ATI RN
Behavioral Health Nurse Certification Questions
Question 1 of 5
Which assessment data would help the health care team distinguish symptoms of conversion (functional neurological) disorder from symptoms of illness anxiety disorder (hypochondriasis)?
Correct Answer: B
Rationale: Rationale: - Choice B is correct as the style of presentation can help differentiate between conversion disorder (physical symptoms unconsciously manifested) and illness anxiety disorder (excessive health concerns). - Choice A (voluntary control) is incorrect as both conditions involve involuntary symptoms. - Choice C (diagnostic testing) is not definitive for differentiation as both disorders can have normal test results. - Choice D (secondary gains) is not specific to differentiating symptoms but rather focuses on potential motivations.
Question 2 of 5
Which assessment findings suggest the possibility of a factitious disorder, imposed on self-type? (Select all that apply.)
Correct Answer: A
Rationale: Rationale: Choice A is correct as it indicates a pattern of multiple hospitalizations without any physical illness findings, which aligns with factitious disorder imposed on self. This behavior is characterized by feigning or inducing symptoms to assume the sick role. Choices B, C, and D are incorrect because they are more indicative of malingering, seeking secondary gains, or seeking attention, rather than factitious disorder.
Question 3 of 5
An adolescent diagnosed with CD has aggression, impulsivity, hyperactivity, and mood symptoms. The treatment team believes this adolescent may benefit from medication. The nurse anticipates the health care provider will prescribe which type of medication?
Correct Answer: A
Rationale: The correct answer is A: Second-generation antipsychotic. For an adolescent with CD exhibiting aggression, impulsivity, hyperactivity, and mood symptoms, second-generation antipsychotics are often prescribed due to their efficacy in managing these symptoms. These medications target multiple symptom domains commonly seen in CD, including aggression and mood dysregulation. Other choices such as antianxiety medication (B), calcium channel blocker (C), and β-blocker (D) are not typically indicated for the core symptoms of CD and may not address the specific symptoms presented in this case.
Question 4 of 5
While conducting the initial interview with a patient in crisis, the nurse should
Correct Answer: A
Rationale: The correct answer is A because speaking in short, concise sentences helps the patient focus and process information effectively during a crisis. It allows for clear communication and reduces confusion. Choice B is incorrect as conveying urgency may escalate the patient's distress. Choice C is incorrect as time limits can add pressure and hinder trust-building. Choice D is incorrect as it may create a power dynamic that can be intimidating for the patient.
Question 5 of 5
After celebrating the fortieth birthday, an individual becomes concerned with the loss of youthful appearance. What type of crisis has occurred?
Correct Answer: C
Rationale: The correct answer is C: Maturational crisis. At the age of forty, individuals typically face midlife crisis, a maturational crisis triggered by aging and self-reflection. This crisis involves questioning life choices, goals, and mortality, leading to concerns about aging and appearance. Reactive crisis (A) is in response to a specific event, not age-related. Situational crisis (B) arises from external events, not internal reflections on aging. Body image crisis (D) focuses solely on appearance, neglecting broader midlife issues. Thus, C is the best choice.