Answer: B
Rationale: Step-by-step rationale for why answer B is correct: 1. Hospice care is for patients in the end stage of any disease, not limited to cancer. 2. Hospice focuses on providing comfort and support for patients with a life expectancy of six months or less. 3. End-stage patients from various diseases can benefit from hospice services. 4. Answer B aligns with the core principle of hospice care, which is to improve the quality of life for terminally ill patients. Summary: - Choice A is incorrect as hospice is not exclusive to cancer patients. - Choice C is incorrect as hospice is not specifically for end-stage renal disease. - Choice D is incorrect as hospice eligibility is not based on paralysis from neurological diseases.