ATI RN
Psychiatric Emergency Questions
Question 1 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 2 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 3 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.
Question 4 of 5
An 18-year-old referred to the mental health center often cooks gourmet meals but eats only tiny portions. The patient wears layers of loose clothing saying, 'I like the style.' The patient's weight dropped from 130 to 95 pounds. She has amenorrhea. Which diagnosis is most likely?
Correct Answer: B
Rationale: The correct answer is B: Anorexia nervosa. The patient displays key symptoms such as severe restriction of food intake leading to significantly low body weight, fear of gaining weight, distorted body image, and amenorrhea. These criteria align with the diagnosis of anorexia nervosa according to the DSM-5. Choices A, C, and D do not fully capture the severity and specific characteristics exhibited by the patient. Choice A lacks the criteria for anorexia nervosa, while choices C and D do not match the symptoms described in the scenario.
Question 5 of 5
A patient has anorexia nervosa. The history shows the patient virtually stopped eating 5 months ago and lost 25% of body weight. The serum potassium is 2.7 mg/dL. Which nursing diagnosis applies?
Correct Answer: D
Rationale: The correct answer is D: Imbalanced nutrition: less than body requirements related to refusal to eat, as evidenced by loss of 25% of body weight and hypokalemia. Rationale: 1. Imbalanced nutrition: The patient's history of virtually stopping eating and losing 25% of body weight indicates a lack of adequate nutrition intake. 2. Less than body requirements: The significant weight loss and prolonged period of decreased food intake support this nursing diagnosis. 3. Refusal to eat: The patient's behavior of stopping eating aligns with this diagnosis. 4. Loss of 25% of body weight: This is a critical indicator of severe malnutrition. 5. Hypokalemia: Low serum potassium levels (2.7 mg/dL) are associated with inadequate nutrition intake and support the diagnosis of imbalanced nutrition. Summary: A: Incorrect. The patient's history does not mention abuse of laxatives. B: Incorrect. There is no mention of self-induced vomiting or