ATI RN
Behavioral Health Nursing Care Plans Questions
Question 1 of 5
A patient discloses several concerns and associated feelings. If the nurse wants to seek clarification, which comment would be appropriate?
Correct Answer: C
Rationale: Asking, 'Am I correct in understanding that "¦' permits clarification to ensure that both the nurse and patient share mutual understanding of the communication. Asking about common elements encourages comparison rather than clarification. The remaining responses are implied questions that suggest the nurse was not listening.
Question 2 of 5
A nurse is working with a patient diagnosed with schizophrenia who is experiencing disorganized thinking. Which of the following is an example of disorganized thinking?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A nurse is caring for a patient diagnosed with major depressive disorder. The patient states, 'I have no hope for the future. I can't see any way out of this.' What is the priority nursing intervention?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A nurse is assessing a patient diagnosed with schizophrenia who is exhibiting disorganized speech. The patient states, 'I want to eat a chicken sandwich but the moon is yellow and all the words are backwards.' What is the most appropriate nursing intervention?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
Documentation in a patient's chart shows, 'Throughout a 5-minute interaction, patient fidgeted and tapped left foot, periodically covered face with hands, and looked under chair while stating, 'I enjoy spending time with you.' Which analysis is most accurate?
Correct Answer: C
Rationale: When a verbal message is not reinforced with nonverbal behavior, the message is confusing and incongruent. It is inaccurate to say that the patient is giving positive feedback about the nurse's communication techniques. The concept of a cultural filter is not relevant to the situation because a cultural filter determines what we will pay attention to and what we will ignore. Data are insufficient to draw the conclusion that the patient is demonstrating psychotic behaviors.