ATI RN
Behavioral Health Nurse Certification Questions
Question 1 of 5
A nurse says, "I am the only one who truly understands this patient. Other staff members are too critical." The nurse's statement indicates
Correct Answer: A
Rationale: The correct answer is A: boundary blurring. The nurse's statement suggests an inappropriate over-involvement with the patient, blurring the professional boundaries. This can lead to biased judgment and hinder collaboration with other staff members. Choice B, sexual harassment, is incorrect as there is no indication of any inappropriate sexual behavior. Choice C, positive regard, is incorrect as the nurse's statement reflects a sense of superiority rather than genuine positive regard. Choice D, advocacy, is incorrect as the nurse's behavior does not align with advocating for the patient's best interests but rather focuses on personal attachment.
Question 2 of 5
According to Freud, which aspect of the personality motivates an individual to seek perfection?
Correct Answer: C
Rationale: According to Freud, the superego is responsible for motivating an individual to seek perfection as it represents the internalized moral standards and ideals of society. It acts as the judge and enforcer of morality, pushing individuals to fulfill societal expectations and strive for perfection. The id, on the other hand, is driven by primal instincts and desires, seeking immediate gratification. The ego balances the demands of the id, superego, and reality. Choosing 'C: Superego' is correct as it aligns with Freud's theory of personality structure and the role of the superego in driving individuals towards perfection.
Question 3 of 5
Which most accurately describes a patient-centered medical home?
Correct Answer: A
Rationale: The correct answer is A. A patient-centered medical home is a model of healthcare delivery where all levels of mental and physical care are addressed by a team that coordinates with the broader health system. This approach emphasizes patient engagement, care coordination, and proactive management of health. Choice B is incorrect because it describes a more comprehensive healthcare system rather than specifically focusing on a patient-centered medical home. Choice C is incorrect because psychiatric services in the home do not encompass the full scope of care provided in a patient-centered medical home. Choice D is incorrect because it describes a multidisciplinary team working with patients in various settings, which is not exclusive to the patient-centered medical home model.
Question 4 of 5
A nurse is caring for a client who is experiencing excessive anxiety and worry in response to a variety of circumstances, and is unable to control their sense of worry. The nurse should identify that these manifestations indicate which of the following?
Correct Answer: D
Rationale: The correct answer is D: Generalized anxiety disorder. This is because the client is experiencing excessive anxiety and worry in response to various situations, along with difficulty controlling their worry. Generalized anxiety disorder is characterized by excessive and persistent worry about multiple events or activities. Panic disorder (choice A) involves sudden and intense episodes of fear or panic. Agoraphobia (choice B) involves fear or avoidance of situations where escape might be difficult. Separation anxiety disorder (choice C) is typically seen in children and involves excessive distress when separated from attachment figures.
Question 5 of 5
A staff nurse reports an observation of a coworker injecting themselves with a syringe in the bathroom. The coworker admits to stealing narcotics from the medication room. The staff nurse should take which of the following courses of action?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Reporting the incident to the appropriate person in the chain of command is necessary to ensure patient safety and uphold professional ethics. 2. The coworker's actions pose a serious risk to patient care and safety, and immediate action is required. 3. Reporting to the supervisor allows for proper investigation, intervention, and support for the coworker. 4. Confidentiality and professionalism are maintained by following the appropriate reporting channels. Summary: A: Agreeing not to report the incident in exchange for the coworker self-reporting is not appropriate as it compromises patient safety and enables unethical behavior. C: Reporting to other RNs on the shift may not ensure proper action and escalation of the issue to the appropriate authority. D: Delaying reporting in exchange for the coworker seeking treatment does not address the immediate risk posed by their actions.