ATI RN
Behavioral Health Nursing Questions
Question 1 of 5
Which assessment finding best supports dissociative fugue? The patient states
Correct Answer: A
Rationale: The correct answer is A because dissociative fugue involves sudden, unexpected travel away from home, with inability to recall one's past and personal identity. Choice A directly relates to memory loss regarding current circumstances, a hallmark feature of dissociative fugue. Choices B, C, and D do not align with the diagnostic criteria of dissociative fugue as they describe different symptoms such as feeling dreamy, experiencing internal conflict within the body, and feeling anxious, respectively.
Question 2 of 5
A patient reports fears of having cervical cancer and says to the nurse, "I've had Pap smears by six different doctors. The results were normal, but I'm sure that's because of errors in the laboratory." Which disorder would the nurse suspect?
Correct Answer: B
Rationale: The correct answer is B: Illness anxiety disorder (hypochondriasis). This is because the patient's persistent fear of having cervical cancer despite normal test results suggests excessive anxiety about their health. This disorder involves preoccupation with having a serious illness despite medical reassurance. The patient's mistrust in laboratory results indicates a belief that they are ill, even when evidence suggests otherwise. A: Conversion disorder involves neurological symptoms that cannot be explained by medical conditions. C: Somatic symptom disorder involves excessive focus on physical symptoms, not fear of a specific illness. D: Factitious disorder involves intentionally producing or feigning physical or psychological symptoms for attention or to assume the sick role.
Question 3 of 5
A nurse's neighbor says, "I saw a news story about a man without any known illness who died suddenly after his ex-wife committed suicide. Was that a coincidence, or can emotional shock be fatal?" The nurse should respond by noting that some serious medical conditions may be complicated by emotional stress, including (Select all that apply)
Correct Answer: A
Rationale: The correct answer is A: cancer. Emotional stress can impact the body's immune system, potentially worsening existing medical conditions like cancer. Stress hormones may also exacerbate inflammation and cell growth in cancer. Hip fractures, hypertension, and immune disorders are not directly affected by emotional stress in the same way as cancer. In summary, emotional stress can have a significant impact on underlying medical conditions, with cancer being particularly susceptible to worsening due to stress.
Question 4 of 5
Which assessment findings support a diagnosis of ODD?
Correct Answer: A
Rationale: The correct answer is A because the assessment findings of being negative, hostile, and blaming others for misbehavior are characteristic of Oppositional Defiant Disorder (ODD). These behaviors align with the pattern of defiance and anger seen in individuals with ODD. Choices B, C, and D do not align with the typical symptoms of ODD. Choice B describes symptoms more indicative of Tourette syndrome, choice C describes conduct disorder behaviors, and choice D is more related to anxiety or trauma rather than ODD.
Question 5 of 5
A woman said, "I can't take anymore! Last year my husband had an affair and now we don't communicate. Three months ago, I found a lump in my breast. Yesterday my daughter said she's quitting college." What is the nurse's priority assessment?
Correct Answer: D
Rationale: The correct answer is D: Clarify what the patient means by "I can't take anymore." Rationale: 1. Assessing the patient's statement helps to understand her current emotional state and concerns. 2. It allows the nurse to prioritize the patient's immediate needs and provide appropriate support. 3. Understanding the patient's perceived inability to cope can guide the nurse in addressing her distress effectively. Summary of other choices: A: Improving couple communication is important but not the priority when the patient is expressing overwhelming distress. B: Concerns about a possible mastectomy are valid but not the immediate priority compared to the patient's emotional distress. C: The husband's affair is relevant, but the patient's current emotional state and distress take precedence.