ATI RN
Behavioral Health Nurse Certification Questions
Question 1 of 5
A staff nurse reports an observation of a coworker injecting themselves with a syringe in the bathroom. The coworker admits to stealing narcotics from the medication room. The staff nurse should take which of the following courses of action?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Reporting the incident to the appropriate person in the chain of command is necessary to ensure patient safety and uphold professional ethics. 2. The coworker's actions pose a serious risk to patient care and safety, and immediate action is required. 3. Reporting to the supervisor allows for proper investigation, intervention, and support for the coworker. 4. Confidentiality and professionalism are maintained by following the appropriate reporting channels. Summary: A: Agreeing not to report the incident in exchange for the coworker self-reporting is not appropriate as it compromises patient safety and enables unethical behavior. C: Reporting to other RNs on the shift may not ensure proper action and escalation of the issue to the appropriate authority. D: Delaying reporting in exchange for the coworker seeking treatment does not address the immediate risk posed by their actions.
Question 2 of 5
A nurse is caring for a client who has been brought to the emergency department and is experiencing acute fentanyl toxicity. The nurse should expect to observe which of the following adverse effects in this client?
Correct Answer: D
Rationale: The correct answer is D: Pupillary dilation. In acute fentanyl toxicity, the opioid can cause miosis (pupillary constriction) initially, followed by pupillary dilation as a sign of overdose. This occurs due to the impact of opioids on the autonomic nervous system. Elevated heart rate (choice A) and hypertension (choice B) are not typical adverse effects of fentanyl toxicity; instead, bradycardia and hypotension are more common. Tachypnea (choice C) is also unlikely as opioids tend to cause respiratory depression rather than increased respiratory rate. Pupillary dilation (choice D) is the most indicative sign of acute fentanyl toxicity and should alert the nurse to the seriousness of the situation.
Question 3 of 5
A nurse is caring for an adolescent who is experiencing recurring manifestations of influenza. Which of the following phases of Selye's General Adaptation Syndrome (GAS) explains the possible cause for the adolescent's manifestations?
Correct Answer: C
Rationale: Rationale: 1. The correct answer is C: Exhaustion Phase. 2. In the Exhaustion Phase of GAS, prolonged stress depletes the body's resources, leading to increased vulnerability to illnesses like influenza. 3. Alarm Phase is the initial response to stress, not necessarily related to recurring manifestations of illness. 4. Adaptive Phase is when the body tries to adapt to stress, not directly linked to illness manifestations. 5. Resistance Phase involves coping mechanisms to maintain homeostasis, not explaining recurring illness manifestations.
Question 4 of 5
A nurse is caring for a client who has avoidant personality disorder. Which of the following types of therapy should the nurse anticipate that the client's problems arise from issues of role definition and grief and will frame solutions in interpersonal terms. This therapy is useful for those with avoidant personality disorder who seek the approval of others and fear rejection.
Correct Answer: D
Rationale: The correct answer is D: Interpersonal therapy. This therapy focuses on addressing issues related to interpersonal relationships and communication. For clients with avoidant personality disorder who fear rejection and seek approval, interpersonal therapy helps them navigate their difficulties in forming and maintaining relationships. It also addresses issues of role definition and grief, which are common challenges for individuals with this disorder. Antipsychotic medications (A) are typically used to treat psychotic disorders, not personality disorders like avoidant personality disorder. Dialectical behavior therapy (B) is more commonly used for borderline personality disorder, not avoidant personality disorder. Antidepressant medications (C) may be prescribed for individuals with avoidant personality disorder who also have comorbid depression, but they do not specifically target the interpersonal issues and fear of rejection that are core features of this disorder.
Question 5 of 5
A nurse is caring for a client who has dementia and observes that the client becomes stressed and requires assistance and monitoring when their family visits. When the family leaves the room, the client returns to baseline and the deficits are gone. Using the Functional Assessment Stage Tool, the nurse should identify that the client is in which of the following stages of Alzheimer's disease?
Correct Answer: B
Rationale: The correct answer is B: Incipient. In the incipient stage of Alzheimer's disease, individuals may still be able to function independently but exhibit subtle memory deficits. In this scenario, the client's deficits are not always present and only occur when the family visits, suggesting a situational trigger for stress. This aligns with the early stages of Alzheimer's where symptoms may fluctuate. Choices A, C, and D are incorrect because in severe, moderate, and mild stages of Alzheimer's disease, the deficits are more persistent and do not improve when triggers are removed.