ATI RN · PICO Question Psychiatric Emergency Nursing
Question 1 of 129
A mental health worker is caring for a client with escalating aggressive behavior. Which action by the MHW warrants immediate intervention by the RN?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 2 of 129
The nurse has just admitted Nancy to the psychiatric unit. The psychiatrist has diagnosed Nancy with major depressive disorder. The nurse says to Nancy, 'Some changes will have to be made in your behavior. I care about what happens to you.' Which nursing role described by Peplau is the nurse fulfilling in this instance?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 3 of 129
Transcranial Magnetic Stimulation (TCM) is scheduled for a patient diagnosed with major depressive disorder. Which comment by the patient indicates teaching about the procedure was effective?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 4 of 129
What is an example of primary prevention?
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Question 5 of 129
What medications are used for seizure control in alcohol withdrawal delirium?
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Question 6 of 129
A nurse is caring for a 4-year-old child who has croup and wet the bed overnight. When the parents visit the next day, the nurse explains the situation, and one of the parents says, 'She never wet the bed at home. I am so embarrassed.' Which of the following responses should the nurse make?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 7 of 129
An adult in the emergency department states, 'Everything I see appears to be waving. I am outside my body looking at myself. I think I'm losing my mind.' Vital signs are slightly elevated. The nurse should suspect
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Question 8 of 129
A 28-year-old paramedic presents for an independent medical examination. He has been on long-term disability for 2 years following an emergency response to a motor vehicle collision that involved fatalities. There is no previous psychiatric or substance use history. He states that he is improving. His wife agrees but notes that he has 'a very quick temper and breaks stuff when he is frustrated.' He reports feeling anxious about returning to work and feeling that 'people are out to get me.' He admits that he sometimes hears 'voices and people screaming.' What is the MOST likely diagnosis?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 9 of 129
An adult outpatient diagnosed with major depression has a history of several suicide attempts by overdose. Given this patient's history and diagnosis, which antidepressant medication would the nurse expect to be prescribed?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 10 of 129
What is codeine?
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Question 11 of 129
A 27-year-old female client is admitted to the psychiatric hospital with a diagnosis of bipolar disorder, manic phase. She is demanding and active. Which intervention should the nurse include in this client's plan of care?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 12 of 129
A female client who is wearing dirty clothes and has foul body odor comes to the clinic reporting feeling scared because she is being stalked. What action is most important for the RN to take?
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Question 13 of 129
An older adult with Lewy body dementia... Which nursing diagnosis has priority?
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Question 14 of 129
A tearful, anxious patient at the outpatient clinic reports, 'I should be dead.' The initial task of the nurse conducting the assessment interview is to:
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Question 15 of 129
An emergency department nurse realizes the spouse... is becoming irritable... Which intervention?
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Question 16 of 129
A 72 year old man has increasing difficulty speaking clearly for last 2 years. Which is the most likely diagnosis?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 17 of 129
A history reveals that a patient virtually stopped eating 5 months ago and lost 25% of body weight. The nurse says, 'Describe what you think about your present weight and how you look.' Which response would be most consistent with anorexia nervosa?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 18 of 129
A psychiatric nurse intern states, “This client's use of defense mechanisms should be eliminated.†Which is a correct evaluation of this nurse's statement?
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Question 19 of 129
The nurse is preparing medications for a client with bipolar disorder and notices that the antipsychotic medication was discontinued several days ago. Which medication should also be discontinued?
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Question 20 of 129
A 42 year old woman tests positive for high-risk HPV on a routine cervical smear. Cervical Cytology: moderate dyskaryosis. Which is the most appropriate management?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 21 of 129
A nurse at the well child clinic realizes that many parents have misconceptions about effective ways of disciplining their children. The nurse decides to form a group to address this problem. What should be the focus of the group?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 22 of 129
A college student who failed two tests cried for hours and then tried to telephone a parent but got no answer. The student then gave several expensive sweaters to a roommate and asked to be left alone for a few hours. Which behavior provides the strongest clue of an impending suicide attempt?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 23 of 129
Premature ejaculation is a disorder of which phase of the normal sexual cycle?
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Question 24 of 129
Mr. J. has been diagnosed with schizophrenia. He refuses to eat, and told the nurse he knew he was 'being poisoned.' According to Erikson's theory, in what developmental stage would you place Mr. J.?
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Question 25 of 129
Select the best desired outcome for a patient who uses valerian. The patient will report
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 26 of 129
What is dopamine?
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Question 27 of 129
A 25 year old woman has irregular periods every 4 to 9 weeks and acne. Testosterone 4.2 nmol/L. Which treatment is most appropriate?
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Question 28 of 129
A 65 year old man has a dry cough and progressive shortness of breath for 3 months. He has finger clubbing and bibasal fine end-inspiratory crackles. Which is the most appropriate next investigation?
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Question 29 of 129
A female adolescent client says to the nurse, 'Hey you stupid blonde, what are you looking at?' Which of the following responses would be inappropriate for the nurse to make?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 30 of 129
A patient with a history of command hallucinations... Which nursing actions are most likely...?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 31 of 129
A patient present in the ward, when asked, 'What is your name?' repeats the same sentence back to you. What is this phenomenon called?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 32 of 129
An older male patient has suffered with episodic pruritus and skin eruptions for over 2 years. This patient tells the nurse, “When my skin gets better for a few days, I start worrying that it's going to start itching again soon. I think my worry may actually trigger the problems to start all over again.†Which self-help technique should the nurse consider suggesting for this patient?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 33 of 129
According to Maslow's hierarchy of needs, which situation on an inpatient psychiatric unit would require priority intervention by a nurse?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 34 of 129
A college student who attempted suicide by overdose was hospitalized. When the parents were contacted, they responded, 'We should have seen this coming. We did not do enough.' The parents' reaction reflects:
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Question 35 of 129
Patient with alcoholic withdrawal symptoms who says she has snakes all over her body. What action should the nurse take?
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Question 36 of 129
A woman was found confused and disoriented after being abducted and raped... What is the woman's level of anxiety?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 37 of 129
What are the SE of amphetamine (Adderall)?
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Question 38 of 129
A 43 year old man has felt faint and fallen when trying to stand from a chair. Investigations: Sodium 119 mmol/L, Serum osmolality 260 mOsmol/kg. Which is the most likely cause?
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Question 39 of 129
What are examples of opioids?
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Question 40 of 129
A patient diagnosed with major depressive disorder repeatedly tells staff, 'I have cancer. It's my punishment for being a bad person.' Diagnostic tests reveal no cancer. Select the priority nursing diagnosis.
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Question 41 of 129
A 60 year old man is anuric on the renal unit. Ultrasound: stone impacted at the pelvi-ureteric junction. Which is the most appropriate therapeutic intervention?
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Question 42 of 129
What is buspirone (Buspar) used for?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 43 of 129
What is displacement?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 44 of 129
What is the treatment for damages from inhalants?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 45 of 129
A patient is pacing the hall... An appropriate initial intervention would be to say:
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 46 of 129
An emergency department nurse prepares to assist... What equipment will be needed...?
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Question 47 of 129
A 55 year old man has difficulty breathing after being stabbed with a knife in the right side of his neck. Which nerve is most likely damaged?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 48 of 129
The RN is admitting a male client who takes lithium carbonate (Eskalith) twice a day. Which information should the RN report to the HCP immediately?
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Question 49 of 129
With what diseases does norepinephrine decrease?
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Question 50 of 129
A 55 year old woman has been sleeping for only a couple of hours a night for 2 weeks and feels overactive. Which is the most appropriate next step?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 51 of 129
An 81 year old man has increasing confusion, agitation, and worsening urinary incontinence in a nursing home. Which investigation is most likely to confirm his diagnosis?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 52 of 129
Which CAM method is associated with using allergy injections of small amounts of an allergen in solution?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 53 of 129
A homeless client who reports feeling sad and depressed tells the mental health nurse that in the past 2 days she has only had 4 hours of sleep. Which action is most important for the RN to implement within the first 24 hours after treatment is initiated?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 54 of 129
A patient with anorexia nervosa is resistant to weight gain. What is the rationale for establishing a contract with the patient to participate in measures to produce a specified weekly weight gain?
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Question 55 of 129
Which situation describes consensual sex rather than rape?
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Question 56 of 129
A confused older adult patient in a skilled nursing facility was asleep when unlicensed assistive personnel (UAP) entered the room quietly and touched the bed to see if it was wet. The patient awakened and hit the UAP in the face. Which statement best explains the patient's action?
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Question 57 of 129
What is glutamate?
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Question 58 of 129
A rape victim visited a rape crisis counselor... Which comment best demonstrates reorganization was successful?
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Question 59 of 129
Which nursing statement regarding the concept of psychosis is most accurate?
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Question 60 of 129
Which individual in the emergency department should be considered at highest risk for completing suicide?
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Question 61 of 129
A 10 year old girl has bloody diarrhoea for 5 days after a farm trip. Investigations: Haemoglobin 80 g/L, Platelets 76 x 10^9/L. Which is the most likely underlying diagnosis?
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Question 62 of 129
What is the nursing assessment priority for patients in crisis?
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Question 63 of 129
A male client is admitted to the psychiatric unit for recurrent negative symptoms of chronic schizophrenia and medication adjustment of Risperidone. When the client walks to the nurse station in a laterally contracted position, he states that something has made his body contort into a monster. What action should the nurse take?
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Question 64 of 129
With what diseases does serotonin increase?
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Question 65 of 129
A male client who is admitted with delirium tremens is dehydrated and experiencing auditory hallucinations. He has a bruised, swollen tongue and is confused. In developing a plan of care, which action should the nurse include to ensure the client is physiologically stable?
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Question 66 of 129
A female client admitted to the mental health unit starts to shout and scream at the RN. What is the best approach for the RN to take?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 67 of 129
Dr A learns that Dr B is using social media to befriend a recently discharged patient. Which is the most appropriate next step for Dr A?
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Question 68 of 129
A patient with pancreatic cancer says, 'I know I am dying, but I am still alive. I want to be in control as long as I can.' Which reply by the nurse shows active listening?
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Question 69 of 129
A patient diagnosed with major depressive disorder does not interact with others except when addressed, and then only in monosyllables. The nurse wants to show nonjudgmental acceptance and support for the patient. Which communication technique will be effective?
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Question 70 of 129
Select the priority nursing intervention when caring for a patient after an overdose of amphetamines.
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Question 71 of 129
What is altruism?
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Question 72 of 129
A 31 year old woman has increasing shortness of breath and left-sided pleuritic chest pain for 1 week. Which is the most likely diagnosis?
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Question 73 of 129
What are examples of MAOIs?
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Question 74 of 129
A 10-year-old cares for siblings... Which resources as priorities to stabilize the home situation?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 75 of 129
Which of the following is not included in personal history?
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Question 76 of 129
A male client with schizophrenia is demonstrating echolalia, which is becoming annoying to other clients on the unit. What intervention is best for the RN to implement?
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Question 77 of 129
What are the symptoms of conversion disorder?
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Question 78 of 129
What is alprazolam (Xanax) used for?
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Question 79 of 129
A nurse taught a patient about a tyramine-restricted diet. Which menu selection would the nurse approve?
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Question 80 of 129
The nurse documents that a male client with paranoid schizophrenia is delusional. Which statement by the client confirms the assessment?
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Question 81 of 129
Which behavior best demonstrates aggression?
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Question 82 of 129
A nurse talks with a woman whose husband died while jogging. Select the appropriate statement for the nurse.
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Question 83 of 129
The family of a 17-year-old client diagnosed with anorexia nervosa is encouraged to attend family therapy sessions. The parents state, 'We don't have the eating disorder. Why should we attend?' What is the best response by the nurse?
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Question 84 of 129
A 35-year-old female is brought to the emergency. She is suffering from schizophrenia and is on haloperidol. She presents with symptoms of fever, sweating, disorientation, and rigidity for one day. Which of the following is the likely condition?
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Question 85 of 129
What is a nursing diagnosis related to conversion disorder?
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Question 86 of 129
Larry, who has antisocial personality disorder, feels no guilt about violating the rights of others. He does as he pleases without thought to possible consequences. In which of Peplau's stages of development would you place Larry?
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Question 87 of 129
What is a situational/external crisis?
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Question 88 of 129
A 24 year old man has mild discomfort in his left scrotum for 4 months. He has palpable worm-like structures. Which is the most appropriate next investigation?
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Question 89 of 129
What is fidelity (nonmaleficence)?
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Question 90 of 129
An adult has recently been absent from work... What is occupational health nurse's priority assessment?
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Question 91 of 129
A school-age child is talking with her grandmother, who is dying. What should the nurse say to the child?
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Question 92 of 129
An emergency department nurse assesses an unresponsive victim... Which question is most important...?
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Question 93 of 129
Who influenced Peplau?
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Question 94 of 129
A young female member in a therapy group says to an older female member, 'You are just like my mother, always trying to control me with your observations and suggestions.' Which therapeutic factor of a group is evident by this behavior?
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Question 95 of 129
A patient loudly scolded nursing staff... Which intervention would best address this problem?
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Question 96 of 129
An emergency code was called after a patient pulled a knife... Justification for seclusion was:
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Question 97 of 129
The staff development coordinator plans to teach physical management techniques... Which topic to emphasize?
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Question 98 of 129
A client with depression is not attentive to personal hygiene, uses television watching as a means of escape from responsibilities, and describes an inability to enjoy the things that once gave them pleasure. Which coping strategy should the nurse include in the plan of care?
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Question 99 of 129
An 18 month old girl has poor weight gain and is seen in the GP surgery. She has loose stools for several months. Which is the most likely underlying cause?
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Question 100 of 129
A 44 year old man has severe pain following surgical fixation of a comminuted ankle fracture. Which is the most appropriate additional analgesic?
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Question 101 of 129
A 27 year old woman has a small area of redness on her right breast for 4 weeks. A course of antibiotics slightly improved the redness. She has had similar episodes before. Which is the most likely diagnosis?
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Question 102 of 129
A nurse prepares for an initial interaction with a patient with a long history of methamphetamine abuse. Which is the nurse's best first action?
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Question 103 of 129
An unconscious teenager is treated... Priority action by the nurse should focus on:
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Question 104 of 129
After an assault by a patient, a nurse has difficulty sleeping, startles easily, and is preoccupied with the incident. The nurse said, 'That patient should not be allowed to get away with that behavior.' Which response poses the greatest barrier to the nurse's ability to provide therapeutic care?
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Question 105 of 129
A 26 year old woman requests strong pain relief for abdominal pain and is seen in the Emergency Department. She has no significant past medical history. She looks malnourished. She is restless and irritable. Her temperature is 37.1°C. Which non-prescribed substance is the most important to enquire about in this presentation?
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Question 106 of 129
The nurse goes to answer a call light, and the patient is aggressive and agitated. What is most important for the nurse to do?
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Question 107 of 129
What are the characteristics of a patient with borderline personality disorder?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 108 of 129
A nurse is caring for a client with factitious disorder imposed on another. Which of the following statements by the client would the nurse expect?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 109 of 129
A 48 year old man has moderate epigastric pain for 2 days and is seen at his GP surgery. He had a duodenal ulcer 6 months ago and was treated with Helicobacter pylori eradication therapy. Which is the most appropriate test to confirm Helicobacter pylori eradication?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 110 of 129
A 28 year old man has persecutory auditory hallucinations and is diagnosed with schizophrenia. Which neurotransmitter is primarily implicated?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 111 of 129
An elderly client was neglected by family in the home setting. The abuse was reported. What factor would have allowed the client to remain in the home?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 112 of 129
What is projection?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 113 of 129
The RN is providing care for a client diagnosed with borderline personality disorder who has self-inflicted lacerations on the abdomen. Which approach should the RN use when changing this client's dressing?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 114 of 129
Pt refuses to take medications and in defiance sits in the middle of the hallway floor. Best nursing action?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 115 of 129
An 18-year-old client is brought to the emergency department with a suspected overdose. Which information is most important for the nurse to obtain from the family?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 116 of 129
A nurse is assessing a client who experiences occasional feelings of sadness because of the recent death of a beloved pet. The client's appetite, sleep patterns, and daily routine have not changed. How would the nurse interpret the client's behaviors?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 117 of 129
What are interventions for people who are grieving?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 118 of 129
The parents of a 15-year-old seek to have this teen declared a delinquent... Behaviors occur in adolescents who:
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 119 of 129
The feeling experienced by a patient that should be assessed by the nurse as most predictive of elevated suicide risk is
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 120 of 129
A 35 year old woman has recurrent retrosternal discomfort after eating food for the last 3 months. Which is the most appropriate management approach?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 121 of 129
What are nursing interventions for dementia related to bowel and bladder function?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 122 of 129
A staff nurse asks a hospice nurse, 'Who should be referred for hospice care?' Select the best response.
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 123 of 129
A 40-year-old male patient is suspicious that people are talking about him and spying on him, despite being tried to convince the family members that no such thing is happening. Which of the following statements is true?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 124 of 129
Which comment by the nurse would best support relationship building with a survivor...?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 125 of 129
After treatment for a detached retina... Which diagnosis should be the focus...?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 126 of 129
A patient diagnosed with major depressive disorder began taking escitalopram 5 days ago. The patient now says, 'This medicine isn't working.' The nurse's best intervention would be to
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 127 of 129
Patient with schizophrenia enters the psychiatric unit with symptoms. Which action should the nurse take?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 128 of 129
A 70 year old woman has lower abdominal pain for 5 days and is seen in her GP surgery. She feels unwell and has had episodes of shivering. There is a tender mass in the left iliac fossa. Which is the most likely diagnosis?
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ATI RN · PICO Question Psychiatric Emergency Nursing
Question 129 of 129
A patient diagnosed with depression confidently tells the nurse, “I've been supplementing my paroxetine with St. John's wort. It has helped a great deal.†What is the nurse's priority action?
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