ATI RN
Behavioral Health Nursing Questions
Question 1 of 5
A nurse is discussing common misconceptions regarding clients who have substance use disorder. The nurse should include which of the following as a potential negative result of providers believing that addiction is the client's own fault?
Correct Answer: A
Rationale: The correct answer is A because if providers believe addiction is the client's fault, they may deny care or provide poor quality care due to judgment or bias. This can lead to negative outcomes for the client, such as lack of access to proper treatment or support. Choice B is incorrect as it assumes the client's behavior will change drastically due to provider beliefs. Choice C is incorrect as it suggests providers will abuse substances themselves, which is not directly related to their beliefs about addiction. Choice D is incorrect as it focuses on the client's treatment preference rather than the provider's actions and beliefs impacting the client's care.
Question 2 of 5
A nurse in an emergency department is assessing a client who has a personality disorder and reports that they recently used illicit drugs. Which of the following screening tools should the nurse use to determine if the client has recently used an illicit substance?
Correct Answer: A
Rationale: The correct answer is A: Toxicology test. This test directly screens for the presence of illicit substances in the client's system, providing objective evidence of recent drug use. It is essential in the emergency department setting to determine the client's current physiological state accurately. Other choices are incorrect because: B: MMPI and C: Eysenck Personality Inventory are psychological assessment tools that focus on personality traits and psychopathology, not substance use. D: Personality Diagnostic Questionnaire is used to assess personality disorders, not substance use. Therefore, the toxicology test is the most appropriate tool in this scenario to determine recent illicit drug use.
Question 3 of 5
A nurse is providing care to a client who has acute stress disorder. Which of the following client statements is consistent with this disorder?
Correct Answer: B
Rationale: The correct answer is B because the client's statement indicates experiencing a traumatic event, having nightmares, and the timeframe aligns with acute stress disorder symptoms. Choice A describes dissociation, more common in PTSD. Choice C suggests PTSD symptoms of flashbacks. Choice D hints at driving phobia, not specific to acute stress disorder.
Question 4 of 5
A patient diagnosed with severe and persistent mental illness lives in a homeless shelter. The priority nursing diagnosis for this patient is Powerlessness. Which intervention should be included in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Encourage mutual goal setting. This intervention is crucial as it empowers the patient to take an active role in their care, promoting autonomy and self-efficacy. By involving the patient in setting goals, it helps them regain a sense of control and combat feelings of powerlessness. It also fosters a collaborative relationship between the patient and the healthcare team, enhancing trust and engagement in the treatment process. Incorrect choices: B: Verbally communicate empathy - While empathy is important, it does not directly address the issue of powerlessness. C: Reinforce participation in activities - While participation in activities can be beneficial, it may not address the underlying issue of powerlessness. D: Demonstrate an accepting attitude - While acceptance is important, it may not empower the patient to actively participate in their care and address feelings of powerlessness.
Question 5 of 5
Several nurses are concerned that agency policies related to restraint and seclusion are inadequate. Which statement about the relationship of substandard institutional policies and individual nursing practice should guide nursing practice?
Correct Answer: A
Rationale: Step-by-step rationale for the correct answer (A): 1. Professional standards of nursing care are based on ethical principles and guidelines. 2. Nurses have a duty to provide safe and quality care, regardless of institutional policies. 3. Individual nurses are accountable for their actions and cannot solely rely on institutional policies. 4. Upholding professional standards ensures patient safety and ethical practice. Summary of why other choices are incorrect: - B: Agency policies are important but do not override professional standards of care. - C: Leaving the premises may not always be necessary; addressing concerns with the supervisor is a more appropriate initial step. - D: Judicial interpretation is not relevant to individual nursing practice within the institution.