ATI RN
Stage Theories of Health Behavior Questions
Question 1 of 5
A nurse is working with a client who has schizophrenia, paranoid type. Which of the following outcomes related to the client's delusional perceptions would the nurse establish?
Correct Answer: A
Rationale: The correct answer is A because establishing a realistic interpretation of daily events helps the client differentiate between delusions and reality, promoting improved coping and decision-making. Choice B is incorrect as it focuses on hygiene, not delusions. Choice C is incorrect as medication compliance does not directly address delusional perceptions. Choice D is incorrect as participation in activities is not directly related to addressing delusions. Thus, option A is the most appropriate outcome to target for a client with paranoid schizophrenia.
Question 2 of 5
The nurse understands that electroconvulsive therapy is primarily used in psychiatric care for the treatment of:
Correct Answer: B
Rationale: The correct answer is B: Depression. Electroconvulsive therapy (ECT) is primarily used in psychiatric care to treat severe depression that has not responded to other treatments. ECT is considered an effective treatment for severe depression, especially when rapid improvement is necessary. It is not typically used for anxiety disorders (A), mania (C), or schizophrenia (D) as first-line treatments. ECT is not indicated for these conditions and may even exacerbate symptoms in some cases. Hence, the correct choice is B as it aligns with the established clinical guidelines and evidence-based practice in psychiatric care.
Question 3 of 5
Which of the following will the nurse use when communicating with a client who has a cognitive impairment?
Correct Answer: D
Rationale: The correct answer is D: Short words and simple sentences. When communicating with a client who has a cognitive impairment, using short words and simple sentences is crucial as it helps facilitate understanding and reduces confusion. Complex explanations (A) may overwhelm the client. Pictures or gestures (B) might not always be effective if the client struggles to interpret them. Stimulating words and phrases (C) could potentially distract or confuse the client further. Therefore, D is the most appropriate choice to ensure clear and effective communication with a client who has a cognitive impairment.
Question 4 of 5
The nurse is interacting with a family consisting of a mother, a father, and a hospitalized adolescent who has a diagnosis of alcohol abuse. The nurse analyzes the situation and agrees with the adolescent's view about family rules. Which intervention is most appropriate?
Correct Answer: D
Rationale: Step-by-step rationale for why answer D is correct: 1. Remaining objective: It is important for the nurse to stay neutral and unbiased in order to facilitate effective communication and problem-solving within the family. 2. Encouraging mutual negotiation: By encouraging mutual negotiation, the nurse promotes a collaborative approach where all family members can express their views and work towards consensus. 3. Respecting autonomy: This approach respects the autonomy of all family members, including the adolescent, while still promoting a healthy resolution of conflicts. 4. Building healthy communication: Encouraging negotiation helps improve communication skills within the family and fosters a sense of understanding and cooperation. Summary of why other choices are incorrect: A: Aligning with the adolescent as the scapegoat is not appropriate as it may perpetuate dysfunctional family dynamics. B: Encouraging parents to adopt more realistic rules may not address the underlying issues and may not involve the adolescent in the decision-making process. C: Encouraging the adolescent to comply with
Question 5 of 5
A client on an in-patient psychiatric unit tells the nurse, "I should have died because I am totally worthless." In order to encourage the client to continue talking about feelings, which should be the nurse's initial response?
Correct Answer: C
Rationale: The correct initial response is C: "You've been feeling sad and alone for some time now?" This response acknowledges the client's emotions and opens up the conversation for further exploration. By reflecting the client's feelings back to them, the nurse shows empathy and encourages the client to continue sharing their emotions. It validates the client's experience without judgment or minimizing their feelings. Choice A is incorrect as it shifts the focus to the family's feelings, which may not be helpful in addressing the client's immediate emotional distress. Choice B is incorrect as it invalidates the client's current feelings by suggesting they will change with time. Choice D is incorrect as it does not directly address the client's expressed feelings of worthlessness and may come across as dismissive.