ATI RN
Assessing Health Behavior Nursing Questions
Question 1 of 5
A holistic plan of recovery would be especially important to a client from which of the following cultural groups?
Correct Answer: A
Rationale: In the context of assessing health behavior in nursing, understanding the importance of a holistic approach to recovery within different cultural groups is crucial. The correct answer is A) American Indian. American Indian culture often places a strong emphasis on interconnectedness between mind, body, spirit, and community. Therefore, a holistic plan that addresses all these aspects would be especially important for a client from this cultural group. This approach aligns with their beliefs and values, fostering trust and engagement in the recovery process. In contrast, while other cultural groups may also benefit from holistic care, their specific needs and preferences may differ. African American, Mexican American, and Arab American communities may have unique health beliefs, practices, and values that influence their approach to recovery. For example, African American communities may prioritize family support and spirituality, while Mexican American communities may value traditional healing practices. Arab American communities may have specific dietary preferences or religious considerations that impact their health behaviors. As educators and healthcare providers, it is essential to recognize and respect the diversity of cultural beliefs and practices among different groups. By understanding the specific needs of various cultural groups, nurses can provide more effective and culturally sensitive care, ultimately improving health outcomes and promoting trust and collaboration with clients from diverse backgrounds.
Question 2 of 5
Which nursing intervention demonstrates false imprisonment?
Correct Answer: B
Rationale: The correct answer is B) A patient has been irritating and attention-seeking much of the day. A nurse escorts the patient down the hall saying, 'Stay in your room, or you’ll be put in seclusion.' This intervention demonstrates false imprisonment because the nurse is using a threat of seclusion to restrict the patient's movement without any legal or ethical justification. Option A is not the correct answer because although the patient was restrained without an initial order, the nurse promptly obtained one, which aligns with patient safety protocols. Option C shows a nurse acting in the patient's best interest by convincing them to return to the unit, ensuring their safety and addressing their suicidal ideation. Option D involves preventing a potentially dangerous situation by following established protocols when dealing with a patient with homicidal ideation. In an educational context, it is crucial for nursing students to understand the legal and ethical implications of restricting a patient's movement. False imprisonment is a serious violation of a patient's rights and can lead to legal consequences for healthcare providers. Nurses must always prioritize patient autonomy and use least restrictive measures when managing challenging behaviors. This question highlights the importance of ethical decision-making and respecting patients' rights in nursing practice.
Question 3 of 5
A family member of a patient with delusions of persecution asks the nurse, 'Are there any circumstances under which the treatment team is justified in violating a patient’s right to confidentiality?' The nurse should reply that confidentiality may be breached:
Correct Answer: D
Rationale: In this scenario, the correct answer is D) if the patient threatens the life of another person. This response aligns with the principle of duty to warn or duty to protect, which states that healthcare providers have an ethical and legal obligation to breach patient confidentiality if there is a clear and imminent threat of harm to an identifiable third party. This duty supersedes the patient's right to confidentiality in order to prevent harm. Option A) under no circumstances is incorrect because there are situations, such as the one described, where breaching confidentiality is necessary to ensure the safety of others. Option B) at the discretion of the psychiatrist is incorrect as this decision is guided by ethical and legal standards, not solely by individual discretion. Option C) when questions are asked by law enforcement is incorrect because not all inquiries from law enforcement justify breaching confidentiality unless there is a legitimate threat to an individual's safety. In an educational context, it is crucial for nursing students to understand the ethical principles surrounding patient confidentiality and the circumstances under which it can be breached. By learning about the duty to protect, students can navigate complex situations like the one presented in the question while upholding ethical standards and prioritizing patient and public safety.
Question 4 of 5
A new staff nurse completes an orientation to the psychiatric unit This nurse will expect to ask an advanced practice nurse to perform which action for patients?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) Prescribe psychotropic medication. The advanced practice nurse, such as a psychiatric mental health nurse practitioner (PMHNP), has the authority and specialized training to prescribe medications in psychiatric settings. This role includes conducting thorough assessments to determine the need for medication and then prescribing and monitoring the effects of psychotropic medications on patients. Option A) Perform mental health assessment interviews may seem plausible, but this task is within the scope of practice for registered nurses, including new staff nurses. While advanced practice nurses may conduct assessments, their role typically involves more complex decision-making and interventions. Option C) Establish therapeutic relationships is a fundamental nursing skill that all nurses, including new staff nurses, should possess. Advanced practice nurses certainly build therapeutic relationships with patients, but this task is not exclusive to their role. Option D) Individualize nursing care plans is a responsibility shared by all nurses, including new staff nurses. While advanced practice nurses play a role in developing comprehensive care plans, this task does not differentiate their practice from that of other nurses. In an educational context, understanding the scope of practice for different nursing roles is crucial for providing safe and effective patient care. By recognizing the unique responsibilities of advanced practice nurses, such as prescribing medications, nurses can collaborate effectively within multidisciplinary teams to meet the diverse needs of patients in psychiatric settings.
Question 5 of 5
Which statement made by a patient during an initial assessment interview should serve as the priority focus for the plan of care?
Correct Answer: D
Rationale: In this scenario, option D, "I hear evil voices that tell me to do bad things," should serve as the priority focus for the plan of care. This statement indicates a potential serious mental health issue, possibly psychosis, which requires immediate attention and intervention to ensure the safety and well-being of the patient and others. Option A, "I can always trust my family," while important for building trust and support, does not present an immediate concern that could jeopardize the patient's safety or well-being. Option B, "It seems like I always have bad luck," may indicate a negative outlook but does not pose an immediate risk or require urgent intervention. Option C, "You never know who will turn against you," reflects a sense of mistrust but does not present an immediate threat to the patient's safety or well-being. In an educational context, this question underscores the importance of recognizing and prioritizing critical concerns in nursing assessments. It highlights the need for healthcare providers to identify and address urgent issues promptly to ensure patient safety and provide appropriate care. This rationale emphasizes the significance of differentiating between statements that may indicate underlying mental health issues requiring immediate intervention versus those that may be important but do not present imminent risks.