ATI RN
Behavioral Health Nursing Care Plans Questions
Question 1 of 5
A nurse is caring for a patient diagnosed with schizophrenia. The patient says, 'The voices in my head tell me to harm myself.' What is the nurse's first priority action?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A patient says, 'Please don't share information about me with the other people.' How should the nurse respond?
Correct Answer: A
Rationale: A patient has the right to know with whom the nurse will share information and that confidentiality will be protected. Although the relationship is primarily between the nurse and patient, other staff needs to know pertinent data. The other incorrect responses promote incomplete disclosure on the part of the patient, require daily renegotiation of an issue that should be resolved as the nurse-patient contract is established, and suggest mutual problem solving. The relationship must be patient centered. See relationship to audience response question.
Question 3 of 5
A nurse is working with a patient diagnosed with bipolar disorder. The patient is in the manic phase and is engaging in risky behaviors. Which of the following is the most appropriate nursing intervention?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A patient discloses several concerns and associated feelings. If the nurse wants to seek clarification, which comment would be appropriate?
Correct Answer: C
Rationale: Asking, 'Am I correct in understanding that "¦' permits clarification to ensure that both the nurse and patient share mutual understanding of the communication. Asking about common elements encourages comparison rather than clarification. The remaining responses are implied questions that suggest the nurse was not listening.
Question 5 of 5
Which principle should guide the nurse in determining the extent of silence to use during patient interview sessions?
Correct Answer: C
Rationale: Silence can be helpful to both participants by giving each an opportunity to contemplate what has transpired, weigh alternatives, and formulate ideas. A nurse breaking silences is not a principle related to silences. It is inaccurate to say that patients withdraw during long silences or that silence helps patients know that they are understood. Feedback helps patients know they have been understood.