ATI RN
Psychiatry Test Bank Questions
Question 1 of 5
The patient and the nurse have agreed on problems to be addressed during a short course of outpatient therapy. At the beginning of the appointment, the patient states, �I�d like to work on the issue of relationships today.� Which assessment can be made?
Correct Answer: C
Rationale: The correct assessment to be made in this scenario is that the relationship is moving from the orientation phase to the working phase. In the orientation phase of the nurse-patient therapeutic relationship, the focus is on building rapport, establishing trust, and determining the patient's needs and goals. As the patient voluntarily expresses a desire to work on the issue of relationships, it indicates a transition to the working phase where the patient actively identifies problems to address and goals to achieve. This shift demonstrates progress in the therapeutic relationship as the patient is engaging in the therapeutic process and contributing to the agenda set for the appointment. It signifies a readiness for collaborative problem solving and intervention planning, emphasizing the importance of the patient's involvement in decision-making and goal-setting in the therapeutic process.
Question 2 of 5
According to Piaget, which of the following would the nurse consider normal when assessing a 6-year-old?
Correct Answer: C
Rationale: At 6 years old, children are typically in the concrete operational stage of development, characterized by logical thinking and enjoyment of problem-solving activities like puzzles.
Question 3 of 5
Which statement made by a teenage male hospitalized after a failed suicide attempt is most concerning to the nurse?
Correct Answer: D
Rationale: This statement is concerning because it suggests the teenager may still have access to dangerous means (in this case, a gun) and may not fully understand or take responsibility for the gravity of his previous suicidal attempt. The attachment to the gun is alarming.
Question 4 of 5
Which patient would the nurse determine to be at highest risk for dysfunctional grief? The patient:
Correct Answer: A
Rationale: The patient whose 16-year-old daughter was raped and killed while going on an errand for the patient would be determined to be at highest risk for dysfunctional grief. This traumatic event involves sudden and violent loss of a child, which can lead to complicated or dysfunctional grief reactions. The circumstances of the death, involving violence, unexpectedness, and the close relationship with the deceased, can significantly impact the grieving process. The patient may struggle with intense emotions, guilt, anger, and unresolved trauma, making them more vulnerable to experiencing dysfunctional grief. It is essential for healthcare professionals to provide appropriate support and interventions to help the patient navigate through this complex grieving process.
Question 5 of 5
Before assessing a new patient, a nurse is told by another health care worker, "I know that patient. No matter how hard we work, there isn�t much improvement by the time of discharge." The nurse�s responsibility is to:
Correct Answer: B
Rationale: A nurse should maintain objectivity and conduct their own assessment, considering all sources of information.
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