ATI RN
Behavioral Nursing Questions Questions
Question 1 of 5
A Haitian patient diagnosed with depression tells the nurse,There's nothing you can do. This is a punishment. The only thing I can do is see a healer. The culturally aware nurse assesses that the patient:
Correct Answer: C
Rationale: Individuals of African American or Caribbean cultures who have a fatalistic attitude about illness may believe they are being punished for wrongdoing or are victims of witchcraft or voodoo. They may be reticent to share information about curses with therapists. No data are present in the scenario to support delusions. Misdiagnosis more often labels a patient with depression as having schizophrenia.
Question 2 of 5
The nurse administers medications to a culturally diverse group of patients on a psychiatric unit. What expectation should the nurse have about pharmacokinetics?
Correct Answer: A
Rationale: Cytochrome enzyme systems, which vary among different cultural groups, influence the rate of metabolism of psychoactive drugs. Renal function influences elimination of psychotropic medication; hepatic function influences metabolism rates. Information about medication is important but does not apply to pharmacokinetics.
Question 3 of 5
The client tells the nurse, 'I don't think you can help me. Every time I talk to you, I am reminded of my mother, and I hated her.' The nurse should recognize this as
Correct Answer: D
Rationale: Transference occurs when the client unconsciously transfers to the nurse feelings he or she has for significant others. Confrontation is a technique used to highlight the incongruence between a person's verbalizations and actual behavior. Countertransference occurs when the therapist displaces onto the client attitudes or feelings from his or her past. Incongruence occurs when the communication content and process disagree.
Question 4 of 5
A nurse openly admits to not being able to relate to a patient's experience. According to Munhall, this will most likely have what influence on the therapeutic relationship?
Correct Answer: A
Rationale: Munhall added another pattern of knowing called unknowing: For the nurse to admit she or he does not know the client or the client's subjective world opens the way for a truly authentic encounter. The nurse in a state of unknowing is open to seeing and hearing the client's views without imposing any of his or her values or viewpoints.
Question 5 of 5
Which of the following statements correctly depict the problem of feeling sympathy toward the client? Select one that does not apply.
Correct Answer: A
Rationale: Sympathy can lead to over-involvement, where the nurse tries to please the client, making manipulation easier (B). This stifles the client’s ability to explore issues (C), hinders personal growth (D), and fosters dependency (E). Choice A, while possible, isn’t a direct outcome of sympathy’s impact on the therapeutic relationship as described, so it’s not selected.