ATI RN
Behavioral Health Nurse Certification Questions
Question 1 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 2 of 5
After celebrating the fortieth birthday, an individual becomes concerned with the loss of youthful appearance. What type of crisis has occurred?
Correct Answer: C
Rationale: The correct answer is C: Maturational crisis. At the age of forty, individuals typically face midlife crisis, a maturational crisis triggered by aging and self-reflection. This crisis involves questioning life choices, goals, and mortality, leading to concerns about aging and appearance. Reactive crisis (A) is in response to a specific event, not age-related. Situational crisis (B) arises from external events, not internal reflections on aging. Body image crisis (D) focuses solely on appearance, neglecting broader midlife issues. Thus, C is the best choice.
Question 3 of 5
A nurse driving home after work comes upon a serious automobile accident. The driver gets out of the car with no apparent physical injuries. Which assessment findings would the nurse expect from the driver immediately after this event? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Difficulty using a cell phone. After a serious automobile accident, the driver may experience shock or disorientation, affecting fine motor skills and cognitive function. This can result in difficulty using a cell phone. Long-term memory losses (B) are not immediate post-accident symptoms. Fecal incontinence (C) is not a common immediate response to an accident. Rapid speech (D) is more likely a sign of anxiety or stress, but not necessarily an immediate effect of the accident. Therefore, the most likely finding would be difficulty using a cell phone due to shock or disorientation.
Question 4 of 5
Guidelines followed by the leader of a therapeutic group include focusing on recognizing dysfunctional behavior and thinking patterns, followed by identifying and practicing more adaptive alternate behaviors and thinking. Which theory is evident by this approach?
Correct Answer: D
Rationale: The correct answer is D: Cognitive-behavioral. This approach emphasizes the connection between thoughts, behaviors, and emotions. By focusing on recognizing dysfunctional behavior and thinking patterns and practicing more adaptive alternatives, the leader is applying cognitive restructuring and behavioral techniques, which are central to cognitive-behavioral theory. Choice A (Behavioral) focuses solely on observable behaviors without addressing thoughts. Choice B (Interpersonal) emphasizes relationships rather than cognitive restructuring. Choice C (Psychodynamic) focuses on unconscious processes and childhood experiences, not the explicit cognitive and behavioral changes seen in the given approach.
Question 5 of 5
During a support group, a patient diagnosed with schizophrenia says, "Sometimes I feel sad that I will never have a good job like my brother. Then I dwell on it and maybe I should not." Select the nurse leader's best comment to facilitate discussion of this issue.
Correct Answer: B
Rationale: The correct answer is B because it encourages sharing experiences within the group, promoting peer support and empathy. This approach validates the patient's feelings and helps them feel understood. Choice A could be seen as minimizing the patient's emotions. Choice C might suggest that feeling sad is solely due to the mental disorder. Choice D could lead to assumptions and may not address the patient's specific concerns effectively. Overall, choice B fosters a supportive and engaging environment for discussing difficult emotions.