ATI RN
Behavioral Health Nurse Certification Questions
Question 1 of 5
A nurse is caring for a client who is experiencing excessive anxiety and worry in response to a variety of circumstances, and is unable to control their sense of worry. The nurse should identify that these manifestations indicate which of the following?
Correct Answer: D
Rationale: The correct answer is D: Generalized anxiety disorder. This is because the client is experiencing excessive anxiety and worry in response to various situations, along with difficulty controlling their worry. Generalized anxiety disorder is characterized by excessive and persistent worry about multiple events or activities. Panic disorder (choice A) involves sudden and intense episodes of fear or panic. Agoraphobia (choice B) involves fear or avoidance of situations where escape might be difficult. Separation anxiety disorder (choice C) is typically seen in children and involves excessive distress when separated from attachment figures.
Question 2 of 5
A nurse is providing care to an older adult client. Which of the following screening tools should the nurse use to gather data for the client?
Correct Answer: B
Rationale: The correct answer is B: Patient Health Questionnaire-9 (PHQ-9). This tool is specifically designed to screen for depression in older adults. The PHQ-9 is validated and widely used in clinical settings to assess depressive symptoms. It is essential to use a screening tool tailored to the client's age group to ensure accurate results. The other choices are incorrect because: A: The Gerontological Personality Disorder Scale (GPS) is not a standard screening tool for older adults and focuses on personality disorders, not depression. C: Denver II Developmental Screening is used to assess developmental milestones in children, not appropriate for older adults. D: The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) is a diagnostic manual used by mental health professionals to classify mental disorders, not a screening tool for gathering data on depressive symptoms in older adults.
Question 3 of 5
A nurse is caring for a client who has been brought to the emergency department and is experiencing acute fentanyl toxicity. The nurse should expect to observe which of the following adverse effects in this client?
Correct Answer: D
Rationale: The correct answer is D: Pupillary dilation. In acute fentanyl toxicity, the opioid can cause miosis (pupillary constriction) initially, followed by pupillary dilation as a sign of overdose. This occurs due to the impact of opioids on the autonomic nervous system. Elevated heart rate (choice A) and hypertension (choice B) are not typical adverse effects of fentanyl toxicity; instead, bradycardia and hypotension are more common. Tachypnea (choice C) is also unlikely as opioids tend to cause respiratory depression rather than increased respiratory rate. Pupillary dilation (choice D) is the most indicative sign of acute fentanyl toxicity and should alert the nurse to the seriousness of the situation.
Question 4 of 5
A nurse is caring for an adolescent who is experiencing recurring manifestations of influenza. Which of the following phases of Selye's General Adaptation Syndrome (GAS) explains the possible cause for the adolescent's manifestations?
Correct Answer: C
Rationale: Rationale: 1. The correct answer is C: Exhaustion Phase. 2. In the Exhaustion Phase of GAS, prolonged stress depletes the body's resources, leading to increased vulnerability to illnesses like influenza. 3. Alarm Phase is the initial response to stress, not necessarily related to recurring manifestations of illness. 4. Adaptive Phase is when the body tries to adapt to stress, not directly linked to illness manifestations. 5. Resistance Phase involves coping mechanisms to maintain homeostasis, not explaining recurring illness manifestations.
Question 5 of 5
A nurse is caring for a client who has avoidant personality disorder. Which of the following types of therapy should the nurse anticipate that the client's problems arise from issues of role definition and grief and will frame solutions in interpersonal terms. This therapy is useful for those with avoidant personality disorder who seek the approval of others and fear rejection.
Correct Answer: D
Rationale: The correct answer is D: Interpersonal therapy. This therapy focuses on addressing issues related to interpersonal relationships and communication. For clients with avoidant personality disorder who fear rejection and seek approval, interpersonal therapy helps them navigate their difficulties in forming and maintaining relationships. It also addresses issues of role definition and grief, which are common challenges for individuals with this disorder. Antipsychotic medications (A) are typically used to treat psychotic disorders, not personality disorders like avoidant personality disorder. Dialectical behavior therapy (B) is more commonly used for borderline personality disorder, not avoidant personality disorder. Antidepressant medications (C) may be prescribed for individuals with avoidant personality disorder who also have comorbid depression, but they do not specifically target the interpersonal issues and fear of rejection that are core features of this disorder.