ATI RN
Behavioral Health Certification for Nurses Questions
Question 1 of 5
A patient diagnosed with schizophrenia lives in the community. On a home visit, the community psychiatric nurse case manager learns that the patient: wants to attend an activity group at the mental health outreach center, is worried about being able to pay for the therapy, does not know how to get from home to the outreach center, has an appointment to have blood work at the same time an activity group meets, wants to attend services at a church that is a half-mile from the patients home. Which tasks are part of the role of a community mental health nurse?Select one that does not apply.
Correct Answer: D
Rationale: The correct answers reflect the coordinating role of the community psychiatric nurse case manager. Negotiating the cost of therapy and accompanying the patient to church services are interventions the nurse would not be expected to undertake. The patient can walk to the church services; the nurse can provide encouragement.
Question 2 of 5
A white patient of German descent rocks back and forth,grimaces and rubs both temples. What is the nurses best action?
Correct Answer: D
Rationale: This patient of German descent would hold a Western worldview and be stoic about pain. This patient will keep pain as silent as possible and be reluctant to disclose pain unless the nurse actively assesses for it. The patients nonverbal communication suggests pain rather than EPS. The patient would probably not respond positively to prayer or the nurses rocking behavior.
Question 3 of 5
Which of the following behaviors by the nurse demonstrate positive regard?Select one that does not apply.
Correct Answer: A
Rationale: Calling the client by name, spending time with the client, and listening and responding openly are measures by which the nurse conveys respect and positive regard to the client. The nurse also conveys positive regard by considering the client's ideas and preferences when planning care. The nurse maintains attention on the client and avoids communicating negative opinions or value judgments about the client's behavior.
Question 4 of 5
Which one of the following statements about the nurse and ethnocentrism is true?
Correct Answer: A
Rationale: Nurses as people may inwardly view their own culture as superior to others. Ethnocentrism is not uncommon especially when the person has no experience with any culture other than his or her own. It is neither a desirable trait nor an undesirable trait. Nurses must examine their ethnocentrism, and think of their own attitudes and beliefs.
Question 5 of 5
A patient being discharged appears angry with the nurse when the nurse attempts to review discharge instructions with the patient. The nurse can best assist the patient in this stage of the relationship with which of the following responses?
Correct Answer: C
Rationale: Both nurse and client usually have feelings about ending the relationship; the client especially may feel the termination as an impending loss. Often clients try to avoid termination by acting angry or as if the problem has not been resolved. The nurse can acknowledge the client's angry feelings and assure the client that this response is normal to ending a relationship. If the client tries to reopen and discuss old resolved issues, the nurse should identify the client's stalling maneuvers and refocus the client on newly learned behaviors and skills to handle the problem.