ATI RN
Aggressive Behavior Nursing Diagnosis Questions
Question 1 of 5
A nurse can best assess a patient's ability to use abstract thinking by asking the patient which of the following questions?
Correct Answer: B
Rationale: The nurse assesses the client's ability to use abstract thinking, which is to make associations or interpretations about a situation or comment. The nurse usually can do so by asking the client to interpret a common proverb. If the client can explain the proverb correctly, his or her abstract thinking abilities are intact. Judgment refers to the ability to interpret one's environment and situation correctly and to adapt one's behavior and decisions accordingly. Insight is the ability to understand the true nature of one's situation and accept some personal responsibility for that situation. The nurse assesses the client's ability to concentrate by asking the client to perform certain tasks such as 'serial sevens.'
Question 2 of 5
A client who has depression is admitted to treatment on a voluntary basis. While in the hospital, the client makes several comments about wanting to 'end it all.' The client decides one day to leave against medical advice. Which of the following would be the most appropriate action by the nursing staff?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
The physician has prescribed Haldol 10 mg for a severely psychotic client. The client refuses the medication. Which nursing intervention is an appropriate response?
Correct Answer: A
Rationale: Clients have the right to refuse medication even when they are psychotic. The client cannot be discharged just because he refuses to take his medications. In this situation, it is not appropriate for the nurse to tell the client that he is too sick to refuse. Restraints are not an appropriate means of getting the client to take the medication.
Question 4 of 5
The nurse is attending an in-service training on safe take-down techniques for aggressive clients. Preparation for safe physical handling prepares the nurse to practice which ethical principle?
Correct Answer: B
Rationale: Nonmaleficence is the requirement to do no harm to others either intentionally or unintentionally. Safe take-down techniques are used to avoid unintentional harm to the client. Veracity is the duty to be honest or truthful. Justice refers to fairness, that is treating all people fairly and equally without regard for social or economic status, race, sex, marital status, religion, ethnicity, or cultural beliefs. Autonomy refers to the person's right to self-determination and independence.
Question 5 of 5
Termination of a therapeutic nurse-patient relationship has been successful when the nurse:
Correct Answer: C
Rationale: Successful termination involves closure through reflection and evaluation of the relationship’s progress, as in Option C. This validates the experience for both parties. Option A avoids closure, Option B maintains dependency, and Option D blurs boundaries into a social relationship, all of which are non-therapeutic.