ATI RN
Behavioral Health Nurse Certification Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A nurse is caring for a client who has dementia and observes that the client becomes stressed and requires assistance and monitoring when their family visits. When the family leaves the room, the client returns to baseline and the deficits are gone. Using the Functional Assessment Stage Tool, the nurse should identify that the client is in which of the following stages of Alzheimer's disease?
Correct Answer: B
Rationale: The correct answer is B: Incipient. In the incipient stage of Alzheimer's disease, individuals may still be able to function independently but exhibit subtle memory deficits. In this scenario, the client's deficits are not always present and only occur when the family visits, suggesting a situational trigger for stress. This aligns with the early stages of Alzheimer's where symptoms may fluctuate. Choices A, C, and D are incorrect because in severe, moderate, and mild stages of Alzheimer's disease, the deficits are more persistent and do not improve when triggers are removed.
Question 5 of 5
Which scenario is an example of a tort?
Correct Answer: D
Rationale: The correct answer is D because giving an as-needed dose of an antipsychotic drug without proper assessment or authorization can be considered a tort, specifically the tort of battery. This is because the nurse is administering medication without consent, which violates the patient's right to autonomy and bodily integrity. It can also result in harm or adverse effects to the patient. Choice A is not a tort as it relates to a delay in completing a plan of care, which may be a violation of hospital policies but not a legal tort. Choice B involves appropriate care and assessment based on the patient's history and symptoms, so it is not a tort. Choice C is related to changes in patient status based on improvement in symptoms, which is not a tort as long as it is done following proper protocols and procedures.