A patient with an eating disorder has been under significant stress and works long hours. At home, the patient watches television and eats until going to bed. The patient is too tired to exercise and has gained 25 pounds in 1 month. The patient is 5 feet tall and weighs 175 pounds. A desired outcome for the patient is to recognize the anxiety that precedes binge eating and reduce it with a constructive strategy. Which intervention addresses the outcome?

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Behavioral Health Nurse Certification Questions

Question 1 of 5

A patient with an eating disorder has been under significant stress and works long hours. At home, the patient watches television and eats until going to bed. The patient is too tired to exercise and has gained 25 pounds in 1 month. The patient is 5 feet tall and weighs 175 pounds. A desired outcome for the patient is to recognize the anxiety that precedes binge eating and reduce it with a constructive strategy. Which intervention addresses the outcome?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

Which statement shows a nurse has empathy for a patient who made a suicide attempt?

Correct Answer: A

Rationale: Step 1: The correct answer is A because it directly acknowledges the patient's feelings and demonstrates understanding and empathy towards their emotional state. Step 2: By stating "You must have been very upset when you tried to hurt yourself," the nurse shows empathy by recognizing the patient's emotions without judgment. Step 3: In contrast, options B and C express sympathy or offer solutions without directly addressing the patient's feelings of distress. Step 4: Option D minimizes the seriousness of the patient's suicide attempt and lacks empathy by dismissing the patient's emotional state.

Question 3 of 5

A nurse explains to the family of a mentally ill patient how a nurse-patient relationship differs from social relationships. Which is the best explanation?

Correct Answer: A

Rationale: The correct answer is A because it highlights the therapeutic nature of the nurse-patient relationship. In this relationship, the focus is on the patient's needs and problems, with the nurse providing support and guidance. By discussing problems together and allowing the patient to implement solutions, it empowers the patient in their own care. Choice B is incorrect as it suggests a more mutual exchange of advice and implementation of solutions, which may not always be appropriate in a therapeutic setting. Choice C is incorrect because while sharing feelings is important in the nurse-patient relationship, the primary focus is not on socialization or meeting mutual needs. Choice D is incorrect as it emphasizes a partnership focused on mutual growth and satisfaction, which goes beyond the boundaries of a therapeutic nurse-patient relationship.

Question 4 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 5 of 5

One of Mrs. M's complaints is about insurance. Which of the following does the Mental Health Parity Act provide?

Correct Answer: D

Rationale: The correct answer is D because the Mental Health Parity Act ensures equal coverage for mental health disorders compared to coverage for physical health conditions. This is important for eliminating discrimination against individuals seeking mental health treatment. Choice A is incorrect because the Mental Health Parity Act does not specifically address expanding Medicaid eligibility for uninsured Americans. Choice B is incorrect because health insurance exchanges are part of the Affordable Care Act, not the Mental Health Parity Act. Choice C is incorrect because the Mental Health Parity Act does not mandate insurance coverage but rather focuses on ensuring parity in coverage for mental health conditions.

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