ATI RN
Behavioral Health Nursing Care Plans Questions
Question 1 of 5
Which assessment question could a nurse ask to help identify secondary gains associated with a somatic symptom disorder?
Correct Answer: A
Rationale: Secondary gains should be assessed. Secondary gains reinforce maladaptive behavior. The patient's dependency needs may be evident through losses of abilities. When secondary gains are prominent, the patient is more resistant to giving up the symptom. There may be a history of abuse or doctor shopping, but the question does not assess the associated gains.
Question 2 of 5
A patient is seen in the clinic for superficial cuts on both wrists. Initially the patient paces and sobs but after a few minutes, the patient is calmer. The nurse attempts to determine the patient's perception of the precipitating event by asking:
Correct Answer: D
Rationale: A clear definition of the immediate problem provides the best opportunity to find a solution. Asking about recent upsetting events facilitates assessment of the precipitating event. The patient is unlikely to be able to articulate what interventions will increase feelings of comfort. "Why" questions are nontherapeutic.
Question 3 of 5
Which communication technique will the nurse use more in crisis intervention than traditional counseling?
Correct Answer: B
Rationale: The nurse working in crisis intervention must be creative and flexible in looking at the patient's situation and suggesting possible solutions to the patient. Giving direction is part of the active role a crisis intervention therapist takes. The other options are used equally in crisis intervention and traditional counseling roles.
Question 4 of 5
A troubled adolescent pulled out a gun in a school cafeteria, fatally shot three people and injured many others. Hundreds of parents come to the school after hearing news reports. After police arrest the shooter, which action should occur next?
Correct Answer: D
Rationale: Chaos is likely among students and desperate parents. A directive approach is best. Once the scene is secure, creative solutions are needed. Creating zones by letters of the alphabet will assist anxious parents and their children to unite. Preventing parents from uniting with their children will further incite the situation.
Question 5 of 5
A nurse at the well child clinic realizes that many parents have misconceptions about effective ways of disciplining their children. The nurse decides to form a group to address this problem. What should be the focus of the group?
Correct Answer: C
Rationale: In this scenario, the correct focus for the group formed by the nurse should be health education (Option C). This choice is the most appropriate because the issue at hand involves parents having misconceptions about effective ways of disciplining their children. By providing health education, the nurse can offer evidence-based information and strategies to help parents understand and implement positive discipline techniques, which are essential for promoting children's behavioral health and development. Support (Option A) could be beneficial to the group, but it may not directly address the need for correcting misconceptions about disciplining children. Socialization (Option B) focuses on interaction and learning from others, which is valuable but not the primary need in this context. Symptom management (Option D) is more relevant to treating existing conditions rather than preventing behavioral issues through effective discipline practices. In an educational context, it is crucial for nurses and healthcare professionals to provide accurate information and guidance to empower parents in promoting their children's well-being. By offering health education on appropriate discipline strategies, the nurse can make a positive impact on the children's behavioral health outcomes and support the overall health of families in the community.