ATI RN
Behavioral Health Nurse Certification Questions
Question 1 of 5
A soldier in a combat zone tells the nurse, "I saw a child get blown up over a year ago, and I still keep seeing bits of flesh everywhere. I see something red, and the visions race back to my mind." Which phenomenon associated with PTSD is the soldier describing?
Correct Answer: A
Rationale: The correct answer is A: Reexperiencing. The soldier's description aligns with the reexperiencing symptom of PTSD, where traumatic memories intrude into consciousness causing distress. This is evident as the soldier vividly recalls the traumatic event and experiences flashbacks triggered by red objects. Hyperarousal (B) involves heightened sensitivity to potential threats, not the vivid recall of traumatic events. Avoidance (C) refers to efforts to avoid reminders of the trauma, which is not the case here. Psychosis (D) involves a loss of touch with reality, such as hallucinations or delusions, which are not described in the scenario. In summary, the soldier's experience of intrusive memories and flashbacks corresponds to the reexperiencing symptom of PTSD.
Question 2 of 5
Which comment by a patient who recently experienced a myocardial infarction indicates use of maladaptive, ineffective coping strategies?
Correct Answer: A
Rationale: The correct answer is A because the statement reflects a sense of entitlement or external locus of control, indicating maladaptive coping. The patient is placing blame on the employer instead of taking personal responsibility. Choice B shows reliance on family support, a healthy coping mechanism. Choice C demonstrates acceptance of the situation and willingness to make positive lifestyle changes. Choice D reflects acknowledgment of the condition and a decision-making process, which are adaptive coping strategies.
Question 3 of 5
Which assessment findings suggest the possibility of a factitious disorder, imposed on self-type? (Select all that apply.)
Correct Answer: A
Rationale: Rationale: Choice A is correct as it indicates a pattern of multiple hospitalizations without any physical illness findings, which aligns with factitious disorder imposed on self. This behavior is characterized by feigning or inducing symptoms to assume the sick role. Choices B, C, and D are incorrect because they are more indicative of malingering, seeking secondary gains, or seeking attention, rather than factitious disorder.
Question 4 of 5
An adolescent diagnosed with CD has aggression, impulsivity, hyperactivity, and mood symptoms. The treatment team believes this adolescent may benefit from medication. The nurse anticipates the health care provider will prescribe which type of medication?
Correct Answer: A
Rationale: The correct answer is A: Second-generation antipsychotic. For an adolescent with CD exhibiting aggression, impulsivity, hyperactivity, and mood symptoms, second-generation antipsychotics are often prescribed due to their efficacy in managing these symptoms. These medications target multiple symptom domains commonly seen in CD, including aggression and mood dysregulation. Other choices such as antianxiety medication (B), calcium channel blocker (C), and β-blocker (D) are not typically indicated for the core symptoms of CD and may not address the specific symptoms presented in this case.
Question 5 of 5
While conducting the initial interview with a patient in crisis, the nurse should
Correct Answer: A
Rationale: The correct answer is A because speaking in short, concise sentences helps the patient focus and process information effectively during a crisis. It allows for clear communication and reduces confusion. Choice B is incorrect as conveying urgency may escalate the patient's distress. Choice C is incorrect as time limits can add pressure and hinder trust-building. Choice D is incorrect as it may create a power dynamic that can be intimidating for the patient.