ATI RN
Public Health Theories of Behavior Change Questions
Question 1 of 5
A nurse wants to engage an interpreter for a severely anxious 21-year-old male who immigrated to the United States 2 years ago. Of the four interpreters below who are available and fluent in the patient's language, which one should the nurse call?
Correct Answer: B
Rationale: The correct answer is B, the 24-year-old male professional interpreter, for several reasons. Firstly, a professional interpreter is trained in medical terminology and confidentiality, ensuring accurate communication. Secondly, being closer in age to the patient may help establish rapport and trust, especially with a young male patient experiencing anxiety. Additionally, using a neutral third-party interpreter avoids potential biases or conflicts of interest that could arise with a family member or friend. Therefore, choice B is the best option for effective communication and providing culturally sensitive care. Choices A, C, and D are incorrect because they do not offer the same level of professionalism, expertise, and neutrality required in this situation.
Question 2 of 5
Which client statement indicates to the nurse that a potential diagnosis of schizotypal personality disorder should be considered?
Correct Answer: D
Rationale: The correct answer is D because it demonstrates a belief in supernatural or unusual experiences, which is a characteristic of schizotypal personality disorder. This statement suggests ideas of reference and magical thinking, common in individuals with this disorder. Explanation for why other choices are incorrect: A: This choice suggests paranoia, which can be seen in various mental health conditions but is not specific to schizotypal personality disorder. B: Excitement about nail polish is not a symptom of schizotypal personality disorder. C: Being knowledgeable about a specific topic, like bees, does not directly indicate schizotypal personality disorder.
Question 3 of 5
Which reaction to a compliment from another client should the nurse identify as a typical response from a client diagnosed with avoidant personality disorder?
Correct Answer: C
Rationale: The correct answer is C because individuals with avoidant personality disorder often have low self-esteem and fear rejection. Therefore, they may feel grateful for a compliment but still worry about potential future rejection and humiliation. A: Interpreting the compliment as a secret code used to increase personal power is more indicative of paranoid personality disorder. B: Feeling the compliment was well deserved shows a positive self-view, which is less common in avoidant personality disorder. D: Wondering what deep meaning and purpose are attached to the compliment suggests a more analytical or introspective response, rather than fear of rejection.
Question 4 of 5
Which characteristic should the nurse expect a client diagnosed with schizotypal personality disorder to exhibit?
Correct Answer: C
Rationale: The correct answer is C because individuals with schizotypal personality disorder often exhibit incorrect interpretations of external events due to their distorted thinking patterns. This includes ideas of reference, magical thinking, and paranoid ideation. Choice A is incorrect as schizotypal individuals tend to have few close relationships. Choice B is incorrect as brief but intense relationships are more characteristic of borderline personality disorder. Choice D is incorrect as individuals with schizotypal personality disorder may have difficulty expressing emotions but not necessarily a lack of tender feelings.
Question 5 of 5
Which condition does the nurse suspect when a client blinks when asked a question and coughs when looked at?
Correct Answer: C
Rationale: The correct answer is C: Tourette's disorder. In Tourette's disorder, clients exhibit involuntary motor and vocal tics, such as blinking and coughing. This is due to abnormal activity in the brain. Blinking and coughing in response to specific stimuli align with the characteristic symptoms of Tourette's. ODD (A) involves defiance and hostility, not tics. ASD (B) is characterized by social communication challenges, not tics. Conduct disorder (D) involves aggressive and antisocial behavior, not tics.