ATI RN
Adult Behavioral Health Nursing Questions
Question 1 of 5
Inpatient hospitalization for persons with mental illness is generally reserved for patients who:
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A community mental health nurse has worked for months to establish a relationship with a delusional, suspicious patient. The patient recently lost employment and could no longer afford prescribed medications. The patient says, Only a traitor would make me go to the hospital. Select the nurses best initial intervention.
Correct Answer: A
Rationale: Hospitalization may damage the nurse-patient relationship, even if it provides an opportunity for rapid stabilization. If medication is restarted, the patient may possibly be stabilized in the home setting, even if it takes a little longer. Programs are available to help patients who are unable to afford their medications. A homeless shelter is inappropriate and unnecessary. Hospitalization may be necessary later, but a less restrictive solution should be tried first, since the patient is not dangerous. A yes/no question is non-therapeutic communication.
Question 3 of 5
Which statements by patients diagnosed with a serious mental illness best demonstrate that the case manager has established an effective long-term relationship? My case manager: (Select one that does not apply.)
Correct Answer: C
Rationale: Each correct answer is an example of appropriate nursing foci: communicating at a level understandable to the patient, providing medication supervision, and using holistic principles to guide care. The distracters violate relationship boundaries or suggest a laissez faire attitude on the part of the nurse.
Question 4 of 5
The sibling of an Asian American patient tells the nurse,My sister needs help for pain. She cries from the hurt. Which understanding by the nurse will contribute to culturally competent care for this patient? Persons of an Asian American heritage:
Correct Answer: A
Rationale: Asian Americans commonly express psychological distress as a physical problem. The patient may believe psychological problems are caused by a physical imbalance. Treatment will likely be short. The patient will probably respond best to a therapist who is perceived as giving. Asian Americans usually have strong family ties and value hope more than truth.
Question 5 of 5
A psychoeducational session will discuss medication management for a culturally diverse group of patients Group participants are predominantly members of minority cultures. Of the four staff nurses below,which nurse should lead this group?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.