ATI RN
Behavioral Health Nurse Certification Questions
Question 1 of 5
One of Mrs. M's complaints is about insurance. Which of the following does the Mental Health Parity Act provide?
Correct Answer: D
Rationale: The correct answer is D because the Mental Health Parity Act ensures equal coverage for mental health disorders compared to coverage for physical health conditions. This is important for eliminating discrimination against individuals seeking mental health treatment. Choice A is incorrect because the Mental Health Parity Act does not specifically address expanding Medicaid eligibility for uninsured Americans. Choice B is incorrect because health insurance exchanges are part of the Affordable Care Act, not the Mental Health Parity Act. Choice C is incorrect because the Mental Health Parity Act does not mandate insurance coverage but rather focuses on ensuring parity in coverage for mental health conditions.
Question 2 of 5
Which most accurately describes a patient-centered medical home?
Correct Answer: A
Rationale: The correct answer is A. A patient-centered medical home is a model of healthcare delivery where all levels of mental and physical care are addressed by a team that coordinates with the broader health system. This approach emphasizes patient engagement, care coordination, and proactive management of health. Choice B is incorrect because it describes a more comprehensive healthcare system rather than specifically focusing on a patient-centered medical home. Choice C is incorrect because psychiatric services in the home do not encompass the full scope of care provided in a patient-centered medical home. Choice D is incorrect because it describes a multidisciplinary team working with patients in various settings, which is not exclusive to the patient-centered medical home model.
Question 3 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 4 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 5 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.