ATI RN
Synopsis of Psychiatry Test Bank Questions
Question 1 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 2 of 5
The desired outcome for a patient experiencing insomnia is, "Patient will sleep for a minimum of 5 hours nightly within 7 days." At the end of 7 days, review of sleep data shows the patient sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. What is the nurse�s next action?
Correct Answer: D
Rationale: When goals are partially met, the plan of care should be re-evaluated, and adjustments should be made to interventions or timelines.
Question 3 of 5
A patient is in a smoking cessation program that encourages self-control therapy interventions. Which intervention would the nurse suggest?
Correct Answer: B
Rationale: Self-control therapy emphasizes self-monitoring to identify triggers and patterns, enabling the patient to implement strategies for behavioral change.
Question 4 of 5
A patient asks the nurse manager to help resolve a situation between her and another patient. Which action would best support the patient�s feelings of safety when experimenting with new ways of being?
Correct Answer: D
Rationale: Offering to be present and help the patient discuss her feelings about the incident with the other patient would best support the patient�s feelings of safety when experimenting with new ways of being. This option encourages open communication between the two patients in a safe and mediated environment. It allows the patient to express her feelings assertively while feeling supported by the nurse manager. Mediation can help both patients understand each other's perspectives, resolve conflicts, and potentially prevent similar incidents in the future. Ultimately, this approach empowers the patient to address the situation directly while providing a sense of safety and support.
Question 5 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.
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