ATI RN
Behavioral Health Nursing Questions
Question 1 of 5
A nurse is assessing a client who has paranoid personality disorder. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Suspiciousness of others. In paranoid personality disorder, individuals have a pervasive distrust and suspiciousness of others. This belief that others are out to harm or deceive them is a key characteristic. This suspicion can lead to interpersonal difficulties and strained relationships. A: Lack of feelings of remorse is not a typical finding in paranoid personality disorder. Individuals with this disorder may have difficulties trusting others, but it does not necessarily mean they lack empathy or remorse. B: Requiring frequent reassurance from others is more commonly seen in individuals with dependent personality disorder rather than paranoid personality disorder. Those with paranoid personality disorder tend to be distrustful and self-reliant. D: An inflated sense of self is more characteristic of narcissistic personality disorder rather than paranoid personality disorder. Individuals with paranoid personality disorder often have feelings of inadequacy or inferiority.
Question 2 of 5
A nurse is discussing common misconceptions regarding clients who have substance use disorder. The nurse should include which of the following as a potential negative result of providers believing that addiction is the client's own fault?
Correct Answer: A
Rationale: The correct answer is A because if providers believe addiction is the client's fault, they may deny care or provide poor quality care due to judgment or bias. This can lead to negative outcomes for the client, such as lack of access to proper treatment or support. Choice B is incorrect as it assumes the client's behavior will change drastically due to provider beliefs. Choice C is incorrect as it suggests providers will abuse substances themselves, which is not directly related to their beliefs about addiction. Choice D is incorrect as it focuses on the client's treatment preference rather than the provider's actions and beliefs impacting the client's care.
Question 3 of 5
A nurse is meeting with a new client at a substance use disorder clinic. During the meeting, the client states that they have been using cocaine at least once daily for the past 6 months. The nurse is collecting which of the following types of data from the client's account?
Correct Answer: A
Rationale: The correct answer is A: Subjective. Subjective data is information provided by the client, based on their personal experiences and feelings. In this scenario, the client's statement about using cocaine daily is their personal account, making it subjective data. The nurse is gathering this information directly from the client's perspective. Summary: B: Secondary data refers to information collected from sources other than the client, such as medical records or research studies. C: Historical data pertains to past events and may include information about the client's substance use history, but it does not capture the client's current experiences as directly as subjective data. D: Objective data is measurable and observable, typically collected through physical assessments or laboratory tests. In this case, the client's statement about cocaine use is not objective data as it is based on their personal account.
Question 4 of 5
A nurse in an emergency department is assessing a client who has a personality disorder and reports that they recently used illicit drugs. Which of the following screening tools should the nurse use to determine if the client has recently used an illicit substance?
Correct Answer: A
Rationale: The correct answer is A: Toxicology test. This test directly screens for the presence of illicit substances in the client's system, providing objective evidence of recent drug use. It is essential in the emergency department setting to determine the client's current physiological state accurately. Other choices are incorrect because: B: MMPI and C: Eysenck Personality Inventory are psychological assessment tools that focus on personality traits and psychopathology, not substance use. D: Personality Diagnostic Questionnaire is used to assess personality disorders, not substance use. Therefore, the toxicology test is the most appropriate tool in this scenario to determine recent illicit drug use.
Question 5 of 5
A nurse is providing care to a client who has acute stress disorder. Which of the following client statements is consistent with this disorder?
Correct Answer: B
Rationale: The correct answer is B because the client's statement indicates experiencing a traumatic event, having nightmares, and the timeframe aligns with acute stress disorder symptoms. Choice A describes dissociation, more common in PTSD. Choice C suggests PTSD symptoms of flashbacks. Choice D hints at driving phobia, not specific to acute stress disorder.