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ATI RN · ATI Mental Health · Behavioral Health Nurse Certification

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A nurse is caring for a patient diagnosed with bipolar disorder during the manic phase. The patient is exhibiting rapid speech, impulsivity, and racing thoughts. What is the priority nursing intervention?

A. Provide a quiet and low-stimulation environment.

B. Encourage the patient to express their feelings and engage in social activities.

C. Administer medication to help control the symptoms of mania.

D. Set firm limits on the patient's behavior to prevent harm.

Expert Explanatory Rationale

Correct Answer: Provide a quiet and low-stimulation environment.

Question 2 of 5

Which of the following dilemmas involve the ethical principle of fidelity? Select all that apply.

A. When the nurse is unable to agree with the policies or common practices of an agency

B. When the nurse is faced with a decision to violate a policy that is harmful to the client

C. When the nurse is certain that clients of different racial and ethnic backgrounds are being treated the same as other clients

D. When the nurse understands that a combative client must be secluded against their will to prevent harm to others

Expert Explanatory Rationale

Correct Answer: When the nurse is unable to agree with the policies or common practices of an agency

Question 3 of 5

Which documentation of a patient's behavior best demonstrates a nurse's observations?

A. Isolates self from others Frequently fell asleep during group Vital signs stable

B. Calmer, more cooperative Participated actively in group No evidence of psychotic thinking

C. Appeared to hallucinate Frequently increased volume on television, causing conflict with others

D. Wore four layers of clothing States, 'I need protection from evil bacteria trying to pierce my skin'

Expert Explanatory Rationale

Correct Answer: Wore four layers of clothing States, 'I need protection from evil bacteria trying to pierce my skin'

Question 4 of 5

A nurse is providing care to an older adult client. Which of the following screening tools should the nurse use to gather data for the client?

A. The Gerontological Personality Disorder Scale (GPS)

B. Patient Health Questionnaire-9 (PHQ-9)

C. Denver II Developmental Screening

D. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)

Expert Explanatory Rationale

Correct Answer: Patient Health Questionnaire-9 (PHQ-9)

Question 5 of 5

A patient says, 'It's been so long since I've been with my family.' Which statement by the nurse is an example of restating?

A. You say you haven't seen your family in a while.'

B. Tell me when you last saw your family.'

C. Go on. Tell me more.'

D. When was the last time you saw your family?'

Expert Explanatory Rationale

Correct Answer: You say you haven't seen your family in a while.'

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