ATI RN
Behavioral Health Nursing Questions
Question 1 of 5
A newly admitted patient diagnosed with major depressive disorder has gained 20 pounds over a few months and has suicidal ideation. The patient has taken antidepressant medication for 1 week without remission of symptoms. Select the priority nursing diagnosis.
Correct Answer: C
Rationale: The correct nursing diagnosis is C: Risk for suicide. This is the priority because the patient is experiencing suicidal ideation, indicating an immediate threat to their safety. Addressing this risk is crucial to ensure the patient's safety and well-being. Option A is incorrect as weight gain is not the priority when compared to suicidal ideation. Option B is incorrect as low self-esteem, while important, is not as urgent as the risk of suicide. Option D, hopelessness, is also important but addressing the immediate risk of suicide takes precedence.
Question 2 of 5
A nurse is caring for a patient diagnosed with bipolar disorder during the manic phase. The nurse understands that during this phase, the patient is most likely to exhibit which behavior?
Correct Answer: B
Rationale: The correct answer is B (Rapid speech, inflated self-esteem, and impulsivity). During the manic phase of bipolar disorder, individuals typically experience elevated mood, increased energy, and engage in impulsive behaviors. Rapid speech, inflated self-esteem, and impulsivity are commonly observed behaviors during this phase. Excessive sleep and withdrawal (choice A) are more indicative of the depressive phase. Depressed mood and low energy levels (choice C) are also characteristic of the depressive phase. Social withdrawal and feelings of hopelessness (choice D) are symptoms of depression, not mania. Therefore, choice B is the most appropriate behavior exhibited during the manic phase of bipolar disorder.
Question 3 of 5
Select the most appropriate label to complete this nursing diagnosis: _____ related to feelings of shyness and poorly developed social skills as evidenced by watching television alone at home every evening.
Correct Answer: C
Rationale: The correct answer is C: Social isolation. This nursing diagnosis best fits the situation described because the individual is experiencing feelings of shyness and poorly developed social skills, leading to isolation by watching television alone every evening. Social isolation refers to a lack of social interactions and connections, which aligns with the symptoms presented. A: Deficient knowledge does not address the social aspect of the situation. B: Ineffective coping does not directly address the social withdrawal behavior. D: Powerlessness does not capture the essence of the individual's situation involving social skills and shyness. In summary, social isolation is the most appropriate label as it directly reflects the individual's behavior and feelings of loneliness and lack of social engagement.
Question 4 of 5
As a nurse discharges a patient, the patient gives the nurse a card of appreciation made in an arts and crafts group. What is the nurse's best action?
Correct Answer: A
Rationale: The correct answer is A because it acknowledges the patient's thoughtfulness and the positive relationship between the nurse and patient. Accepting the card shows appreciation and fosters a sense of connection and trust. It also validates the patient's effort in making the card. Choice B is incorrect because it focuses solely on facility policies and may come off as cold and uncaring, potentially damaging the nurse-patient relationship. Choice C is incorrect because declining the card without acknowledging the patient's effort and the positive relationship may leave the patient feeling unappreciated. Choice D is incorrect as it assumes the patient wants to return for other activities when the situation is about expressing gratitude for the current experience.
Question 5 of 5
A patient says to the nurse, 'I dreamed I was stoned. When I woke up, I felt emotionally drained, as though I hadn't rested well.' Which response should the nurse use to clarify the patient's comment?
Correct Answer: D
Rationale: The correct answer is D because it directly addresses the ambiguity in the patient's statement by seeking clarification on the term "stoned." This allows the nurse to gain a better understanding of the patient's experience, ensuring effective communication and assessment. Choice A is incorrect as it assumes the patient was uncomfortable with the dream content without confirming it. Choice B relates the nurse's experience, which does not help clarify the patient's statement. Choice C assumes the patient's issue is related to sleep quality, which may not be the case.