ATI RN
Behavioral Theory of Mental Health Questions
Question 1 of 5
A mother rescues two of her four children from a house fire. In the emergency department, she cries, "I should have gone back in to get them. I should have died, not them." What is the nurse's best response?
Correct Answer: B
Rationale: The correct answer is B because it acknowledges the mother's feelings of guilt and validates her emotions. By stating, "You're feeling guilty because you weren't able to save your children," the nurse shows empathy and understanding towards the mother's distress. This response helps the mother process her emotions and begin to cope with the traumatic event. Choice A is incorrect as it focuses on physical barriers rather than the mother's emotional state. Choice C does not address the mother's feelings of guilt and instead redirects her attention to a different aspect of the situation. Choice D is incorrect as it dismisses the mother's emotions and suggests avoidance rather than confronting her feelings.
Question 2 of 5
An experienced psychiatric nurse plans to begin a new job in a community-based medication clinic. The clinic sees culturally diverse patients. Which action should the nurse take first to prepare for this position?
Correct Answer: A
Rationale: The correct answer is A: Investigate cultural differences in patients' responses to psychotropic medications. This is the first step the nurse should take to prepare for the new position. Understanding cultural differences in medication responses is crucial for providing safe and effective care. By researching this information, the nurse can tailor treatment plans to individual patients, minimizing risks of adverse reactions and improving outcomes. The other choices are incorrect because: B: Contacting the clinical nurse specialist for guidelines is helpful but not the first step. It is important to have a foundational understanding of cultural differences first. C: Examining literature on health beliefs is valuable but may not directly address medication responses. D: Completing an online course on psychopharmacology is beneficial but does not specifically focus on cultural considerations.
Question 3 of 5
The nurse administers medications to a culturally diverse group of patients on a psychiatric unit. What expectation should the nurse have about pharmacokinetics?
Correct Answer: A
Rationale: Step 1: Pharmacokinetics refers to how the body processes medications, including absorption, distribution, metabolism, and excretion. Step 2: Cultural factors such as genetics, diet, and lifestyle can influence how individuals metabolize medications. Step 3: Different cultural groups may have variations in enzyme activity and genetic polymorphisms affecting drug metabolism. Step 4: Therefore, patients of different cultural groups may indeed metabolize medications at different rates. Summary: Choice A is correct because cultural diversity can impact pharmacokinetics. Choice B is incorrect as metabolism can vary among cultural groups. Choice C is incorrect as hepatic enzyme differences may not always be solely based on cultural factors. Choice D is irrelevant to the pharmacokinetics of medications.
Question 4 of 5
Which underlying cause of this client's personality disorder should the nurse recognize?
Correct Answer: B
Rationale: The correct answer is B because personality disorders often stem from maladaptive patterns of behavior learned in childhood. In this case, the client received exclusive nurturance from one source, leading to dependency and discouragement of independent behaviors. This can contribute to the development of a personality disorder characterized by reliance on others for validation and support. Choices A, C, and D all involve a mix of multiple sources of nurturance and encouragement or discouragement of independent behaviors, which do not align with the typical underlying cause of a personality disorder rooted in dependency on a single source of nurturance.
Question 5 of 5
Which response should the nurse identify as characteristic of clients diagnosed with OCPD?
Correct Answer: D
Rationale: The correct answer is D because individuals with Obsessive-Compulsive Personality Disorder (OCPD) typically exhibit rigidity, perfectionism, and a strong need for control. Option D reflects this by showcasing a resistance to changes and a desire for rules to govern decisions. Options A, B, and C do not align with OCPD characteristics as they involve avoiding responsibility, suspicions of hidden motives, and displaying entitlement respectively. Ultimately, choice D best captures the core traits associated with OCPD, making it the correct response.