ATI RN
Synopsis of Psychiatry Test Bank Questions
Question 1 of 5
Which older adult patient�s medical conditions support the hypothesis upon which the immunologic theory of aging is based?
Correct Answer: B, C
Rationale: he immunologic theory of aging suggests that aging is associated with increased autoimmunity. Conditions like multiple sclerosis, rheumatoid arthritis, and Graves� disease reflect immune dysfunction.
Question 2 of 5
An advance directive gives legally binding direction for health care interventions when a patient:
Correct Answer: D
Rationale: An advance directive is used when a patient is unable to make their own healthcare decisions, typically due to a serious illness or injury. This legal document outlines the patient�s wishes for treatment and care.
Question 3 of 5
Which strategy will the nurse include in the plan of care for a 6-year-old child for whom operant conditioning has been recommended?
Correct Answer: B
Rationale: Operant conditioning, based on Skinner�s theory, involves reinforcing desired behaviors. Positive reinforcement (praise) encourages repetition of the behavior.
Question 4 of 5
A 19-year-old patient with undifferentiated schizophrenia is acutely psychotic. The nurse assesses the primary deficit as:
Correct Answer: B
Rationale: Acute psychosis primarily affects thought processes, evidenced by delusions or disorganized thinking.
Question 5 of 5
A new nurse asks the mentor, �How can I be sure I�m developing a therapeutic environment for my unit?� The mentor uses as a basis for the response the fact that a therapeutic milieu is characterized by:
Correct Answer: D
Rationale: A therapeutic milieu is characterized by focusing on the needs and goals of the patients. By establishing specific patient-centered goals that are agreed upon mutually by the patient and the staff, it ensures that the care provided is individualized and tailored to the patient's needs. This approach fosters a collaborative and empowering environment where the patient feels heard and supported in their recovery journey. It also promotes a sense of ownership and accountability for both the patient and the staff in working towards these goals together. In contrast, rigid adherence to timelines and unit routine (option A) may not always take into account the unique needs of each patient, and relaxation of boundaries (option B) can potentially compromise the therapeutic process by blurring professional boundaries. Therefore, establishing patient-centered goals is a key component of creating a therapeutic environment on a nursing unit.
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