ATI RN
Behavioral Nursing Questions Questions
Question 1 of 5
Which principle has the highest priority when addressing a behavioral crisis in an inpatient setting?
Correct Answer: A
Rationale: In an inpatient setting, when addressing a behavioral crisis, the principle of resolving the crisis with the least restrictive intervention possible (Option A) holds the highest priority. This approach is rooted in the ethical concept of beneficence, ensuring that the individual's autonomy and dignity are respected while promoting safety and well-being. Option B is incorrect as swift interventions, while sometimes necessary, may not always align with the least restrictive approach and can escalate the situation. This option does not prioritize the individual's rights and autonomy. Option C is also incorrect as it goes against the ethical principle of respect for autonomy. Individual rights should not be superseded by the majority, as each patient's well-being and rights are equally important. Option D is incorrect because waiting for the patient to regain control without intervention can potentially compromise the safety of others in the inpatient setting. It is essential to prioritize safety while also respecting the individual's autonomy. Educationally, understanding the principles of behavioral crisis management in nursing is crucial for providing safe and effective care. Emphasizing least restrictive interventions honors the dignity and autonomy of patients while maintaining a therapeutic environment. By prioritizing this principle, nurses can navigate behavioral crises ethically and professionally.
Question 2 of 5
A nurse can best address factors of critical importance to successful community treatment by including making assessments relative to: (Select one that does not apply.)
Correct Answer: D
Rationale: Early psychosocial developmental history is less relevant to successful outcomes in the community than the assessments listed in the other options. If a patient is homeless or fears homelessness, focusing on other treatment issues is impossible. Sufficient income for basic needs and medication is necessary. Adequate support is a requisite to community placement. Substance abuse undermines medication effectiveness and interferes with community adjustment.
Question 3 of 5
A Haitian patient diagnosed with depression tells the nurse,There's nothing you can do. This is a punishment. The only thing I can do is see a healer. The culturally aware nurse assesses that the patient:
Correct Answer: C
Rationale: Individuals of African American or Caribbean cultures who have a fatalistic attitude about illness may believe they are being punished for wrongdoing or are victims of witchcraft or voodoo. They may be reticent to share information about curses with therapists. No data are present in the scenario to support delusions. Misdiagnosis more often labels a patient with depression as having schizophrenia.
Question 4 of 5
A nurse prepares to teach important medication information to a patient of Mexican heritage. How should the nurse manage the teaching environment?
Correct Answer: A
Rationale: In this scenario, the correct answer is option A) Stand very close to the patient while teaching. When teaching medication information to a patient of Mexican heritage, it is important to consider cultural differences and preferences. In many Hispanic cultures, including Mexican culture, standing close while interacting signifies warmth, trust, and engagement. This proximity fosters a sense of connection and demonstrates respect for the individual. Option B) Maintain direct eye contact with the patient while teaching is a good practice in general, but it may not align with the cultural norms of the patient. In some cultures, prolonged eye contact can be seen as confrontational or disrespectful. Option C) Maintain a neutral emotional tone during the teaching session is important, but it does not address the cultural aspect of the interaction. Cultural competence goes beyond emotional tone to include understanding and adapting to the cultural norms of the patient. Option D) Sit 4 feet or more from the patient during the teaching session could be perceived as creating a distance that may hinder effective communication, especially when considering the cultural preference for closeness in many Hispanic cultures. Educationally, this question highlights the significance of cultural competence in nursing practice. Understanding and respecting cultural differences when providing care and education to patients is essential for effective communication, trust-building, and positive health outcomes. By recognizing and adapting to cultural preferences, nurses can create a more inclusive and patient-centered teaching environment.
Question 5 of 5
The nurse administers medications to a culturally diverse group of patients on a psychiatric unit. What expectation should the nurse have about pharmacokinetics?
Correct Answer: A
Rationale: Cytochrome enzyme systems, which vary among different cultural groups, influence the rate of metabolism of psychoactive drugs. Renal function influences elimination of psychotropic medication; hepatic function influences metabolism rates. Information about medication is important but does not apply to pharmacokinetics.