ATI RN
Psychiatric Nursing Questions Questions
Question 1 of 5
A nurse is explaining advance care directives, or `living wills,? to a patient and the patient�s spouse. Which of the following would the nurse include in the description?
Correct Answer: A
Rationale: The correct answer is A because a living will specifies the medical treatments a patient wishes to receive or refuse in the event they are unable to make decisions. This is important for ensuring the patient's preferences are followed. Choice B is incorrect because a living will does not require an attorney to be present during signing. Choice C is incorrect because it is not a requirement for the patient's physician to act as a witness for the document. Choice D is incorrect because while an attorney can assist in drafting the document, it is not a strict requirement for a living will. In summary, the key aspect of a living will is to outline the patient's preferences regarding treatment decisions in advance, ensuring their wishes are followed in case they cannot communicate them later.
Question 2 of 5
The nurse is doing an assessment interview of a patient. During the interview, the patient comments, `Our people are connected with nature. Our world, our seasons, and our weather?they all have many lessons to teach us.? The nurse interprets the patient�s statement as an expression of which of the following?
Correct Answer: C
Rationale: The correct answer is C: Spirituality. The patient's statement reflects a deep connection to nature and the belief that there are lessons to be learned from it, indicating a spiritual perspective. - Religiousness (A) typically involves adherence to specific beliefs or practices within a formal religion. - Tribal law (B) pertains to the legal systems and customs of specific tribal communities. - Ecological values (D) focus on the importance of preserving the environment. In this context, the patient's emphasis on nature teaching lessons aligns most closely with spirituality, as it suggests a personal and reflective connection to the natural world.
Question 3 of 5
A nurse is explaining advance care directives, or `living wills,? to a patient and the patient�s spouse. Which of the following would the nurse include in the description?
Correct Answer: A
Rationale: The correct answer is A because a living will specifies the medical treatments a patient wishes to receive or refuse in the event they are unable to make decisions. This is important for ensuring the patient's preferences are followed. Choice B is incorrect because a living will does not require an attorney to be present during signing. Choice C is incorrect because it is not a requirement for the patient's physician to act as a witness for the document. Choice D is incorrect because while an attorney can assist in drafting the document, it is not a strict requirement for a living will. In summary, the key aspect of a living will is to outline the patient's preferences regarding treatment decisions in advance, ensuring their wishes are followed in case they cannot communicate them later.
Question 4 of 5
While working with an older male patient, the nurse begins to think that the patient reminds the nurse of her grandfather and responds as if she was the granddaughter. The nurse is developing which of the following?
Correct Answer: C
Rationale: The correct answer is C: Countertransference. Countertransference occurs when the nurse projects their own feelings, experiences, or biases onto the patient. In this scenario, the nurse is responding to the patient as if he were her grandfather, indicating a personal emotional response that may impact the therapeutic relationship. This can hinder the nurse's ability to provide objective care. A: Empathy is the ability to understand and share the feelings of another, but in this case, the nurse is projecting her own feelings onto the patient, not truly empathizing with his emotions. B: Transference is when the patient projects their feelings onto the nurse, which is not happening in this scenario. D: Modeling refers to learning through observation and imitation, which is not applicable in this context.
Question 5 of 5
Which of the following would a nurse identify as being categorized as Axis I in the DSM-IV-TR? Select all that apply.
Correct Answer: B
Rationale: Axis I in the DSM-IV-TR refers to clinical disorders. Posttraumatic stress disorder (PTSD) falls under this category as it is a mental health disorder characterized by experiencing a traumatic event. Other choices like paranoid personality disorder (Axis II), anorexia nervosa (Axis II), mental retardation (Axis II), unemployment, and coronary artery disease are not considered Axis I disorders as they do not fall under the classification of clinical disorders in the DSM-IV-TR. Therefore, the correct answer is B because PTSD is a clinical disorder that aligns with Axis I criteria.
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