ATI RN
Theory of Health Behavior Change Questions
Question 1 of 5
A client diagnosed with major depressive disorder asks, What part of my brain controls my emotions? Which nursing response is appropriate?
Correct Answer: D
Rationale: The correct answer is D: The limbic system is largely responsible for one's emotional state. The limbic system, including structures like the amygdala and hippocampus, plays a crucial role in regulating emotions and emotional responses. The amygdala, for example, is involved in processing emotions such as fear and pleasure. Therefore, it is appropriate to inform the client that the limbic system controls emotions. Choice A is incorrect because the occipital lobe is primarily responsible for processing visual information. Choice B is incorrect as the parietal lobe is more associated with sensory processing and spatial orientation. Choice C is incorrect because the medulla is involved in regulating vital functions like breathing and heart rate, not emotions.
Question 2 of 5
A psychiatric nurse intern states, This client's use of defense mechanisms should be eliminated. Which is a correct evaluation of this nurse's statement?
Correct Answer: A
Rationale: Step 1: Defense mechanisms are psychological strategies used unconsciously to cope with anxiety or stress. Step 2: Some defense mechanisms are healthy and adaptive, helping individuals manage difficult emotions. Step 3: Eliminating all defense mechanisms could lead to increased distress and inability to cope effectively. Step 4: Therefore, the correct evaluation is that defense mechanisms can be appropriate responses to stress and need not be eliminated. Summary: Option A is correct because defense mechanisms serve a purpose in managing stress and eliminating them entirely may not be beneficial. Option B is incorrect as not all defense mechanisms are maladaptive.
Question 3 of 5
The sterile nurse or sterile personnel touch only sterile supplies and instruments. When there is a need for sterile supply which is not in the sterile field, who hands out these items by opening its outer cover?
Correct Answer: A
Rationale: The correct answer is A: Circulating Nurse. The circulating nurse is responsible for handing out sterile supplies that are not within the sterile field by opening its outer cover. This is to maintain the sterility of the items being used in the surgical field. The circulating nurse's role is crucial in preventing contamination and ensuring patient safety during surgical procedures. Summary: - A: Circulating Nurse (Correct): Responsible for providing sterile supplies from outside the sterile field. - B: Anaesthesiologist (Incorrect): Not typically responsible for handling sterile supplies. - C: Surgeon (Incorrect): Focuses on the surgical procedure and does not usually handle sterile supplies. - D: Nursing Aide (Incorrect): Not typically involved in handling sterile supplies during surgical procedures.
Question 4 of 5
In some hip surgeries, an epidural catheter for Fentanyl epidural analgesia is given. What is your nursing priority care in such a case?
Correct Answer: D
Rationale: Step-by-step rationale for choosing answer D as the correct option: 1. Respiratory rate assessment is crucial due to the risk of respiratory depression from Fentanyl. 2. Early detection of respiratory depression is vital to prevent adverse outcomes. 3. Monitoring respiratory rate allows timely intervention if abnormalities are detected. 4. This aligns with the nursing priority of ensuring patient safety and well-being. Summary: A: Instructing bed rest is not the priority as mobility is important post-surgery. B: Checking catheter drainage is important but not the priority over respiratory assessment. C: Administering analgesia is important but not as critical as monitoring respiratory rate.
Question 5 of 5
Another nursing check that should not be missed before the induction of general anesthesia is:
Correct Answer: B
Rationale: The correct answer is B - check for presence of dentures. This is crucial to prevent aspiration of dentures during intubation. Checking for underwear (A) is not directly related to patient safety during anesthesia. Checking patient's ID (C) is important for identification but not a priority pre-anesthesia. Checking baseline vital signs (D) is essential, but not specific to preventing complications related to dentures.