ATI RN
Behavioral Health Nurse Certification Questions
Question 1 of 5
A nurse is assessing a patient diagnosed with generalized anxiety disorder. The patient reports feeling anxious about everything, even small tasks. Which of the following is the most appropriate nursing diagnosis?
Correct Answer: D
Rationale: The correct answer is D: Anxiety. This nursing diagnosis is the most appropriate because the patient is experiencing excessive worry and fear, which aligns with the defining characteristics of generalized anxiety disorder. Impaired social interaction (A) is not the best choice as the patient's primary concern is anxiety, not social interaction. Ineffective coping (B) may be a result of anxiety but does not address the primary issue. Disturbed thought processes (C) typically involves alterations in cognitive processes, which are not described in the scenario.
Question 2 of 5
A nurse wants to enhance growth of a patient by showing positive regard. The nurse's action most likely to achieve this goal is
Correct Answer: B
Rationale: The correct answer is B because staying with a tearful patient demonstrates empathy and emotional support, fostering a therapeutic relationship that can enhance growth. This action shows the patient that their feelings are valid and valued, promoting trust and openness. Choices A, C, and D do not directly address the emotional needs of the patient or show positive regard, which is essential for growth in this context. Making rounds daily focuses on tasks, administering medication is necessary but not directly related to emotional support, and examining personal feelings about a patient is more reflective than actively showing support.
Question 3 of 5
A nurse is caring for a patient diagnosed with bipolar disorder during the depressive phase. The nurse is concerned that the patient may have suicidal thoughts. What is the priority intervention?
Correct Answer: A
Rationale: The correct answer is A. Asking the patient directly about thoughts of self-harm or suicide is the priority intervention because it allows the nurse to assess the patient's risk and take appropriate actions to ensure safety. It is essential to address potential suicidal ideation promptly. Encouraging group therapy (B) may be beneficial but is not as urgent as assessing for suicidal thoughts. Offering reassurance and support (C) is important but does not directly address the risk of suicide. Monitoring for signs of agitation or psychotic symptoms (D) is also important but not as crucial as directly assessing for suicidal ideation.
Question 4 of 5
While talking with a patient diagnosed with major depressive disorder, a nurse notices the patient is unable to maintain eye contact. The patient's chin lowers to the chest. The patient looks at the floor. Which aspect of communication has the nurse assessed?
Correct Answer: A
Rationale: The correct answer is A: Nonverbal communication. In this scenario, the patient's lack of eye contact, lowered chin, and looking at the floor all indicate nonverbal cues. Nonverbal communication plays a crucial role in conveying feelings and emotions. The patient's body language suggests feelings of sadness, low self-esteem, or discomfort, which are common in major depressive disorder. Nonverbal communication is an essential aspect of interpersonal communication and can provide valuable insights into a person's emotional state. Summary: B: A message filter - Incorrect. A message filter refers to factors that distort or block communication, such as noise or distractions. The patient's behavior does not represent filtering of messages. C: A cultural barrier - Incorrect. Cultural barriers involve differences in norms, values, or communication styles. The patient's nonverbal cues are more likely related to their emotional state rather than cultural factors. D: Social skills - Incorrect. Social skills involve the ability to interact effectively with others. The
Question 5 of 5
A patient with acute depression states, 'God is punishing me for my past sins.' What is the nurse's most therapeutic response?
Correct Answer: A
Rationale: The correct answer is A because it acknowledges the patient's feelings without judgment or disagreement, showing empathy and understanding. Option B dismisses the patient's emotions and offers unsolicited reassurance. Option C could come off as confrontational and may make the patient feel defensive. Option D assumes the patient's beliefs and may not address the underlying emotional distress.