ATI RN
Behavioral Health Nursing Questions
Question 1 of 5
A nurse is caring for a patient diagnosed with schizophrenia who is exhibiting negative symptoms such as lack of motivation and limited speech. Which of the following interventions is most appropriate?
Correct Answer: B
Rationale: The correct answer is B because providing structure and clear instructions helps manage negative symptoms in schizophrenia. Structure can help the patient overcome lack of motivation and limited speech by providing a framework for engagement. Clear instructions offer guidance and reduce confusion. Encouraging social activities (A) may overwhelm the patient. Frequent reassurance (C) may not address the core issue. Telling the patient to try harder (D) can increase stress and worsen symptoms.
Question 2 of 5
An adolescent asks a nurse conducting an assessment interview, 'Why should I tell you anything? You'll just tell my parents whatever you find out.' Which response by the nurse is appropriate?
Correct Answer: C
Rationale: The correct answer is C because it acknowledges the importance of confidentiality regarding the adolescent's feelings while also highlighting the necessity of reporting certain critical issues like suicidal thoughts to ensure the adolescent's safety. This response respects the adolescent's privacy while prioritizing their well-being. Choice A is incorrect because it inaccurately states that everything is held in strict confidence, which may not be the case for issues like suicidal thoughts. Choice B is incorrect as it dismisses the adolescent's concerns about privacy and may deter them from being open during the assessment. Choice D is incorrect as it makes assumptions about the adolescent's readiness without addressing their specific concerns about confidentiality.
Question 3 of 5
A nurse is caring for a patient diagnosed with bipolar disorder during the manic phase. The nurse understands that during this phase, the patient is most likely to exhibit which behavior?
Correct Answer: B
Rationale: The correct answer is B (Rapid speech, inflated self-esteem, and impulsivity). During the manic phase of bipolar disorder, individuals typically experience elevated mood, increased energy, and engage in impulsive behaviors. Rapid speech, inflated self-esteem, and impulsivity are commonly observed behaviors during this phase. Excessive sleep and withdrawal (choice A) are more indicative of the depressive phase. Depressed mood and low energy levels (choice C) are also characteristic of the depressive phase. Social withdrawal and feelings of hopelessness (choice D) are symptoms of depression, not mania. Therefore, choice B is the most appropriate behavior exhibited during the manic phase of bipolar disorder.
Question 4 of 5
Select the most appropriate label to complete this nursing diagnosis: _____ related to feelings of shyness and poorly developed social skills as evidenced by watching television alone at home every evening.
Correct Answer: C
Rationale: The correct answer is C: Social isolation. This nursing diagnosis best fits the situation described because the individual is experiencing feelings of shyness and poorly developed social skills, leading to isolation by watching television alone every evening. Social isolation refers to a lack of social interactions and connections, which aligns with the symptoms presented. A: Deficient knowledge does not address the social aspect of the situation. B: Ineffective coping does not directly address the social withdrawal behavior. D: Powerlessness does not capture the essence of the individual's situation involving social skills and shyness. In summary, social isolation is the most appropriate label as it directly reflects the individual's behavior and feelings of loneliness and lack of social engagement.
Question 5 of 5
As a nurse discharges a patient, the patient gives the nurse a card of appreciation made in an arts and crafts group. What is the nurse's best action?
Correct Answer: A
Rationale: The correct answer is A because it acknowledges the patient's thoughtfulness and the positive relationship between the nurse and patient. Accepting the card shows appreciation and fosters a sense of connection and trust. It also validates the patient's effort in making the card. Choice B is incorrect because it focuses solely on facility policies and may come off as cold and uncaring, potentially damaging the nurse-patient relationship. Choice C is incorrect because declining the card without acknowledging the patient's effort and the positive relationship may leave the patient feeling unappreciated. Choice D is incorrect as it assumes the patient wants to return for other activities when the situation is about expressing gratitude for the current experience.