ATI RN
PICO Question Psychiatric Emergency Nursing Questions
Question 1 of 5
Which nursing statement regarding the concept of psychosis is most accurate?
Correct Answer: B
Rationale: The correct answer is B because individuals experiencing psychoses often have distorted perceptions of reality, leading to significant distress. They may have hallucinations or delusions, causing fear, confusion, and emotional turmoil. Choice A is incorrect as individuals with psychosis may not realize their behaviors are maladaptive due to their altered perception. Choice C is incorrect because individuals with psychosis may lack insight into their psychological problems. Choice D is incorrect as psychosis involves a disconnect from reality, leading to irrational thoughts and beliefs.
Question 2 of 5
A 28-year-old paramedic presents for an independent medical examination. He has been on long-term disability for 2 years following an emergency response to a motor vehicle collision that involved fatalities. There is no previous psychiatric or substance use history. He states that he is improving. His wife agrees but notes that he has 'a very quick temper and breaks stuff when he is frustrated.' He reports feeling anxious about returning to work and feeling that 'people are out to get me.' He admits that he sometimes hears 'voices and people screaming.' What is the MOST likely diagnosis?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
An adult outpatient diagnosed with major depression has a history of several suicide attempts by overdose. Given this patient's history and diagnosis, which antidepressant medication would the nurse expect to be prescribed?
Correct Answer: B
Rationale: Selective serotonin reuptake inhibitor antidepressants are very safe in overdosage situations, which is not true of the other medications listed. Given this patient's history of overdosing, it is important that the medication be as safe as possible in case she takes an overdose of her prescribed medication.
Question 4 of 5
A college student who failed two tests cried for hours and then tried to telephone a parent but got no answer. The student then gave several expensive sweaters to a roommate and asked to be left alone for a few hours. Which behavior provides the strongest clue of an impending suicide attempt?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A college student who attempted suicide by overdose was hospitalized. When the parents were contacted, they responded, 'We should have seen this coming. We did not do enough.' The parents' reaction reflects:
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.