ATI RN
Multidimensional Basis of Health Protective Behaviors Questions
Question 1 of 5
A nurse in the clinic has a full appointment schedule. A Hispanic American patient arrives at 1230 for a 1000 appointment. A Native American patient does not keep an appointment at all. What understanding will improve the nurse's planning? These patients are
Correct Answer: A
Rationale: The correct answer is A: members of cultural groups that have a different view of time. Hispanic American and Native American cultures may have different perceptions of punctuality and time management. Hispanic American cultures may prioritize relationships over strict adherence to schedules. Native American cultures may have a more fluid concept of time. It is important for the nurse to understand and respect these cultural differences to provide effective care. Choices B, C, and D are incorrect because they make assumptions about the patients' behaviors based on stereotypes or psychological theories that are not relevant to the situation. It is crucial to avoid making unfounded judgments and instead focus on cultural competence when providing healthcare services.
Question 2 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: The correct answer is D because exploring commonly held beliefs and values of the population is essential for cultural competence. By understanding the cultural context of the population, the nurse can provide more effective and respectful care. This includes recognizing traditions, preferences, and communication styles. A: Identifying culture-bound issues may not necessarily lead to cultural competence as it focuses more on recognizing specific cultural practices rather than understanding the broader cultural context. B: Implementing scientifically proven interventions is important but does not directly relate to cultural competence, which requires a deeper understanding of cultural nuances. C: Correcting inferior health practices of the population is ethnocentric and disrespectful, going against the principles of cultural competence that emphasize respect for diverse beliefs and practices.
Question 3 of 5
Which nursing approach should be used to maintain a therapeutic relationship with a client diagnosed with BPD?
Correct Answer: A
Rationale: The correct answer is A because individuals with Borderline Personality Disorder (BPD) benefit from a nursing approach that is firm, consistent, and empathetic. Being firm sets clear boundaries, consistency builds trust, and empathy shows understanding. This approach helps address specific behaviors, validates the client's feelings, and promotes a sense of safety in the therapeutic relationship. Choice B, promoting self-expression with laissez-faire leadership, may lead to boundary issues and lack of structure, exacerbating BPD symptoms. Choice C, authoritative leadership, can be perceived as controlling and may trigger negative reactions in clients with BPD. Choice D, overlooking inappropriate behaviors, can reinforce maladaptive patterns and hinder progress in therapy.
Question 4 of 5
Which is the priority nursing diagnosis when providing care to a client diagnosed with paranoid personality disorder?
Correct Answer: A
Rationale: The correct answer is A: Risk for violence directed toward others R/T suspicious thoughts. This is the priority nursing diagnosis for a client with paranoid personality disorder because individuals with this disorder often have intense distrust and suspicion of others, which can lead to potential violent behaviors. Addressing this risk is crucial for ensuring the safety of both the client and others. Choice B, Risk for suicide, is not the priority as paranoid personality disorder is not typically associated with a high risk of suicide. Choice C, Altered sensory perception, is not directly related to paranoid personality disorder. Choice D, Social isolation, while a common issue for individuals with this disorder, does not pose an immediate risk to others like the potential violence associated with suspicious thoughts.
Question 5 of 5
Which factor should the nurse recognize distinguishes personality disorders from psychosis?
Correct Answer: B
Rationale: The correct answer is B because major disturbances of thought are absent in personality disorders, whereas they are a hallmark of psychosis. Individuals with personality disorders typically have stable thought processes despite maladaptive behaviors or traits. Choices A, C, and D are incorrect because they do not accurately distinguish personality disorders from psychosis. A, C, and D do not address the fundamental difference in thought disturbances between the two conditions.