ATI RN
Multiple Choice Questions on Psychiatric Emergencies Questions
Question 1 of 5
Which statement by an elderly client might suggest financial abuse is occurring?
Correct Answer: B
Rationale: Correct Answer: B Rationale: Giving someone access to your bank account should not result in them making extravagant purchases, like a brand-new car. This suggests financial abuse, as the son is misusing the client's funds for personal gain. This behavior is a red flag for financial exploitation of the elderly. Summary of Incorrect Choices: A: This statement suggests neglect or lack of care by the son regarding replacing dentures, not necessarily financial abuse. C: This statement suggests neglect or lack of assistance in a physical situation, not directly related to financial abuse. D: This statement suggests potential neglect in providing basic needs like food, but it does not directly indicate financial abuse.
Question 2 of 5
The parent of a child with attention deficit hyperactivity disorder (ADHD) tells the nurse that the child does not follow directions well. What strategy would be best for the nurse to recommend?
Correct Answer: B
Rationale: The correct answer is B: Try having the child repeat the instructions before starting the task. This strategy, known as "active listening," can help children with ADHD improve their focus and understanding of directions. By repeating the instructions, the child reinforces the information in their memory and clarifies any confusion. This approach promotes better compliance with tasks. Incorrect choices: A: Developing a daily schedule plan may be helpful, but it doesn't specifically address improving the child's ability to follow directions. C: Teaching assertiveness is not directly related to addressing the difficulty in following directions. It may not necessarily improve the child's compliance with instructions. D: Placing the child in time out is a punitive measure and does not address the underlying issue of difficulty following directions. It may worsen the child's behavior and does not teach them how to improve their listening skills.
Question 3 of 5
A 7-year-old male client has severe bruising on his arms and injuries to his abdomen. The nurse should consider child abuse if the parents act in what manner?
Correct Answer: B
Rationale: The correct answer is B because delaying seeking treatment for injuries in a child can indicate neglect or intentional harm. This behavior raises suspicion of child abuse as it shows a lack of concern for the child's well-being. Choices A, C, and D do not directly suggest child abuse as they could be seen as normal parental behavior. Asking the child to explain (A) could be a way to understand the situation, showing concern (C) is a common parental reaction, and staying with the child (D) is also expected during an assessment.
Question 4 of 5
A nurse in an emergency department is assessing a client who has traumatic injuries following an assault. The client sits quietly and calmly in the examination room and states, 'I'm fine.' The nurse should recognize the client's behaviors as which of the following reactions?
Correct Answer: D
Rationale: The correct answer is D: Denial. The client's calm demeanor and statement of being fine despite traumatic injuries indicate denial as a defense mechanism to cope with the distressing situation. Denial involves avoiding the reality of a stressful event or situation. In this case, the client is not acknowledging the severity of their injuries or the emotional impact of the assault. A: Displacement involves transferring emotions from one target to another. B: Projection involves attributing one's own thoughts or feelings to others. C: Undoing involves trying to reverse or negate thoughts, feelings, or actions.
Question 5 of 5
A nurse notes that a client is extremely withdrawn, delusional, and emotionally exhausted. The nurse assesses the client's anxiety as which level?
Correct Answer: D
Rationale: The correct answer is D: Panic anxiety. This level of anxiety is characterized by extreme withdrawal, delusions, and emotional exhaustion, which align with the client's symptoms. Panic anxiety is the highest level of anxiety, causing overwhelming feelings of fear and loss of control. The client's severe symptoms indicate an intense level of anxiety beyond what is typically seen in mild, moderate, or severe anxiety levels. Mild anxiety (choice A) is characterized by slight discomfort, moderate anxiety (choice B) involves increased tension and focus on a specific concern, and severe anxiety (choice C) includes an inability to think clearly and physical symptoms like sweating and trembling. Panic anxiety is the most appropriate choice due to the severity of the client's symptoms.