ATI RN
Behavioral Nursing Questions Questions
Question 1 of 5
A nurse is caring for a patient diagnosed with schizophrenia who is experiencing delusions. The patient says, 'I am the president of the United States.' What is the most appropriate nursing response?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A nurse is caring for a patient diagnosed with schizophrenia who is experiencing auditory hallucinations. The patient states, 'The voices are telling me to hurt myself.' What is the priority nursing intervention?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 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: Risk for suicide is the priority diagnosis when the patient has both suicidal ideation and a plan to carry out the suicidal intent. Imbalanced nutrition, hopelessness, and chronic low self-esteem may be applicable nursing diagnoses, but these problems do not affect patient safety as urgently as would a suicide attempt.
Question 4 of 5
A nurse is assessing a patient diagnosed with bipolar disorder who is in the manic phase. The patient is exhibiting excessive spending and rapid speech. Which of the following is the priority nursing intervention?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A patient nervously says, 'Financial problems are stressing my marriage. I've heard rumors about cutbacks at work; I am afraid I might get laid off.' The patient's pulse is 112/minute; respirations are 26/minute; and blood pressure is 166/88. Which nursing intervention will the nurse implement?
Correct Answer: B
Rationale: The patient's elevated vital signs indicate activation of the sympathetic nervous system, as evident by elevated vital signs. These will have a negative effect on his health and increase his perception of being anxious and stressed. Stimulating the parasympathetic nervous system will counter the sympathetic nervous system's arousal, normalizing these vital sign changes and reducing the physiological demands stress is placing on his body. Other options do not address his physiological response pattern as directly or immediately.