ATI RN
Psychiatric Emergency Questions
Question 1 of 5
Which of the following is a true statement about obsessive-compulsive disorder (OCD)?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A man complains of decreased concentration at work, tired during the day, sleeps four to five hours at night. What should the PN ask?
Correct Answer: A
Rationale: Step-by-step rationale: 1. The man's symptoms suggest potential depression. 2. Asking about feeling sad helps assess for depression. 3. Depression can cause decreased concentration, fatigue, and sleep disturbances. 4. Addressing mental health concerns is important. Summary: - B is incorrect because falling asleep is not the main issue. - C is incorrect as anxiety symptoms are not clearly presented. - D is incorrect unless there is specific information on sleep disorders.
Question 3 of 5
The RN leading a group session of adolescent clients gives the members a handout about anger management. One of the male clients is fidgety, interrupts peers when they try to talk, and talks about his pets at home. What nursing action is best for the RN to take?
Correct Answer: D
Rationale: The correct answer is D: Redirect him by encouraging him to read from the handout. This is the best nursing action because it addresses the client's disruptive behavior by redirecting his focus back to the topic at hand, which is anger management. By encouraging him to read from the handout, the RN is helping the client engage in the intended activity and stay on track with the group session's purpose. This approach helps maintain the group's cohesion and ensures that all members benefit from the session. Exploring the client's feelings about his pets and home life (Choice A) may be relevant in a different context but is not the immediate priority in this scenario. Encouraging his peers to involve him in the activity (Choice B) may not effectively address his disruptive behavior. Giving the client permission to leave and return (Choice C) may disrupt the session and enable the client's avoidance of the activity.
Question 4 of 5
A client is receiving benztropine mesylate (Cogentin) for drug-induced extrapyramidal syndrome (EPS). Which finding indicates that the RN should further evaluate the client?
Correct Answer: D
Rationale: The correct answer is D: Increased mouth movements. Benztropine mesylate is used to treat EPS, which includes symptoms like tremors and muscle stiffness. Increased mouth movements, such as lip smacking or puckering, can indicate a serious side effect called tardive dyskinesia. This condition can be irreversible and requires immediate evaluation. A: Decreased bowel movements is not directly related to EPS or benztropine mesylate. B: Dry mouth is a common side effect of benztropine mesylate and does not generally require immediate evaluation. C: Decreasing hand tremors is actually a positive sign that the medication is working, so further evaluation is not immediately necessary.
Question 5 of 5
The RN on the evening shift receives report that a client is scheduled for electroconvulsive treatment (ECT) in the morning. Which intervention should the RN implement the evening before the scheduled ECT?
Correct Answer: B
Rationale: The correct answer is B: Keep the client NPO after midnight. This is to prevent aspiration during the procedure, as ECT is typically performed under general anesthesia. Holding all bedtime medications (choice A) is not necessary unless specified by the healthcare provider. Implementing elopement precautions (choice C) is not relevant to ECT. Giving the client an enema at bedtime (choice D) is unnecessary and not indicated before ECT. Keeping the client NPO after midnight is a standard pre-procedure preparation to reduce the risk of aspiration.