ATI RN
Behavioral Health Nurse Certification Questions
Question 1 of 5
A nurse wants to enhance growth of a patient by showing positive regard. The nurse's action most likely to achieve this goal is
Correct Answer: B
Rationale: The correct answer is B because staying with a tearful patient demonstrates empathy and emotional support, fostering a therapeutic relationship that can enhance growth. This action shows the patient that their feelings are valid and valued, promoting trust and openness. Choices A, C, and D do not directly address the emotional needs of the patient or show positive regard, which is essential for growth in this context. Making rounds daily focuses on tasks, administering medication is necessary but not directly related to emotional support, and examining personal feelings about a patient is more reflective than actively showing support.
Question 2 of 5
While talking with a patient diagnosed with major depressive disorder, a nurse notices the patient is unable to maintain eye contact. The patient's chin lowers to the chest. The patient looks at the floor. Which aspect of communication has the nurse assessed?
Correct Answer: A
Rationale: The correct answer is A: Nonverbal communication. In this scenario, the patient's lack of eye contact, lowered chin, and looking at the floor all indicate nonverbal cues. Nonverbal communication plays a crucial role in conveying feelings and emotions. The patient's body language suggests feelings of sadness, low self-esteem, or discomfort, which are common in major depressive disorder. Nonverbal communication is an essential aspect of interpersonal communication and can provide valuable insights into a person's emotional state. Summary: B: A message filter - Incorrect. A message filter refers to factors that distort or block communication, such as noise or distractions. The patient's behavior does not represent filtering of messages. C: A cultural barrier - Incorrect. Cultural barriers involve differences in norms, values, or communication styles. The patient's nonverbal cues are more likely related to their emotional state rather than cultural factors. D: Social skills - Incorrect. Social skills involve the ability to interact effectively with others. The
Question 3 of 5
A patient with acute depression states, 'God is punishing me for my past sins.' What is the nurse's most therapeutic response?
Correct Answer: A
Rationale: The correct answer is A because it acknowledges the patient's feelings without judgment or disagreement, showing empathy and understanding. Option B dismisses the patient's emotions and offers unsolicited reassurance. Option C could come off as confrontational and may make the patient feel defensive. Option D assumes the patient's beliefs and may not address the underlying emotional distress.
Question 4 of 5
A nurse is caring for a patient diagnosed with bipolar disorder during the manic phase. The patient is exhibiting rapid speech, impulsivity, and racing thoughts. What is the priority nursing intervention?
Correct Answer: A
Rationale: The correct answer is A: Provide a quiet and low-stimulation environment. During the manic phase of bipolar disorder, patients often experience heightened agitation and sensory overload. Creating a calm and low-stimulation environment can help reduce the intensity of their symptoms and promote relaxation. This intervention is crucial to prevent exacerbation of manic behaviors and potential harm to the patient or others. Summary: - Choice B: Encouraging social activities may further stimulate the patient, worsening manic symptoms. - Choice C: While medication is important, creating a calming environment is the immediate priority. - Choice D: Firm limits may provoke resistance and escalate the situation, rather than de-escalate it.
Question 5 of 5
A nurse is assessing a patient diagnosed with generalized anxiety disorder. The patient reports feeling nervous and anxious most of the time. Which of the following is the priority nursing diagnosis?
Correct Answer: B
Rationale: The correct answer is B: Anxiety. Generalized anxiety disorder is characterized by excessive and persistent worry and anxiety. Addressing the patient's anxiety is the priority to promote comfort and well-being. Choice A (Risk for injury) is not the priority because there is no indication of immediate physical harm. Choice C (Ineffective coping) may be relevant but addressing the anxiety itself takes precedence. Choice D (Imbalanced nutrition) is not the priority as it does not address the patient's immediate emotional distress.