ATI RN
Behavioral Nursing Questions
Question 1 of 5
When a new patient is hospitalized, a nurse takes the patient on a tour, explains rules of the unit, and discusses the daily schedule. The nurse is engaged in:
Correct Answer: C
Rationale: Milieu management involves creating a safe, therapeutic environment, which includes orienting the patient to the unit, rules, and schedule (Option C). Counseling (Option A) focuses on problem-solving, health teaching (Option B) provides education on health topics, and psychobiological intervention (Option D) involves medication management—none align with the described actions.
Question 2 of 5
Which of the following questions is best to ask when assessing the client's judgment?
Correct Answer: B
Rationale: Judgment refers to the ability to interpret one's environment and situation correctly and to adapt one's own behavior and decisions accordingly. This question will elicit information about the client's problem-solving and decision-making abilities. The other choices do not assess the concept of judgment.
Question 3 of 5
During the admission assessment, the nurse asks the client, 'How are you feeling?' The client responds, 'I was able to purchase gas for 7 cents a gallon less than yesterday, which saved me a total of 84 cents. My car has a 12-gallon gas tank. Usually I am able to put in 11.7 gallons. I am very happy to have saved so much money.' The nurse recognizes this response as which of the following?
Correct Answer: A
Rationale: With circumstantial thinking, the client eventually answers a question but only after giving excessive unnecessary detail. Echolalia is repetition or imitation of what someone else says. Flight of ideas is excessive amount and rate of speech composed of fragmented or unrelated ideas. Neologisms are invented words that have meaning only for the client.
Question 4 of 5
An adolescent on the unit is argumentative with staff and peers. The nurse tells the adolescent, 'Arguing is not allowed. One more word and you will have to stay in your room the rest of the day.' The nurse's directive is
Correct Answer: A
Rationale: Clients have the right to treatment in the least restrictive environment appropriate to meet their needs. It means that a client does not have to be hospitalized if he or she can be treated in an outpatient setting or in a group home. It also means that the client must be free of restraint or seclusion unless it is necessary. Verbal and behavioral techniques should be instituted before physical measures such as sedation, restraint, or seclusion.
Question 5 of 5
A nurse is questioning whether it is ethical to seclude a client because of loud and intrusive behavior on the unit. What is the ethical principle that will best guide the decision on appropriate use of seclusion?
Correct Answer: A
Rationale: Autonomy refers to the person's right to self-determination and independence. Beneficence refers to one's duty to benefit or to promote good for others. Justice refers to fairness, that is, treating all people fairly and equally without regard for social or economic status, race, sex, marital status, religion, ethnicity, or cultural beliefs. Veracity is the duty to be honest or truthful.