ATI RN
Behavioral Nursing Questions Questions
Question 1 of 5
Which entry in the medical record best meets the requirement for problem-oriented charting?
Correct Answer: B
Rationale: The correct answer is option B because it follows the SOAP (Subjective, Objective, Assessment, Plan) format, which is a standard for problem-oriented charting in healthcare. In this entry, the subjective component (S) includes the patient's self-report of feeling ready to blow up, the objective component (O) describes the observed behavior of pacing and mumbling, the assessment (A) identifies auditory hallucinations, and the plan (P) outlines the intervention given (haloperidol) and its effect. Option A is incorrect because it lacks a clear assessment and plan section, providing more of a narrative than a problem-oriented entry. Option C is vague and does not clearly delineate the components of SOAP. Option D is also incorrect as it does not clearly separate the subjective, objective, assessment, and plan components as required for problem-oriented charting. Educationally, understanding problem-oriented charting is crucial for accurate and concise documentation in healthcare settings. It helps healthcare providers communicate effectively, track patient progress, and make informed decisions about patient care. By adhering to standardized formats like SOAP, healthcare professionals can ensure comprehensive and organized documentation, facilitating continuity of care and promoting patient safety.
Question 2 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 provides a therapeutic environment in which the patient can feel comfortable and safe while engaging in activities that meet the patient's physical and mental health needs. Counseling refers to activities designed to promote problem solving and enhanced coping and includes interviewing, crisis intervention, stress management, and conflict resolution. Health teaching involves identifying health education needs and giving information about these needs. Psychobiological interventions involve medication administration and monitoring response to medications.
Question 3 of 5
A patient says, 'I've done a lot of cheating and manipulating in my relationships.' Select a nonjudgmental response by the nurse.
Correct Answer: A
Rationale: In this scenario, the correct response is option A) "How do you feel about that?" This response is nonjudgmental, open-ended, and encourages the patient to explore their feelings without imposing any value judgments. As a nurse, it is crucial to create a safe and supportive environment for patients to express themselves honestly and openly. Option B) "I am glad that you realize this." is not the best response because it may come across as insincere or patronizing. It does not invite further exploration or reflection from the patient. Option C) "That's not a good way to behave." is judgmental and can make the patient feel defensive or ashamed, hindering effective communication and rapport-building. Option D) "Have you outgrown that type of behavior?" implies an expectation of change and may pressure the patient to provide a specific response. It does not acknowledge the complexity of the patient's experiences or emotions. In an educational context, this question highlights the importance of therapeutic communication in nursing practice. By choosing the right response, nurses can foster trust, encourage self-reflection, and support patients in their journey towards healing and personal growth. It underlines the significance of empathy, active listening, and nonjudgmental attitude in building therapeutic relationships with patients.
Question 4 of 5
A nurse is caring for a patient diagnosed with bulimia nervosa. The patient states, 'I feel ashamed of my eating habits.' Which of the following is the most appropriate response by the nurse?
Correct Answer: B
Rationale: The most appropriate response by the nurse is option B: "I understand that you feel ashamed, but we are here to help you." This response demonstrates empathy, validation of the patient's feelings, and offers support and assistance. In the context of caring for a patient with bulimia nervosa, it is crucial for the nurse to create a non-judgmental and supportive environment to establish trust and facilitate open communication. Option A is incorrect because it minimizes the patient's feelings of shame, which can be detrimental to the therapeutic relationship. Option C is incorrect as it dismisses the patient's emotional distress and focuses solely on a behavioral aspect. Option D is wrong as it uses a confrontational and punitive approach, which can increase the patient's feelings of guilt and resistance to treatment. In an educational context, it is vital for nurses to develop communication skills that are empathetic, supportive, and non-judgmental when caring for patients with eating disorders. By understanding the psychological aspects of these disorders and responding with compassion, nurses can positively impact the patient's recovery journey.
Question 5 of 5
During the first interview with a parent whose child died in a car accident, the nurse feels empathic and reaches out to take the patient's hand. Select the correct analysis of the nurse's behavior.
Correct Answer: B
Rationale: In this scenario, option B is the correct analysis of the nurse's behavior. The nurse's gesture of reaching out to take the patient's hand without understanding the patient's cultural background or individual preferences regarding touch could be premature and potentially misinterpreted. This action could be perceived as intrusive or crossing personal boundaries, especially in a sensitive and emotional situation like the death of a child. In behavioral nursing, it is crucial to respect the patient's autonomy and preferences, including their physical boundaries and comfort levels with touch. Option A is incorrect because while the nurse's intention may be to show empathy and compassion, the impact of the gesture can vary based on individual perceptions. Option C highlights the potential negative perception of the gesture, which aligns with the correct analysis. Option D is overly generalized and not applicable to this specific situation. In an educational context, this question emphasizes the importance of cultural competence, communication skills, and respecting boundaries in nursing practice, especially in emotional and delicate situations. Nurses must always consider individual preferences and cultural norms when providing care to ensure patient-centered and respectful interactions.