ATI RN
Behavioral Nursing Questions Questions
Question 1 of 5
The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) classifies:
Correct Answer: D
Rationale: The DSM-5 classifies disorders people have rather than people themselves. The terminology of the tool reflects this distinction by referring to individuals with a disorder rather than as a schizophrenic or alcoholic, for example. Deviant behavior is not generally considered a mental disorder. Present disability or distress is only one aspect of the diagnosis.
Question 2 of 5
Which principle has the highest priority when addressing a behavioral crisis in an inpatient setting?
Correct Answer: A
Rationale: In an inpatient setting, when addressing a behavioral crisis, the principle of resolving the crisis with the least restrictive intervention possible (Option A) holds the highest priority. This approach is rooted in the ethical concept of beneficence, ensuring that the individual's autonomy and dignity are respected while promoting safety and well-being. Option B is incorrect as swift interventions, while sometimes necessary, may not always align with the least restrictive approach and can escalate the situation. This option does not prioritize the individual's rights and autonomy. Option C is also incorrect as it goes against the ethical principle of respect for autonomy. Individual rights should not be superseded by the majority, as each patient's well-being and rights are equally important. Option D is incorrect because waiting for the patient to regain control without intervention can potentially compromise the safety of others in the inpatient setting. It is essential to prioritize safety while also respecting the individual's autonomy. Educationally, understanding the principles of behavioral crisis management in nursing is crucial for providing safe and effective care. Emphasizing least restrictive interventions honors the dignity and autonomy of patients while maintaining a therapeutic environment. By prioritizing this principle, nurses can navigate behavioral crises ethically and professionally.
Question 3 of 5
The case manager plans to discuss the treatment plan with a patients family. Select the case managers first action.
Correct Answer: C
Rationale: In this scenario, the correct first action for the case manager to take is option C: Obtain the patient's permission for the exchange of information. This is the most critical step as it respects the patient's autonomy and rights to privacy and confidentiality. In healthcare settings, patient confidentiality is of utmost importance, and any sharing of information with family members should only be done with the explicit consent of the patient. By obtaining the patient's permission first, the case manager ensures that they are acting ethically and in accordance with legal and professional standards. Option A, determining an appropriate location for the conference, is not the priority in this situation. While setting can be important for privacy and comfort, it is secondary to obtaining the patient's consent. Option B, supporting the discussion with examples of the patient's behavior, may be relevant during the meeting but should not be the first action taken. It is important to establish consent before sharing any patient information. Option D, determining which family members should participate in the conference, is premature without first obtaining the patient's permission. Patient autonomy and privacy should be respected before involving family members in discussions about treatment plans. In an educational context, it is crucial for healthcare professionals to understand and prioritize patient confidentiality and consent. This case highlights the significance of ethical decision-making and the legal obligations that come with sharing patient information with family members. By prioritizing obtaining the patient's permission, healthcare professionals can uphold ethical standards and build trust with their patients.
Question 4 of 5
A nurse can best address factors of critical importance to successful community treatment by including making assessments relative to: (Select one that does not apply.)
Correct Answer: D
Rationale: Early psychosocial developmental history is less relevant to successful outcomes in the community than the assessments listed in the other options. If a patient is homeless or fears homelessness, focusing on other treatment issues is impossible. Sufficient income for basic needs and medication is necessary. Adequate support is a requisite to community placement. Substance abuse undermines medication effectiveness and interferes with community adjustment.
Question 5 of 5
A Haitian patient diagnosed with depression tells the nurse,There's nothing you can do. This is a punishment. The only thing I can do is see a healer. The culturally aware nurse assesses that the patient:
Correct Answer: C
Rationale: Individuals of African American or Caribbean cultures who have a fatalistic attitude about illness may believe they are being punished for wrongdoing or are victims of witchcraft or voodoo. They may be reticent to share information about curses with therapists. No data are present in the scenario to support delusions. Misdiagnosis more often labels a patient with depression as having schizophrenia.