ATI RN
Behavioral Nursing Questions Questions
Question 1 of 5
A nurse is meeting with a new client at a substance use disorder clinic. During which of the following step of the nursing process should the nurse identify the types of interventions that might produce the best client outcomes?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) Planning. The planning phase of the nursing process is where the nurse develops a comprehensive care plan based on the client's assessment data and identified needs. It is during this step that the nurse considers various types of interventions that could best address the client's presenting issues and goals. Option A) Evaluation comes after the interventions have been implemented and is focused on determining the effectiveness of the interventions. Option C) Analysis/diagnosis is where the nurse interprets assessment data to identify the client's health problems and needs, which precedes planning. Option D) Implementation is the phase where the nurse puts the care plan into action. Educationally, understanding the significance of each step in the nursing process is crucial for nurses to provide effective, evidence-based care. By correctly identifying the planning phase as the step where interventions are selected based on client needs, nurses can improve client outcomes and enhance the quality of care provided.
Question 2 of 5
A nurse is caring for a client who states, 'I have no interest in sexual activity or finding a partner.' The nurse should identify that this statement is consistent with which of the following personality disorders?
Correct Answer: C
Rationale: In this scenario, the correct answer is option C) Schizoid personality disorder. The key characteristic of schizoid personality disorder is a lack of interest in social relationships, including sexual activity and close interpersonal connections. Individuals with this disorder tend to be loners who prefer solitary activities and often feel little desire for intimacy or sexual experiences. Option A) Antisocial personality disorder is characterized by a disregard for the rights of others and often involves impulsive and aggressive behavior, rather than a lack of interest in relationships. Option B) Paranoid personality disorder involves pervasive mistrust and suspicion of others, which is not directly related to the lack of interest in sexual activity mentioned in the scenario. Option D) Schizotypal personality disorder is characterized by eccentric behavior, odd beliefs, and difficulties in forming close relationships, but it does not specifically align with the lack of interest in sexual activity described in the question. From an educational perspective, understanding personality disorders is crucial for nurses to provide effective care and support to clients. Recognizing the specific traits and behaviors associated with each disorder helps nurses tailor their interventions and approach to meet the unique needs of individuals with these conditions. In this case, identifying the lack of interest in sexual activity as a characteristic of schizoid personality disorder can guide the nurse in providing appropriate care and support for the client's emotional and social well-being.
Question 3 of 5
A nurse is caring for a client who has generalized anxiety disorder. The nurse should identify that which of the following statements describes anxiety as transdiagnostic in nature?
Correct Answer: B
Rationale: The correct answer is B) Anxiety is a transdiagnostic phenomenon that can coexist alongside varied psychiatric and medical conditions. This statement is accurate because anxiety is not limited to one specific disorder but can manifest across different conditions, making it transdiagnostic in nature. Option A is incorrect because it does not fully capture the essence of anxiety being transdiagnostic; it simply mentions that anxiety can coexist with other conditions without emphasizing its broader applicability. Option C is incorrect as it states that anxiety cannot manifest alongside other conditions, which is not true given the comorbidity seen in clinical practice. Option D is incorrect because it erroneously suggests that anxiety is solely linked to specific risk factors, disregarding its complex and multifaceted nature. From an educational perspective, understanding anxiety as a transdiagnostic phenomenon is crucial for healthcare professionals working in behavioral nursing. This knowledge enables nurses to provide comprehensive care to clients with anxiety, recognizing its presence across various psychiatric and medical conditions. By acknowledging the transdiagnostic nature of anxiety, nurses can implement holistic and individualized treatment plans that address the interconnectedness of anxiety with other health issues, leading to improved patient outcomes.
Question 4 of 5
A nurse is caring for a client who reports frequent social use of alcohol. The client tells the nurse that they have been reprimanded at work for being late several times after they had been out late drinking. Which of the following statements by the client might indicate that the client has developed a substance use disorder?
Correct Answer: A
Rationale: The correct answer is option A) "I have lost 15 pounds! I just don't want to eat lately." This statement indicates a potential substance use disorder because weight loss and loss of appetite are common symptoms of substance abuse, particularly alcohol. This change in eating habits, coupled with the client's reported frequent social use of alcohol and negative consequences at work due to drinking, raises concern for a substance use disorder. Option B) "I am so focused right now. I have a lot of goals." is incorrect because it does not directly relate to the symptoms or consequences of a substance use disorder. While substance use can sometimes lead to increased focus or euphoria initially, this statement does not align with the typical signs of a problem. Option C) repeats the same statement as option A) and is incorrect due to this repetition. Option D) "I am taking art lessons to relieve stress." is incorrect as it suggests a healthy coping mechanism for stress. While individuals with substance use disorders may use substances to cope with stress, engaging in positive activities like art lessons is not indicative of a substance use disorder. In an educational context, it is crucial for healthcare providers, including nurses, to be able to recognize the signs and symptoms of substance use disorders in their clients. Understanding these cues can help in early intervention, appropriate referrals, and providing support for individuals struggling with substance abuse issues. It is essential for nurses to approach these situations with empathy, understanding, and evidence-based interventions to promote the health and well-being of their clients.
Question 5 of 5
A nurse is planning care for a client who has Alzheimer's disease and is in the terminal phase. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: In Alzheimer's disease, the terminal phase is characterized by a progressive decline in physical and cognitive abilities. Option A, "Unable to sit up," is the correct answer because clients in the terminal phase of Alzheimer's often experience severe physical deterioration, leading to difficulty in basic functions like sitting up. Option B, "Requires cueing to eat," is incorrect as it may be a symptom in earlier stages but is not specific to the terminal phase. Option C, "Speech degrades to a few words," is also incorrect as speech deterioration is common in Alzheimer's but not necessarily indicative of the terminal phase. Option D, "Needs assistance with finances," is not specific to the terminal phase and can be a symptom in earlier stages as well. Educationally, understanding the progression of Alzheimer's disease is crucial for nurses caring for affected individuals. Recognizing the signs and symptoms specific to each phase helps in providing appropriate and compassionate care tailored to the client's needs. In the terminal phase, the focus shifts to comfort care and symptom management, making it essential for nurses to anticipate and address the unique challenges faced by these clients.