ATI RN
Behavioral Health Certification for Nurses Questions
Question 1 of 5
Which treatment modality should a nurse recommend to help a patient diagnosed with a somatic symptom disorder to cope more effectively?
Correct Answer: C
Rationale: Somatic symptom disorders are commonly associated with complicated reactions to stress. These reactions are accompanied by muscle tension and pain. Relaxation can diminish the patient's perceptions of pain and reduce muscle tension. The distracters are modalities useful in treating selected anxiety disorders.
Question 2 of 5
A patient comes to the crisis clinic after an unexpected job termination. The patient paces, sobs, cringes when approached, and responds to questions with only shrugs or monosyllables. Choose the nurse's best initial comment to this patient.
Correct Answer: B
Rationale: A crisis exists for this patient. The two primary thrusts of crisis intervention are to provide for the safety of the individual and use anxiety-reduction techniques to facilitate use of inner resources. The nurse offers therapeutic presence, which provides caring, ongoing observation relative to the patient's safety, and interpersonal reassurance.
Question 3 of 5
A student falsely accused a college professor of sexual intimidation. The professor tells the nurse, "I cannot teach nor do any research. My mind is totally preoccupied with these false accusations." What is the priority nursing diagnosis?
Correct Answer: D
Rationale: Ineffective coping may be evidenced by inability to meet basic needs, inability to meet role expectations. This nursing diagnosis is the priority because it reflects the consequences of the precipitating event associated with the professor's crisis. There is no evidence of denial. Deficient knowledge may apply, but it is not the priority. Data are not present to diagnose impaired social interaction.
Question 4 of 5
An adult comes to the crisis clinic after termination from a job of 15 years. The patient says, "I don't know what to do. How can I get another job? Who will pay the bills? How will I feed my family?" Which nursing diagnosis applies?
Correct Answer: B
Rationale: In this scenario, the most appropriate nursing diagnosis is B) Powerlessness. Powerlessness refers to the perception of lack of control over a situation, which is evident in the patient's statements expressing uncertainty about their future job prospects and ability to meet financial obligations. The patient's sense of powerlessness is further highlighted by their concerns about providing for their family. Option A, Hopelessness, may not be the most suitable diagnosis in this case as the patient is not expressing a complete loss of hope or a pervasive negative outlook. Option C, Chronic low self-esteem, does not directly address the patient's current situation of job loss and financial stress. Option D, Interrupted family processes, is not applicable as the patient's concerns are primarily related to the impact of job loss on their family's well-being. In an educational context, understanding the nuances of different nursing diagnoses is crucial for nurses working in behavioral health settings. By accurately identifying the patient's underlying issues, nurses can develop targeted care plans to address the individual's specific needs and promote their mental health and well-being. This case underscores the importance of thorough assessment and critical thinking skills in nursing practice, especially in supporting individuals experiencing crisis situations.
Question 5 of 5
A patient in a group therapy session listens to others and then remarks, "I used to think I was the only one who felt afraid. I guess I'm not as alone as I thought." This comment is an example of
Correct Answer: C
Rationale: The correct answer is C) universality. In the context of group therapy, universality refers to the realization that one's experiences and feelings are shared by others in the group. When the patient expresses that they thought they were alone in feeling afraid but now understand that others feel the same way, it demonstrates an awareness of universality. This realization can be a powerful therapeutic tool as it reduces feelings of isolation and promotes empathy and connection within the group. Option A) altruism refers to selflessly helping others, which is not demonstrated in the patient's statement. Option B) ventilation refers to the release of strong emotions or feelings, which is also not the focus of the patient's comment. Option D) group cohesiveness relates to the sense of unity and connection within the group, which is a result of experiencing universality but is not directly reflected in the patient's statement. Understanding the concept of universality in group therapy is essential for nurses working in behavioral health settings. It allows them to facilitate discussions that promote the sharing of experiences, reduce feelings of isolation, and foster a sense of community among group members. This, in turn, can enhance the therapeutic outcomes of group therapy sessions by promoting mutual support and understanding.