ATI RN
Behavioral Health Certification for Nurses Questions
Question 1 of 5
During an interview, a patient attempts to shift the focus from self to the nurse by asking personal questions. The nurse should respond by saying:
Correct Answer: D
Rationale: When a patient tries to focus on the nurse, the nurse should refocus the discussion back onto the patient. Telling the patient that interview time should be used to discuss patient concerns refocuses discussion in a neutral way. Telling patients not to ask about the nurse's personal life shows indignation. Saying that nurses prefer to direct the interview reflects superiority. 'Why' questions are probing and nontherapeutic.
Question 2 of 5
A nurse is assessing a patient diagnosed with schizophrenia who is experiencing delusions. The patient says, 'I am being followed by the police. They are going to arrest me.' Which is the best nursing response?
Correct Answer: B
Rationale: In this scenario, the best nursing response is option B: "I understand that you are feeling fearful, but I don't see anyone following you." This response demonstrates empathy towards the patient's feelings of fear without validating the delusion. It acknowledges the patient's emotions while providing a reality-based perspective in a non-confrontational manner. Option A is incorrect because it directly denies the patient's delusion, which can lead to increased distress and potential breakdown of trust between the nurse and patient. Option C is a good response as well, but it does not address the patient's immediate emotional state or provide reassurance. Option D is inappropriate as it dismisses the patient's concerns and fails to address the underlying issue. In an educational context, nurses must learn to effectively communicate with patients experiencing delusions in a way that shows empathy, maintains therapeutic rapport, and gently guides the patient towards a shared understanding of reality. This approach is crucial in providing holistic care for individuals with mental health disorders and promoting a trusting nurse-patient relationship.
Question 3 of 5
A nurse is working with a patient diagnosed with generalized anxiety disorder. The patient reports excessive worry about work, family, and health. Which nursing diagnosis is most appropriate for this patient?
Correct Answer: B
Rationale: In this scenario, the most appropriate nursing diagnosis for a patient with generalized anxiety disorder who reports excessive worry about work, family, and health is option B) Anxiety. The rationale behind selecting "Anxiety" as the correct nursing diagnosis is that generalized anxiety disorder is characterized by excessive and uncontrollable worry about various aspects of life. Anxiety is a fundamental component of this disorder, and addressing it directly is crucial in providing effective nursing care. Option A) Ineffective coping may seem plausible, but it is not as specific to the primary symptom of anxiety that the patient is experiencing. While ineffective coping may be a secondary concern, the primary focus should be on addressing the anxiety itself. Option C) Disturbed thought processes is not the most appropriate nursing diagnosis for this patient as the primary issue lies in the emotional domain of anxiety rather than cognitive disturbances. Option D) Imbalanced nutrition: Less than body requirements is not relevant to the symptoms presented by the patient in the scenario and is not a priority compared to addressing the patient's anxiety. In an educational context, understanding the nuances of different nursing diagnoses is essential for providing accurate and effective care to patients. By selecting the most appropriate diagnosis, nurses can tailor their interventions to target the underlying issue, leading to improved patient outcomes and quality of care.
Question 4 of 5
A nurse assesses an older adult patient brought to the emergency department by a family member. The patient was wandering outside saying, 'I can't find my way home.' The patient is confused and unable to answer questions. Select the nurse's best action.
Correct Answer: D
Rationale: When the patient (primary source) is unable to provide information, secondary sources should be used, in this case, the family member. Later, more data may be obtained from other information sources familiar with the patient. An advanced practice nurse is not needed for this assessment; it is within the scope of practice of the staff nurse. Calling a mental health advocate is unnecessary.
Question 5 of 5
A nurse is caring for a patient diagnosed with schizophrenia. The patient is exhibiting negative symptoms, such as lack of motivation and limited speech. Which of the following is an appropriate intervention?
Correct Answer: B
Rationale: In caring for a patient with schizophrenia exhibiting negative symptoms like lack of motivation and limited speech, providing the patient with a structured routine and encouraging participation in small tasks (Option B) is the most appropriate intervention. This approach helps establish predictability and consistency, which can be comforting and motivating for the patient. It also breaks tasks into manageable steps, facilitating engagement without overwhelming the patient. Option A is not the best choice as patients with negative symptoms may find social activities and discussing feelings challenging due to their limited speech and lack of motivation. Option C, allowing the patient to rest completely, may reinforce isolation and worsen symptoms. Option D, telling the patient to try harder, can be demotivating and increase feelings of frustration and inadequacy. In an educational context, understanding the nuances of symptom management in schizophrenia is crucial for nurses working in behavioral health. By choosing the most appropriate intervention based on the patient's symptoms, nurses can promote a therapeutic environment that supports the patient's well-being and recovery.