ATI RN
Behavioral Questions for Nurse Questions
Question 1 of 5
Which patient meets criteria for involuntary hospitalization for psychiatric treatment? The patient who:
Correct Answer: D
Rationale: In the context of assessing which patient meets criteria for involuntary hospitalization for psychiatric treatment, option D, "threatens to harm self and others," is the correct choice. This option indicates a clear and imminent danger to both the individual and others around them, which warrants immediate intervention to ensure safety. Option A, "is noncompliant with the treatment regimen," although a concerning behavior, does not necessarily meet the threshold for involuntary hospitalization unless it poses a direct threat to the individual or others. Noncompliance, while important, can often be addressed through other means such as education, counseling, or adjustment of the treatment plan. Option B, "fraudulently files for bankruptcy," and option C, "sold and distributed illegal drugs," are legal and ethical issues rather than immediate psychiatric concerns. These behaviors may require legal intervention or counseling but do not inherently indicate a need for involuntary hospitalization. Educationally, understanding the criteria for involuntary hospitalization is crucial for healthcare professionals, especially nurses, working in psychiatric settings. This knowledge enables them to make informed assessments and decisions to ensure the safety and well-being of their patients and others. By choosing the correct option, nurses can intervene effectively in crisis situations and provide appropriate care for individuals experiencing psychiatric emergencies.
Question 2 of 5
A newly admitted patient diagnosed with major depression has gained pounds over a few months and has suicidal ideation The patient has taken an antidepressant medication for week without remission of symptoms Select the priority nursing diagnosis
Correct Answer: C
Rationale: The priority nursing diagnosis in this scenario is C) Risk for suicide. This choice takes precedence over the other options because suicidal ideation poses an immediate threat to the patient's safety and requires urgent intervention to ensure the patient's well-being and prevent harm. Option A) Imbalanced nutrition: more than body requirements, while important, is not the priority in this case as the patient's suicidal ideation takes precedence due to the acute risk it presents. Option B) Chronic low self-esteem and option D) Hopelessness are both relevant to the patient's mental health status, but they are secondary to the immediate concern of the patient's safety and risk for suicide. In an educational context, it is crucial for nurses to prioritize nursing diagnoses based on the level of risk they pose to the patient. Understanding the hierarchy of needs and the urgency of certain conditions is essential in providing effective and timely care to patients, especially in situations involving mental health crises like suicidal ideation. Nurses must be able to quickly assess and prioritize patient needs to ensure optimal outcomes and patient safety.
Question 3 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 of problem-oriented charting commonly used in medical records. In this entry, the nurse documents the patient's subjective statement ("I feel like I’m ready to blow up"), objective observation (pacing hall, mumbling to self), assessment (auditory hallucinations), and plan of care (offering haloperidol). This structured approach helps in organizing patient information systematically for better communication among healthcare providers. Option A is incorrect because it lacks a clear subjective statement and assessment of the patient's condition. Option C is incorrect as it does not follow the SOAP format and lacks detailed information on the patient's symptoms and response to treatment. Option D is incorrect as it mixes objective and assessment information together without a clear separation, deviating from the problem-oriented charting approach. Educationally, understanding the importance of structured documentation like problem-oriented charting is crucial for healthcare professionals to ensure clear communication, continuity of care, and accurate assessment of patient progress. By adhering to standardized formats, nurses can provide comprehensive patient care and contribute to better patient outcomes.
Question 4 of 5
A nurse documents: Patient is mute despite repeated efforts to elicit speech. Makes no eye contact. Inattentive to staff. Gazes off to the side or looks upward rather than at speaker. Which nursing diagnosis should be considered?
Correct Answer: D
Rationale: In this scenario, the most appropriate nursing diagnosis to consider is option D) Impaired verbal communication. The patient's inability to speak, lack of eye contact, and disinterest in engaging with staff indicate a communication issue. Impaired verbal communication encompasses difficulties expressing oneself through speech, which aligns with the patient's behavior. Option A) Defensive coping typically involves psychological defense mechanisms in response to stress, which is not evident in the patient's behavior. Option B) Decisional conflict refers to uncertainty or inability to make choices, which is not the primary issue presented here. Option C) Risk for other-directed violence involves the potential for a patient to harm others, which is not indicated by the patient's behavior described in the scenario. Educationally, understanding how to differentiate between various nursing diagnoses based on assessment findings is crucial for nurses to provide accurate and individualized care. By selecting the correct diagnosis, nurses can develop effective care plans to address the patient's specific needs, such as implementing alternative communication strategies for a patient with impaired verbal communication.
Question 5 of 5
The nurse best assesses a patient's memory by asking which of the following questions?
Correct Answer: D
Rationale: The nurse directly assesses memory, both recent and remote, by asking questions with verifiable answers such as 'What is the name of the current president?' The nurse may not be able to verify the accuracy of the client's responses to questions such as 'Do you have any memory problems?' or 'What did you do yesterday?' Orientation refers to the client's recognition of person, place, and time.