ATI RN
Theoretical Basis for Behavior Modification Questions
Question 1 of 5
A Mexican American patient puts a picture of the Virgin Mary on the bedside table. What is the nurse's best action?
Correct Answer: C
Rationale: The correct action is to leave the picture where the patient placed it (Choice C) because it shows respect for the patient's cultural and religious beliefs, promoting patient-centered care. Moving the picture (Choice A) disrespects the patient's wishes. Sending it to the business office safe (Choice B) or home with the family (Choice D) interferes with the patient's autonomy and cultural practices.
Question 2 of 5
Which client situation should the nurse identify as reflective of the impulsive behavior that is commonly associated with BPD?
Correct Answer: D
Rationale: The correct answer is D because it demonstrates impulsive behavior commonly associated with Borderline Personality Disorder (BPD). Cutting oneself in response to fear of abandonment is a hallmark of BPD. This behavior is impulsive, self-destructive, and a maladaptive coping mechanism. Choices A, B, and C do not involve self-harm or the extreme impulsivity typical of BPD. While they all depict fear of abandonment, only choice D involves a drastic and impulsive action in response to the perceived threat of the nurse leaving, aligning with the impulsive behavior seen in BPD.
Question 3 of 5
Which nursing statement would be most appropriate when confronting a client about secondary gains related to extreme dependency on her spouse?
Correct Answer: D
Rationale: The correct answer is D because it directly addresses the concept of secondary gains related to extreme dependency on the spouse. By asking about the specific benefits gained from the relationship, the nurse can uncover underlying motivations for the dependency. A: This choice focuses on a broad question about lifelong concerns, not specifically targeting the secondary gains of dependency. B: This choice asks about anxiety related to decision-making, which is not directly addressing the benefits gained from dependency. C: This choice is too general and does not directly address the issue of secondary gains in the context of dependency.
Question 4 of 5
Which initial nursing diagnosis should the nurse assign to a client diagnosed with cluster C traits who sits alone and ignores others' attempts to converse?
Correct Answer: B
Rationale: The correct answer is B: Social isolation R/T poor self-esteem. This choice is correct because the client's behavior of sitting alone and ignoring others' attempts to converse indicates a pattern of social withdrawal, which aligns with social isolation. Poor self-esteem is a cluster C trait often associated with social isolation. The other choices are incorrect because there is no evidence of fear related to hospitalization, no indication of suicidal ideation or hopelessness, and no clear link to powerlessness due to dependence issues in the scenario provided.
Question 5 of 5
Which student statement indicates further instruction is needed regarding developmental characteristics of clients diagnosed with moderate ID?
Correct Answer: D
Rationale: The correct answer is D because clients with moderate intellectual disabilities typically struggle with academic tasks, making it unlikely for them to successfully complete elementary school without significant support. This indicates a need for further instruction on understanding the developmental characteristics of clients with moderate ID. A: This choice is incorrect because clients with moderate ID can often work in a sheltered workshop setting with appropriate accommodations and support. B: This choice is incorrect because clients with moderate ID can usually perform some personal care activities independently or with assistance. C: This choice is incorrect because clients with moderate ID may indeed have difficulty relating to peers due to social and communication challenges associated with their disability.