ATI RN
Behavioral Health Nurse Certification Questions
Question 1 of 5
Which of the following dilemmas involve the ethical principle of fidelity? Select all that apply.
Correct Answer: A
Rationale: When the nurse is unable to agree with the policies or common practices of an agency, the nurse is facing a dilemma about fidelity, which refers to the obligation to honor commitments and contracts. When the nurse is faced with a decision to violate a policy that is harmful to the client, the nurse is facing a dilemma about fidelity—that is, should the nurse be faithful to the employing agency or the individual client being cared for. When the nurse is certain that clients of different racial and ethnic backgrounds are being treated the same as other clients, the nurse is acting in accord with the ethical principle of justice. When the nurse understands that a combative client must be secluded against his or her will to prevent harm to others, the nurse is following the ethical principle of utilitarianism. When a client refuses to take medications and the nurse respects the client's right to refuse medication, the nurse is enacting the ethical principle of autonomy.
Question 2 of 5
A patient says, People should be allowed to commit suicide without interference from others. A nurse replies, You’re wrong. Nothing is bad enough to justify death. What is the best analysis of this interchange?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
The patient says, My marriage is just great. My spouse and I always agree. The nurse observes the patient’s foot moving continuously as the patient twirls a shirt button. The conclusion the nurse can draw is that the patient’s communication is:
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
When a female Mexican American patient and a female nurse sit together, the patient often holds the nurse’s hand. The patient also links arms with the nurse when they walk. The nurse is uncomfortable with this behavior. Which analysis is most accurate?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
Mr. Ali believes that the nurse and doctor are talking about him; this could best be described as:
Correct Answer: D
Rationale: A 'Delusion of reference' (D) occurs when someone falsely believes neutral events or conversations (e.g., nurse and doctor talking) refer to them. Obsession (A) involves persistent unwanted thoughts, Idea of influence (B) suggests external control over one’s mind, and Delusion of persecution (C) involves belief in harm or conspiracy—only D fits the scenario.