ATI RN
Behavioral Health Nursing Care Plans Questions
Question 1 of 5
The nurse is making a cultural assessment of a client. The most important data about a client’s cultural beliefs are
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A patient with psychosis became aggressive, struck another patient, and required seclusion Select the best documentation
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
The desired outcome for a patient experiencing insomnia is, 'Patient will sleep for a minimum of hours nightly within days' At the end of days, review of sleep data shows the patient sleeps an average of hours nightly and takes a -hour afternoon nap The nurse will document the outcome as:
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A nurse asks a patient, If you had fever and vomiting for 3 days, what would you do? Which aspect of the mental status examination is the nurse assessing?
Correct Answer: B
Rationale: Assessing cognition involves evaluating a patient’s judgment and decision-making abilities. This question tests the patient’s ability to reason and respond appropriately to a hypothetical health scenario. A rational response like 'Call my doctor' indicates intact cognition, while poor judgment (e.g., 'I’d wait and see') suggests impairment. Options A, C, and D assess different aspects: behavior (observable actions), affect/mood (emotional state), and perceptual disturbances (hallucinations), none of which are directly tested by this question.
Question 5 of 5
The nurse records this entry in a patients progress notes: Patient escorted to unit by ER nurse at 2130. Patients clothing was dirty. In interview room, patient sat with hands over face, sobbing softly. Did not acknowledge nurse or reply to questions. After several minutes, abruptly arose, ran to window, and pounded. Shouted repeatedly, Let me out of here. Verbal intervention unsuccessful. Order for stat dose 2 mg haloperidol PO obtained; medication administered at 2150. By 2215, patient stopped shouting and returned to sit wordlessly in chair. Patient placed on one-to-one observation. How should this documentation be evaluated?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.