ATI RN
Behavioral Health Certification for Nurses Questions
Question 1 of 5
A Native American patient describes a difficult childhood and dropping out of high school. The patient abused alcohol as a teenager to escape feelings of isolation but stopped 10 years ago. The patient now says,I feel stupid. Ive never had a good job. I dont help my people. Which nursing diagnosis applies?
Correct Answer: B
Rationale: The patient has given several indications of chronic low self-esteem. Forming a positive self-image is often difficult for Native American individuals because these indigenous people must blend together both American and Native American worldviews. No defining characteristics are present for the other nursing diagnoses.
Question 2 of 5
Which of the following behaviors by the nurse demonstrate positive regard?Select one that does not apply.
Correct Answer: A
Rationale: Calling the client by name, spending time with the client, and listening and responding openly are measures by which the nurse conveys respect and positive regard to the client. The nurse also conveys positive regard by considering the client's ideas and preferences when planning care. The nurse maintains attention on the client and avoids communicating negative opinions or value judgments about the client's behavior.
Question 3 of 5
Which one of the following statements about the nurse and ethnocentrism is true?
Correct Answer: A
Rationale: Nurses as people may inwardly view their own culture as superior to others. Ethnocentrism is not uncommon especially when the person has no experience with any culture other than his or her own. It is neither a desirable trait nor an undesirable trait. Nurses must examine their ethnocentrism, and think of their own attitudes and beliefs.
Question 4 of 5
A patient being discharged appears angry with the nurse when the nurse attempts to review discharge instructions with the patient. The nurse can best assist the patient in this stage of the relationship with which of the following responses?
Correct Answer: C
Rationale: Both nurse and client usually have feelings about ending the relationship; the client especially may feel the termination as an impending loss. Often clients try to avoid termination by acting angry or as if the problem has not been resolved. The nurse can acknowledge the client's angry feelings and assure the client that this response is normal to ending a relationship. If the client tries to reopen and discuss old resolved issues, the nurse should identify the client's stalling maneuvers and refocus the client on newly learned behaviors and skills to handle the problem.
Question 5 of 5
The nurse uses a variety of therapeutic communication skills when working with patients. Which of the following is a therapeutic goal that can be accomplished through the use of therapeutic communication skills?
Correct Answer: B
Rationale: Therapeutic communication aims to understand the client's perspective, making assessing their perception of a problem a key goal. It also facilitates identifying client concerns, expressing emotions, and guiding toward a plan, but assessing perception is foundational. Choice A is more directive, C focuses on emotion control rather than exploration, and D skips to action without client input.