ATI RN
Stage Theories of Health Behavior Questions
Question 1 of 5
A client diagnosed with antisocial personality disorder comes to the nurses' station at 11:00 p.m., requesting to phone a lawyer to discuss filing for a divorce. The unit rules state that no phone calls are permitted after 10:00 p.m. Which nursing reply is most appropriate?
Correct Answer: C
Rationale: The correct answer is C because it acknowledges the unit rules without dismissing the client's request. By informing the client that they can make the call the next day, the nurse ensures that the client's needs are addressed while also upholding the unit's policies. Option A enables the rule-breaking behavior, which is inappropriate. Option B shames the client, which is not therapeutic. Option D minimizes the client's request and assumes they are not capable of making decisions, which is not empowering. Option C is the most appropriate response as it respects both the client's needs and the unit's rules.
Question 2 of 5
Which client symptoms should lead the nurse to suspect a diagnosis of OCPD?
Correct Answer: C
Rationale: Rationale: Choice C is correct because OCPD (Obsessive-Compulsive Personality Disorder) is characterized by traits such as inflexibility, perfectionism, and rigidity in interpersonal relationships. This can manifest as a lack of spontaneity and difficulty in adapting to different social situations. Choices A, B, and D are incorrect because they describe symptoms more characteristic of OCD (Obsessive-Compulsive Disorder), which involves unwanted intrusive thoughts (A), repetitive behaviors (B), and obsessive thoughts not externally imposed (D). OCPD focuses more on personality traits and behavior patterns rather than specific intrusive thoughts or behaviors.
Question 3 of 5
Which approach should the nurse use when a client demands to have a phone installed in the intensive care unit room?
Correct Answer: B
Rationale: The correct answer is B because assisting the client to discuss their anger and frustrations helps address the underlying emotions driving the demand for a phone. This approach acknowledges the client's feelings and promotes therapeutic communication. Providing an explanation (Choice A) may not address the client's emotional needs. Calling the physician (Choice C) may not be necessary at this stage. Arranging for a phone installation (Choice D) without addressing the client's emotional state may not resolve the underlying issue.
Question 4 of 5
Which statement indicates the nurse's understanding of conduct disorder related to a client's situation?
Correct Answer: A
Rationale: Step 1: Childhood-onset conduct disorder is more severe than adolescent-onset type due to early onset of disruptive behaviors impacting development. Step 2: Individuals with childhood-onset conduct disorder are at higher risk for developing antisocial personality disorder in adulthood due to long-standing behavioral patterns. Step 3: Understanding this progression helps nurses anticipate future challenges and tailor interventions. Summary of other choices: B: Incorrect - Childhood-onset conduct disorder is persistent and unlikely to outgrow without appropriate intervention. C: Incorrect - Diagnosis is not limited to behaviors before age 5, and improvement may require comprehensive treatment. D: Incorrect - Childhood-onset conduct disorder can be treated with various interventions, and not all individuals progress to ODD.
Question 5 of 5
Which outcome best addresses a child diagnosed with ASD's nursing diagnosis of disturbed personal identity?
Correct Answer: A
Rationale: The correct answer is A because naming own body parts as separate signifies a development of self-awareness, addressing disturbed personal identity in ASD. Choice B focuses on communication, not personal identity. Choice C addresses social interactions, not personal identity. Choice D pertains to safety, not personal identity. In conclusion, only choice A directly targets the nursing diagnosis of disturbed personal identity in a child with ASD.