An adolescent hospitalized after a violent physical outburst tells the nurse, 'I’m going to kill my father, but you can’t tell anyone' Select the nurse’s best response

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Behavioral Health Nurse Certification Questions

Question 1 of 5

An adolescent hospitalized after a violent physical outburst tells the nurse, 'I’m going to kill my father, but you can’t tell anyone' Select the nurse’s best response

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

Before assessing a new patient, a nurse is told by another health care worker, 'I know that patient No matter how hard we work, there isn’t much improvement by the time of discharge' The nurse’s responsibility is to:

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

When a nurse assesses an older adult patient, answers seem vague or unrelated to the questions. The patient also leans forward and frowns, listening intently to the nurse. An appropriate question for the nurse to ask would be:

Correct Answer: A

Rationale: The patient’s behavior—leaning forward, frowning, and giving vague answers while listening intently—suggests possible hearing difficulty. Option A directly addresses this by asking about hearing, which could explain the issue and allow adjustments (e.g., speaking louder). Option B is too vague to pinpoint the problem, Option C assumes an emotional state without evidence, and Option D suggests distractions or hallucinations, which don’t fit the observed focus on the nurse.

Question 4 of 5

Which of the following are components of the assessment of thought process and content? Select one that does not apply.

Correct Answer: B

Rationale: The components of the assessment of thought process and content include content (what the client is thinking), process (how the client is thinking), clarity of ideas, self-harm, or suicide urges. Abstract thinking abilities are an element of the abnormal sensory experiences or misperception assessment.

Question 5 of 5

A patient reported to the nurse that on his way to the clinic, a policeman in a patrol car turned on his lights and pulled him over. When asked what he did next, the patient stated, 'I pulled over, of course.' Which of the following was the nurse trying to assess?

Correct Answer: A

Rationale: Judgment refers to the ability to interpret one's environment and situation correctly and to adapt one's behavior and decisions accordingly. Insight is the ability to understand the true nature of one's situation and accept some personal responsibility. Self-concept is the way one views oneself in terms of personal worth and dignity. The nurse assesses the client's ability to concentrate by asking the client to perform certain cognitive tasks. To assess a client's self-concept, the nurse can ask the client to describe himself or herself and what characteristics he or she likes and what he or she would change.

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