ATI RN
Behavioral Health Nursing Care Plans Questions
Question 1 of 5
When is a nurse legally obligated to breach confidentiality?
Correct Answer: B
Rationale: The duty to warn a third party exists when a client threatens harm to that identifiable third party; the client's confidentiality is overridden. Answer choices A, C, and D are not situations in which confidentiality may be breached. Decisions about the duty to warn third parties usually are made by psychiatrists or by qualified mental health therapists in outpatient settings. It is not permissible for a nurse to breach confidentiality at any time a client is threatening, or becomes aggressive or violates the nurse's boundaries.
Question 2 of 5
A patient says, Please don’t share information about me with the other people. How should the nurse respond?
Correct Answer: A
Rationale: The nurse must balance patient confidentiality with the need for team communication. Option A respects the patient’s privacy while clarifying that staff collaboration is necessary for care, aligning with ethical and legal standards. Option B inaccurately suggests total secrecy, Option C delays clarity and erodes trust, and Option D blurs boundaries by suggesting a mutual problem-solving relationship.
Question 3 of 5
A nurse caring for a withdrawn, suspicious patient recognizes development of feelings of anger toward the patient. The nurse should:
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A nurse says, I am the only one who truly understands this patient. Other staff members are too critical. The nurse’s statement indicates:
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
During a one-on-one interaction with the nurse, a patient frequently looks nervously at the door. Select the best comment by the nurse regarding this nonverbal communication.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.