ATI RN
Behavioral Health Nurse Certification Questions
Question 1 of 5
According to Freud, which aspect of the personality motivates an individual to seek perfection?
Correct Answer: C
Rationale: According to Freud, the superego is responsible for motivating an individual to seek perfection as it represents the internalized moral standards and ideals of society. It acts as the judge and enforcer of morality, pushing individuals to fulfill societal expectations and strive for perfection. The id, on the other hand, is driven by primal instincts and desires, seeking immediate gratification. The ego balances the demands of the id, superego, and reality. Choosing 'C: Superego' is correct as it aligns with Freud's theory of personality structure and the role of the superego in driving individuals towards perfection.
Question 2 of 5
A nurse is caring for a client who is experiencing excessive anxiety and worry in response to a variety of circumstances, and is unable to control their sense of worry. The nurse should identify that these manifestations indicate which of the following?
Correct Answer: D
Rationale: The correct answer is D: Generalized anxiety disorder. This is because the client is experiencing excessive anxiety and worry in response to various situations, along with difficulty controlling their worry. Generalized anxiety disorder is characterized by excessive and persistent worry about multiple events or activities. Panic disorder (choice A) involves sudden and intense episodes of fear or panic. Agoraphobia (choice B) involves fear or avoidance of situations where escape might be difficult. Separation anxiety disorder (choice C) is typically seen in children and involves excessive distress when separated from attachment figures.
Question 3 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 4 of 5
A nurse is providing care to an older adult client. Which of the following screening tools should the nurse use to gather data for the client?
Correct Answer: B
Rationale: The correct answer is B: Patient Health Questionnaire-9 (PHQ-9). This tool is specifically designed to screen for depression in older adults. The PHQ-9 is validated and widely used in clinical settings to assess depressive symptoms. It is essential to use a screening tool tailored to the client's age group to ensure accurate results. The other choices are incorrect because: A: The Gerontological Personality Disorder Scale (GPS) is not a standard screening tool for older adults and focuses on personality disorders, not depression. C: Denver II Developmental Screening is used to assess developmental milestones in children, not appropriate for older adults. D: The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) is a diagnostic manual used by mental health professionals to classify mental disorders, not a screening tool for gathering data on depressive symptoms in older adults.
Question 5 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.