ATI RN
Behavioral Health Nursing Care Plans Questions
Question 1 of 5
Which individual is demonstrating the highest level of resilience? One who:
Correct Answer: D
Rationale: Resilience is closely associated with the process of adapting and helps people facing tragedies, loss, trauma, and severe stress. It is the ability and capacity for people to secure the resources they need to support their well-being. Repression and depression are unhealthy. Living in a shelter for two years shows a failure to move forward after a tragedy.
Question 2 of 5
A nurse inspects an inpatient psychiatric unit and finds that exits are free of obstructions, no one is smoking, and the janitors closet is locked. These observations relate to:
Correct Answer: B
Rationale: The correct answer is B) management of milieu safety. In a psychiatric unit, ensuring the safety of the environment is crucial for the well-being of patients. Inspecting exits for obstructions, preventing smoking, and securing potentially harmful items like in the janitor's closet are all part of maintaining a safe milieu. Option A) coordinating care of patients, while important, does not directly relate to the physical safety of the environment. Option C) management of the interpersonal climate focuses on relationships and communication among patients and staff, which is not the primary concern in this scenario. Option D) use of therapeutic intervention strategies pertains to treatment modalities and interventions, not the physical safety of the unit. Educationally, understanding the concept of milieu safety in behavioral health nursing is essential for providing quality care to patients in psychiatric settings. Nurses must be vigilant in maintaining a safe environment to prevent harm and promote healing for those under their care. This question highlights the importance of attention to detail and environmental safety in psychiatric nursing practice.
Question 3 of 5
Select the example of primary prevention.
Correct Answer: B
Rationale: Primary preventions are directed at healthy populations with a goal of preventing health problems from occurring. Helping school-age children describe normal emotions people experience promotes coping, a skill that is needed throughout life. Assisting a person with serious and persistent mental illness to fill a pill-minder is an example of tertiary prevention. Medicating an acutely ill patient who assaulted a staff person is a secondary prevention. Leading a psychoeducational group in a community care home is an example of tertiary prevention.
Question 4 of 5
The nurse should refer which of the following patients to a partial hospitalization program? A patient who:
Correct Answer: D
Rationale: This patient could profit from the structure and supervision provided by spending the day at the partial hospitalization program. During the evening, at night, and on weekends, the spouse could assume responsibility for supervision. A suicidal patient needs inpatient hospitalization. The other patients can be served in the community or with individual visits.
Question 5 of 5
Which Western cultural feature may result in establishing unrealistic outcomes for patients of other cultural groups?
Correct Answer: D
Rationale: Directly confronting problems is a highly valued approach in the American culture but not part of many other cultures in which harmony and restraint are valued. American nurses sometimes mistakenly think that all patients should take direct action. Patients with other values will be unable to meet this culturally inappropriate outcome.