ATI RN
Synopsis of Psychiatry Test Bank Questions
Question 1 of 5
A nurse administers ordered preoperative glycopyrrolate (Robinul) 30 minutes prior to a client�s electroconvulsive therapy (ECT) procedure. What is the rationale for administering this medication?
Correct Answer: D
Rationale: Glycopyrrolate is an anticholinergic that reduces salivation and other secretions, which helps to prevent aspiration during ECT, where muscle relaxants are used.
Question 2 of 5
Which nursing diagnosis is appropriate for a patient who insists on being called "Your Highness" and demonstrates loosely associated thoughts?
Correct Answer: D
Rationale: nsisting on being called "Your Highness" and demonstrating loose associations suggests a disturbance in thought processing typical of schizophrenia.
Question 3 of 5
A friend says to a nurse, �I am not going to get vaccines for my baby. I hear that vaccines cause autism.� The nurse�s best reply is:
Correct Answer: C
Rationale: This response provides factual, evidence-based information to address the common misconception linking vaccines to autism. It is clear and reassuring for the parent.
Question 4 of 5
When leading a therapeutic group, the nurse demonstrates an understanding of the need to act as the group�s executive when:
Correct Answer: A
Rationale: When leading a therapeutic group, the nurse's role as the group's executive involves setting and maintaining boundaries, ensuring adherence to the group's rules, and creating a safe and structured environment for all members. Restating rules when a new member joins helps to establish expectations and maintain consistency within the group. It allows the nurse to assert authority and guide the group in a direction that is conducive to therapeutic progress. By upholding the rules and boundaries of the group, the nurse helps to create a sense of safety and trust among the members, allowing for open and productive communication and shared growth.
Question 5 of 5
Which strategy will the nurse include in the plan of care for a 6-year-old child for whom operant conditioning has been recommended?
Correct Answer: B
Rationale: Operant conditioning, based on Skinner�s theory, involves reinforcing desired behaviors. Positive reinforcement (praise) encourages repetition of the behavior.
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