ATI RN
Aggressive Behavior Nursing Diagnosis Questions
Question 1 of 5
A nurse wants to assess an adult patients recent memory. Which question would best yield the desired information?
Correct Answer: B
Rationale: Recent memory involves recalling events from the past few hours to days. Asking about breakfast this morning (Option B) directly tests this, as it’s a specific, recent event. Option A assesses remote memory (distant past), Option C tests general knowledge, and Option D evaluates immediate memory (seconds to minutes), not recent memory.
Question 2 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 3 of 5
The nurse has completed the psychosocial assessment. Which of the following is the best approach toward analysis of the data to identify nursing diagnoses and develop an appropriate plan of care?
Correct Answer: B
Rationale: After completing the psychosocial assessment, the nurse analyzes all the data that he or she has collected. Data analysis involves thinking about the overall assessment rather than focusing on isolated bits of information. The nurse looks for patterns or themes in the data that lead to conclusions about the client's strengths and needs and to a particular nursing diagnosis. No one statement or behavior is adequate to reach such a conclusion.
Question 4 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 5 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.