Synopsis of Psychiatry Test Bank

Questions 28

ATI RN

ATI RN Test Bank

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

A 76-year-old is regressed, indifferent, and responds to others only when they initiate an interaction. What form of group therapy would be most useful to promote resocialization?

Correct Answer: A

Rationale: Remotivation therapy focuses on stimulating engagement and interaction in patients who are socially withdrawn or have limited emotional responses. It helps the individual reconnect with their environment and others.

Question 3 of 5

For which patient is the nurse most likely to need to schedule a pre-ECT workup and teaching?

Correct Answer: D

Rationale: The nurse is most likely to need to schedule a pre-electroconvulsive therapy (ECT) workup and teaching for Patient D, who has depression associated with the diagnosis of an inoperable brain tumor. In such cases, ECT may be considered as a treatment option due to the severity of the depression and the limitations in using other treatments. Before ECT can be initiated in a patient with such complex medical conditions, it is crucial to conduct a thorough evaluation and preparation process, which includes obtaining informed consent, assessing the patient's medical history, conducting pre-ECT laboratory tests, and providing patient and family education about the procedure. Given the unique circumstances of Patient D's inoperable brain tumor, the nurse must ensure all necessary steps are taken to ensure the safety and efficacy of ECT as a treatment option.

Question 4 of 5

In the elderly, administering medication is a great concern for the nurse since these patients are more prone to side effects. The primary cause of this is:

Correct Answer: A

Rationale: Aging causes decreased renal and hepatic function, leading to slower metabolism and clearance of drugs, making older adults more vulnerable to drug toxicity and side effects. Other options, such as accelerated gastrointestinal function, are incorrect as GI motility often slows with age.

Question 5 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.

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