Psychiatry Test Bank

Questions 28

ATI RN

ATI RN Test Bank

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

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 3 of 5

A nurse wants to assess for suicidal ideation in an elderly patient. Select the best question to begin this assessment.

Correct Answer: B

Rationale: his open-ended question directly addresses the patient�s thoughts about suicide in the context of their current life situation, giving them an opportunity to express any concerns or ideations.

Question 4 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 5 of 5

An elderly patient brings a bag of medications to the clinic. The nurse finds a bottle labeled Ativan and one labeled lorazepam, both of which are to be taken BID. There are also bottles labeled hydrochlorothiazide, Inderal, and rofecoxib, each to be taken once daily. Which conclusion is accurate?

Correct Answer: B

Rationale: Ativan and lorazepam are the same drug, so the patient is taking an excessive dose of lorazepam. This requires intervention by the nurse to prevent harm.

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