ATI RN
Behavioral Nursing Questions
Question 1 of 5
A nurse assesses a patient suspected of having somatic symptom disorder. Which assessment findings regarding this patient support the suspected diagnosis? (Select all that apply.)
Correct Answer: A
Rationale: There is no chronic disease to explain the symptoms for patients with somatic symptom disorder. Patients report multiple symptoms; gastrointestinal and pseudoneurological symptoms are common. This disorder is more common in women than in men. Patients with conversion disorder would have a tendency to underrate pain.
Question 2 of 5
Six months ago, a woman had a prophylactic double mastectomy because of a family history of breast cancer. One week ago, this woman learned her husband was involved in an extramarital affair. The woman tearfully says to the nurse, "What else can happen?" What type of crisis is this person experiencing?
Correct Answer: C
Rationale: Severe physical or mental illness is a potential cause of a situational crisis. The potential loss of a loved one also serves as a potential cause of a situational crisis. Maturational crisis occurs as an individual arrives at a new stage of development, when old coping styles may be ineffective. No classification of recurring crisis exists. Mitigation refers to attempts to limit a disaster's impact on human health and community function.
Question 3 of 5
Which agency provides coordination in the event of a terrorist attack?
Correct Answer: C
Rationale: In the context of Behavioral Nursing, understanding the roles of various agencies in emergency response is crucial for providing effective care during crises. The correct answer is C) National Incident Management System (NIMS). NIMS is responsible for coordinating a unified national response to incidents, including terrorist attacks. This agency ensures effective communication, coordination, and collaboration among different organizations involved in emergency response. Option A) Food and Drug Administration (FDA) primarily focuses on regulating food, drugs, and medical devices to ensure public safety in terms of health and medication, not on responding to terrorist attacks. Option B) Environmental Protection Agency (EPA) is concerned with environmental protection, including regulations related to air and water quality, hazardous waste, and pollution control. While they play a role in disaster response related to environmental hazards, they do not lead coordination efforts for terrorist attacks. Option D) Federal Emergency Management Agency (FEMA) is responsible for disaster response and recovery, including natural disasters like hurricanes and earthquakes. While FEMA may be involved in response efforts following a terrorist attack, their primary focus is not on coordinating responses to acts of terrorism. Educationally, knowing the specific roles of various agencies in emergency management prepares nurses to work effectively within the broader healthcare system during crises. Understanding the functions of agencies like NIMS helps nurses contribute to coordinated, interdisciplinary efforts in providing care and support during emergencies.
Question 4 of 5
A patient tells members of a therapy group, "I hear voices saying my doctor is poisoning me." Another patient replies, "I once heard voices too. They sounded real, but I found out later they were not. The voices you hear are not real either." Which therapeutic factor is exemplified in this interchange?
Correct Answer: D
Rationale: Here a member gains insight into his own experiences from hearing about the experiences of others through interpersonal learning. Catharsis refers to a therapeutic discharge of emotions. Universality refers to members realizing their feelings are common to most people and not abnormal. Imitative behavior involves copying or borrowing the adaptive behavior of others.
Question 5 of 5
Which remark by a group participant would the nurse expect during the working stage of group therapy?
Correct Answer: D
Rationale: In the working stage, members actively interact to help each other accomplish goals, and because trust has developed, conflict and disagreement can be expressed. Focusing on trust and confidentiality typically occur in the orientation phase as part of establishing group norms. Commonality and universality are also themes typically expressed in the orientation phase, whereas reflecting on progress is a task addressed in the termination phase.