ATI RN
Assessing Health Behavior Nursing Questions
Question 1 of 5
A nurse is caring for a client who is experiencing fluctuating cognition and visual hallucinations. Which of the following types of dementia should the nurse expect this client to have?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) Lewy body disease. The nurse can expect this client to have Lewy body disease based on the symptoms of fluctuating cognition and visual hallucinations. Lewy body disease is characterized by cognitive fluctuations, visual hallucinations, and motor symptoms similar to Parkinson's disease. These hallucinations are often vivid and detailed, which is a key feature of Lewy body dementia. Option B) Traumatic brain injury is incorrect as it is typically associated with a history of head trauma and cognitive symptoms related to the specific area of the brain affected by the injury, rather than fluctuating cognition and visual hallucinations. Option C) HIV infection is incorrect because while HIV can impact neurological function, it does not typically present with the specific symptoms described in the scenario. Option D) Prion disease is also incorrect as it usually presents with rapid progression of dementia, muscle stiffness, and myoclonus, rather than the fluctuating cognitive symptoms and visual hallucinations seen in Lewy body disease. Understanding the specific symptoms and characteristics of different types of dementia is crucial for nurses caring for clients with cognitive impairments. Recognizing these distinctions can help nurses provide appropriate care and support tailored to the individual needs of each client.
Question 2 of 5
A nurse is caring for a patient diagnosed with bipolar disorder. The nurse understands that during the manic phase, the patient is most likely to exhibit which behavior?
Correct Answer: B
Rationale: In caring for a patient diagnosed with bipolar disorder, understanding the behaviors associated with the manic phase is crucial for providing effective care. The correct answer is B) Extreme risk-taking and impulsive behavior. During the manic phase of bipolar disorder, individuals often experience elevated mood, increased energy levels, and engage in risky behaviors such as excessive spending, substance abuse, or reckless driving. This behavior can pose serious risks to the individual's safety and well-being. Option A) Low energy and lack of motivation is not characteristic of the manic phase of bipolar disorder. Mania is characterized by increased energy levels and heightened activity. Option C) Excessive sleep and lack of communication are more indicative of the depressive phase of bipolar disorder, where individuals may experience prolonged periods of sadness, fatigue, and social withdrawal. Option D) Social withdrawal and limited interaction with others are also more commonly associated with the depressive phase of bipolar disorder, where individuals may isolate themselves and have difficulty engaging in social activities. Educationally, understanding the different phases of bipolar disorder and the behaviors associated with each phase is essential for nurses to provide appropriate care, support, and interventions for patients. Recognizing the signs of mania, such as extreme risk-taking and impulsive behavior, can help nurses ensure the safety and well-being of individuals experiencing this phase of the disorder.
Question 3 of 5
A nurse is teaching a patient diagnosed with anorexia nervosa about nutrition. Which of the following statements by the patient indicates the need for further teaching?
Correct Answer: B
Rationale: In this scenario, option B is the correct answer that indicates the need for further teaching. The patient's plan to eat only fruits and vegetables to lose weight faster reflects a misconception about nutrition and an unhealthy approach to managing anorexia nervosa. Option A demonstrates an understanding of the need to gradually increase food intake, which is a positive step in addressing anorexia nervosa. Option C shows awareness of the importance of restoring weight to a healthier level, aligning with treatment goals. Option D acknowledges the importance of patience and taking small steps in the recovery process, which are essential components of managing anorexia nervosa. In an educational context, it is crucial for nurses to provide accurate and comprehensive information to patients with anorexia nervosa to support their recovery. Teaching about balanced nutrition, gradual weight restoration, and the importance of patience in the recovery process are key aspects of care for individuals with eating disorders. Addressing misconceptions and promoting healthy behaviors are essential in helping patients make positive changes in their eating habits and overall health.
Question 4 of 5
The desired outcome for a patient experiencing insomnia is, 'Patient will sleep for a minimum of 5 hours nightly within 7 days.' At the end of 7 days, review of sleep data shows the patient sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. What is the nurse's next action?
Correct Answer: D
Rationale: The correct response to this question involves applying the evaluation step of nursing process. Sleeping a total of 5 hours at night remains a reasonable outcome. Extending the period for attaining the outcome may be appropriate. Examining interventions might result in planning an activity during the afternoon rather than permitting a nap. Continuing the current plan without changes is inappropriate. Removing this nursing diagnosis from the plan of care would be correct when the outcome was met and the problem resolved. Writing a new nursing diagnosis is inappropriate because no other nursing diagnosis relates to the problem.
Question 5 of 5
When a nurse assesses an older adult patient, answers seem vague or unrelated to the questions. The patient also leans forward and frowns, listening intently to the nurse. An appropriate question for the nurse to ask would be
Correct Answer: A
Rationale: The patient's behaviors may indicate difficulty hearing. Identifying any physical need, the patient may have at the onset of the interview and making accommodations are important considerations. By asking if the patient is annoyed, the nurse is jumping to conclusions. Asking how to make the interview easier for the patient may not elicit a concrete answer. Asking about distractions is a way of asking about auditory hallucinations, which is not appropriate because the nurse has observed that the patient seems to be listening intently.