ATI RN
Behavioral Health Nursing Care Plans Questions
Question 1 of 5
A patient with psychosis became aggressive, struck another patient, and required seclusion Select the best documentation
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A nurse asks a patient, If you had fever and vomiting for 3 days, what would you do? Which aspect of the mental status examination is the nurse assessing?
Correct Answer: B
Rationale: Assessing cognition involves evaluating a patient’s judgment and decision-making abilities. This question tests the patient’s ability to reason and respond appropriately to a hypothetical health scenario. A rational response like 'Call my doctor' indicates intact cognition, while poor judgment (e.g., 'I’d wait and see') suggests impairment. Options A, C, and D assess different aspects: behavior (observable actions), affect/mood (emotional state), and perceptual disturbances (hallucinations), none of which are directly tested by this question.
Question 3 of 5
The nurse records this entry in a patients progress notes: Patient escorted to unit by ER nurse at 2130. Patients clothing was dirty. In interview room, patient sat with hands over face, sobbing softly. Did not acknowledge nurse or reply to questions. After several minutes, abruptly arose, ran to window, and pounded. Shouted repeatedly, Let me out of here. Verbal intervention unsuccessful. Order for stat dose 2 mg haloperidol PO obtained; medication administered at 2150. By 2215, patient stopped shouting and returned to sit wordlessly in chair. Patient placed on one-to-one observation. How should this documentation be evaluated?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
The patient states that he is 14 trillion years old and created the world. The nurse documents this statement as an example of which type of thinking displayed by the patient?
Correct Answer: A
Rationale: A delusion is a fixed false belief not based in reality. Ideas of reference are client's inaccurate interpretation that general events are personally directed to him or her, such as hearing a speech on the news and believing the message had personal meaning. Word salad is flow of unconnected words that convey no meaning to the listener. Hallucinations are false sensory perceptions or perceptual experiences that do not really exist.
Question 5 of 5
A nurse assesses that a depressed patient is lethargic during the day and does not actively participate in unit activities. The notes from the night shift document that the patient did not sleep well. The most probable interpretation of these data is
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.