ATI RN
Stage Theories of Health Behavior Questions
Question 1 of 5
A client with obsessive-compulsive disorder is hospitalized on an inpatient unit. Which nursing response is most therapeutic?
Correct Answer: A
Rationale: The correct answer is A: Accepting the client's obsessive-compulsive behaviors. By accepting the client's behaviors, the nurse creates a non-judgmental and supportive environment, fostering trust and rapport. This approach helps the client feel understood and respected, leading to improved therapeutic communication. Challenging (B) the behaviors may cause resistance and increase anxiety. Preventing (C) or rejecting (D) the behaviors can escalate distress and hinder therapeutic progress. Overall, accepting the client's behaviors demonstrates empathy and promotes a therapeutic relationship essential for effective treatment.
Question 2 of 5
Which neurotransmitter has been implicated in the development of Alzheimer's disease?
Correct Answer: A
Rationale: The correct answer is A: Acetylcholine. Acetylcholine is a neurotransmitter that plays a crucial role in memory and learning processes. In Alzheimer's disease, there is a significant reduction in acetylcholine levels, leading to cognitive decline. Studies have shown that drugs that increase acetylcholine levels can improve cognitive function in Alzheimer's patients. Dopamine, epinephrine, and serotonin are not directly linked to the development of Alzheimer's disease. Dopamine is associated with movement and reward, epinephrine with the fight-or-flight response, and serotonin with mood regulation. Therefore, the reduction in acetylcholine levels is the key factor in Alzheimer's disease development.
Question 3 of 5
The nurse understands that electroconvulsive therapy is primarily used in psychiatric care for the treatment of:
Correct Answer: B
Rationale: The correct answer is B: Depression. Electroconvulsive therapy (ECT) is primarily used in psychiatric care to treat severe depression that has not responded to other treatments. ECT is considered an effective treatment for severe depression, especially when rapid improvement is necessary. It is not typically used for anxiety disorders (A), mania (C), or schizophrenia (D) as first-line treatments. ECT is not indicated for these conditions and may even exacerbate symptoms in some cases. Hence, the correct choice is B as it aligns with the established clinical guidelines and evidence-based practice in psychiatric care.
Question 4 of 5
Which of the following will the nurse use when communicating with a client who has a cognitive impairment?
Correct Answer: D
Rationale: The correct answer is D: Short words and simple sentences. When communicating with a client who has a cognitive impairment, using short words and simple sentences is crucial as it helps facilitate understanding and reduces confusion. Complex explanations (A) may overwhelm the client. Pictures or gestures (B) might not always be effective if the client struggles to interpret them. Stimulating words and phrases (C) could potentially distract or confuse the client further. Therefore, D is the most appropriate choice to ensure clear and effective communication with a client who has a cognitive impairment.
Question 5 of 5
The nurse is interacting with a family consisting of a mother, a father, and a hospitalized adolescent who has a diagnosis of alcohol abuse. The nurse analyzes the situation and agrees with the adolescent's view about family rules. Which intervention is most appropriate?
Correct Answer: D
Rationale: Step-by-step rationale for why answer D is correct: 1. Remaining objective: It is important for the nurse to stay neutral and unbiased in order to facilitate effective communication and problem-solving within the family. 2. Encouraging mutual negotiation: By encouraging mutual negotiation, the nurse promotes a collaborative approach where all family members can express their views and work towards consensus. 3. Respecting autonomy: This approach respects the autonomy of all family members, including the adolescent, while still promoting a healthy resolution of conflicts. 4. Building healthy communication: Encouraging negotiation helps improve communication skills within the family and fosters a sense of understanding and cooperation. Summary of why other choices are incorrect: A: Aligning with the adolescent as the scapegoat is not appropriate as it may perpetuate dysfunctional family dynamics. B: Encouraging parents to adopt more realistic rules may not address the underlying issues and may not involve the adolescent in the decision-making process. C: Encouraging the adolescent to comply with