ATI RN
Theories of Health Behavior Change Questions
Question 1 of 5
A Native American patient sadly describes a difficult childhood. The patient abused alcohol as a teenager but stopped 10 years ago. The patient now says, "I feel stupid and good for nothing. I don't help my people." How should the treatment team focus planning for this patient?
Correct Answer: D
Rationale: The correct answer is D: Use a holistic approach, including mind, body, and spirit. A holistic approach is essential for Native American patients as it considers their cultural beliefs and values. Native Americans often have a strong connection to their community, nature, and spirituality, so addressing all aspects of their well-being is crucial. This approach acknowledges the interconnectedness of the mind, body, and spirit in promoting healing and overall wellness. Explanation for other choices: A: Psychopharmacological and somatic therapies focus solely on biological aspects and may overlook the importance of cultural and spiritual factors in Native American healing practices. B: While childhood trauma may be a contributing factor, focusing solely on psychoanalytical approaches may not address the holistic needs of the patient. C: Treating depression and alcohol abuse concurrently is important, but it does not address the underlying cultural and spiritual needs of the patient.
Question 2 of 5
A nurse prepares to assess a newly hospitalized patient who moved to the United States 6 months ago from Somalia. The nurse should first determine
Correct Answer: D
Rationale: The correct answer is D because determining whether an interpreter is needed is crucial in ensuring effective communication with the patient, which is essential for providing safe and quality care. Without proper communication, it can lead to misunderstandings, errors, and potential harm to the patient. Assessing immunizations (A) can be important but not the priority at this stage. Religious preferences (B) and specific ethnic group (C) are also important but do not directly impact the immediate assessment and care as much as the need for an interpreter.
Question 3 of 5
Which family member statement indicates that learning has occurred regarding the difference between schizoid and avoidant personality disorders?
Correct Answer: A
Rationale: The correct answer is A because it accurately distinguishes between schizoid and avoidant personality disorders. Schizoid individuals prefer to be alone and lack desire for close relationships, while avoidant individuals desire intimacy but fear rejection. Choice B is incorrect because schizoid personality disorder does not necessarily involve odd or eccentric behavior, and avoidant personality disorder can involve social inhibition. Choice C is incorrect because avoidant personality disorder does not involve eccentric behavior, and schizoid personality disorder does not necessarily make individuals dull or vacant. Choice D is incorrect because schizoid personality disorder is not characterized by psychotic thought processes, and avoidant personality disorder is not necessarily more rooted in reality.
Question 4 of 5
Which behavior should the nurse identify as characteristic of HPD?
Correct Answer: A
Rationale: The correct answer is A because Histrionic Personality Disorder (HPD) is characterized by attention-seeking behavior and exaggerated emotions. In this scenario, the client's dramatic reaction to a minor injury, screaming for help and asking to call 911, reflects the need for attention and validation typical of HPD. Choice B is incorrect because unwanted intrusive thoughts are more indicative of Obsessive-Compulsive Disorder, not HPD. Choice C is incorrect as unwanted repetitive behavior patterns are often associated with Obsessive-Compulsive Disorder or Autism Spectrum Disorders, not HPD. Choice D is incorrect as inflexibility and lack of spontaneity in social interactions are more characteristic of Avoidant Personality Disorder, not HPD.
Question 5 of 5
Which characteristics should the nurse recognize as being exhibited by individuals diagnosed with any personality disorder?
Correct Answer: A
Rationale: The correct answer is A because individuals with personality disorders typically do not see their behavior as problematic. They often lack insight into their behaviors and believe their actions are normal. This lack of awareness and acceptance of their altered behaviors is a common characteristic of personality disorders. Choices B, C, and D are incorrect because individuals with personality disorders often do not understand the impact of their behaviors on others, do not seek treatment willingly, and may have difficulties in relationships due to their maladaptive behaviors rather than past negative experiences.