ATI RN
Aggressive Behavior Nursing Diagnosis Questions
Question 1 of 5
A nurse begins work in an agency that provides care to members of a minority ethnic population. The nurse will be better able to demonstrate cultural competence after:
Correct Answer: D
Rationale: Cultural competence is dependent on understanding the beliefs and values of members of a different culture. A nurse who works with an individual or group of a culture different from his or her own must be open to learning about the culture. The other options have little to do with cultural competence or represent only a portion of the answer.
Question 2 of 5
A nurse notices a patient sitting quietly alone, eyes downcast, and looking sad. The nurse says to the patient, 'You look like something is bothering you.' Which pattern of knowing did the nurse use to respond to the patient?
Correct Answer: B
Rationale: Personal knowing is obtained from life experience. An example would be a client's face shows the panic. Empirical knowing is obtained from the science of nursing. An example would be a client with panic disorder begins to have an attack. Panic attack will raise pulse rate. Ethical knowing is obtained from the moral knowledge of nursing. An example is although the nurse's shift has ended, she remains with the client. Aesthetic knowing is obtained from the art of nursing. Although the client shows outward signals now, the nurse has sensed previously the client's jumpiness and subtle differences in the client's demeanor and behavior.
Question 3 of 5
During the working phase of a therapeutic relationship, which of the following actions by the nurse would best help the client to explore problems?
Correct Answer: B
Rationale: Helping the client to clarify feelings and behavior is a first step in problem identification and exploration. This approach empowers the client to examine and understand their own issues, fostering a therapeutic process. The nurse must remain nonjudgmental and avoid giving direct advice. Choice A might be useful later but doesn’t initiate exploration, C skips ahead to solutions, and D deflects responsibility, none of which prioritize the client’s self-exploration.
Question 4 of 5
The nurse asks the patient what he would like to talk about. This is an example of
Correct Answer: A
Rationale: In this scenario, the correct answer is A) broad opening. A broad opening is a therapeutic communication technique where the nurse invites the patient to introduce a topic of discussion. This approach allows the patient to lead the conversation and express their concerns or thoughts freely. Option B) encouraging expression may seem similar, but it involves more specific prompts to encourage the patient to share their feelings or thoughts, rather than leaving the conversation open-ended like in a broad opening. Option C) focusing is a technique where the nurse helps the patient concentrate on a specific issue or topic. It is not demonstrated in the scenario where the nurse asks the patient what he would like to talk about. Option D) offering self involves the nurse sharing personal information or feelings with the patient to build rapport. This is not applicable in the scenario described. Educationally, understanding therapeutic communication techniques is crucial for nursing practice. By using appropriate communication strategies, nurses can establish trust, encourage patient expression, and promote effective therapeutic relationships. Utilizing a broad opening allows patients to feel heard and valued, fostering a positive environment for communication and patient-centered care.
Question 5 of 5
The nurse must be alert to the nonverbal expressions of the client. Because the meaning attached to nonverbal behavior is subjective, it is important for the nurse to
Correct Answer: D
Rationale: The correct answer is D) validate the meaning of the nonverbal behavior. Nonverbal behavior can provide valuable insights into a client's emotional state, needs, and feelings. By validating the meaning of the nonverbal behavior, the nurse demonstrates empathy, understanding, and respect for the client's communication style. This can help build trust and rapport, leading to more effective therapeutic communication and relationship-building. Option A) increase the client's awareness of nonverbal behavior is incorrect because the responsibility lies with the nurse to interpret and validate the client's nonverbal cues, not to shift the burden onto the client. Option B) investigate the source of nonverbal behavior is incorrect because while understanding the context of behavior is important, the focus should be on validating the client's feelings rather than solely investigating the source. Option C) validate the client's feelings is a close distractor, but it does not specifically address the importance of interpreting nonverbal behavior, which is crucial in understanding the client's unspoken messages. In educational context, it is important to emphasize the significance of nonverbal communication in nursing practice. Nurses must be skilled in interpreting nonverbal cues to provide holistic and patient-centered care. Understanding the nuances of nonverbal behavior can enhance therapeutic relationships and improve patient outcomes.