ATI RN
Theoretical Basis for Behavior Modification Questions
Question 1 of 5
A 16-year-old adolescent is hospitalized and acting like a child. According to Erik Erikson, what is the appropriate developmental task?
Correct Answer: C
Rationale: In this scenario, the appropriate developmental task according to Erik Erikson for a 16-year-old adolescent who is acting like a child while hospitalized is "C) Identity vs. role confusion." In Erikson's psychosocial theory, the stage of identity vs. role confusion occurs during adolescence, typically between the ages of 12 to 18 years. During this stage, individuals explore and develop a sense of self, personal identity, and values. They also begin to form a clearer understanding of their roles in society and relationships with others. The 16-year-old adolescent's behavior of acting like a child while hospitalized may indicate a struggle with their identity formation. This regression to child-like behavior could be a manifestation of confusion or uncertainty about who they are and how they fit into their current situation. Now, let's address why the other options are incorrect: A) Industry vs. inferiority: This stage, occurring during middle childhood, focuses on developing a sense of competence and mastery. It is not applicable to the situation of the hospitalized adolescent regressing to child-like behavior. B) Integrity vs. despair: This stage occurs in late adulthood and involves reflecting on life experiences. It is not relevant to the developmental task of a 16-year-old adolescent. D) Trust vs. mistrust: This stage occurs in infancy, where the primary focus is on developing trust in caregivers. It is not the appropriate stage for understanding the behavior of a 16-year-old adolescent. Educational Context: Understanding Erikson's psychosocial theory is crucial for educators and professionals working with adolescents. By recognizing the developmental tasks and challenges at each stage, educators can provide appropriate support and interventions to help adolescents navigate their identity formation successfully. Recognizing signs of identity crisis or role confusion can prompt interventions to facilitate healthy identity development in adolescents.
Question 2 of 5
The physiological needs components in Maslows Hierarchy of Needs are:
Correct Answer: A
Rationale: In Maslow's Hierarchy of Needs, physiological needs are considered the foundation upon which all other needs are built. These basic needs are essential for human survival and well-being. The correct answer, A) Water, aligns with this concept as water is crucial for maintaining hydration, proper bodily functions, and overall health. Without an adequate supply of water, individuals cannot survive for extended periods. Option B) Oxygen is necessary for respiration, but it is more closely associated with the next level of needs in Maslow's hierarchy, which is safety needs. Oxygen is required for sustaining life, but it is not listed as a specific physiological need in the foundational level. Option C) Elimination, though a bodily function, is not typically included as a separate physiological need in Maslow's Hierarchy of Needs. While the ability to eliminate waste is important for health, it is generally considered a function within the broader category of physiological needs. Option D) Safety is part of the second level of needs in Maslow's hierarchy, focusing on security, stability, and protection. While safety is crucial for well-being, it is not categorized under physiological needs, which are more fundamental for survival. Educationally, understanding Maslow's Hierarchy of Needs is important for various fields, including psychology, education, healthcare, and business. By grasping the different levels of needs individuals must fulfill, professionals can better support and motivate others to reach their full potential. Recognizing the significance of physiological needs like water in the hierarchy underscores the essential role these basic requirements play in human behavior and functioning.
Question 3 of 5
A nurse leads a psychoeducational group for depressed patients. The nurse plans to implement an exercise regime for each patient. The rationale to use when presenting this plan to the treatment team is that exercise:
Correct Answer: A
Rationale: In the context of behavior modification and mental health treatment, the correct answer is A) has an antidepressant effect comparable to selective serotonin reuptake inhibitors (SSRIs). Regular exercise has been extensively researched and proven to have a significant positive impact on mental health, particularly in reducing symptoms of depression. Exercise stimulates the release of endorphins, neurotransmitters that act as natural painkillers and mood elevators, similar to the mechanism of action of SSRIs. Option B) prevents damage from overstimulation of the sympathetic nervous system is incorrect because while exercise can help regulate the sympathetic nervous system, it is not the primary reason for its efficacy in treating depression. Option C) detoxifies the body by removing metabolic wastes and other toxins is incorrect as the body has its mechanisms for detoxification, and the benefits of exercise on mental health are more closely related to neurobiological and psychological factors. Option D) improves mood stability for patients with bipolar disorders is incorrect as exercise alone may not be sufficient to manage the complex mood fluctuations in bipolar disorder, although it can be a helpful component of a comprehensive treatment plan. From an educational standpoint, understanding the scientific basis behind using exercise as a treatment modality for depression is crucial for healthcare providers working in mental health settings. Incorporating evidence-based interventions like exercise not only enhances patient outcomes but also empowers nurses to provide holistic care that addresses both physical and mental well-being. This rationale underscores the importance of integrating non-pharmacological approaches into mental health treatment plans to optimize patient care and overall recovery.
Question 4 of 5
A patient tells the nurse, My doctor thinks my problems with stress relate to the negative way I think about things and suggested I learn new ways of thinking. Which response by the nurse would support the recommendation?
Correct Answer: C
Rationale: Cognitive reframing focuses on recognizing and correcting maladaptive patterns of thinking that create stress or interfere with coping. Cognitive reframing involves recognizing the habit of thinking about a situation or issue in a fixed, irrational, and unquestioning manner. Helping the patient to recognize and reframe (reword) such thoughts so that they are realistic and accurate promotes coping and reduces stress. Thinking about being in calming circumstances is a form of guided imagery. Instruments that give feedback about bodily functions are used in biofeedback. Journaling is effective for helping to increase self-awareness. However, none of these last three interventions is likely to alter the patients manner of thinking.
Question 5 of 5
A leader plans to start a new self-esteem building group. Which intervention would be most helpful for assuring mutual respect within the group?
Correct Answer: A
Rationale: It is helpful to motivate members to behave respectfully by describing how mutual respect benefits all members and is necessary for the group to be fully therapeutic. Setting a tone and expectation of mutual respect from the outset is the most helpful intervention listed. Excluding members because of how they might behave could exclude members who would have been appropriate, depriving them of the potential benefits of the group. Conveying expectations by brochure is less effective than doing so orally, because it lacks the connection to each member a skilled leader can create to motivate members and impart the expectation of respect. Confronting inappropriate behavior is therapeutic but only addresses existing behavior rather than preventing all such undesired behavior.