ATI RN
Aggressive Behavior Nursing Diagnosis Questions
Question 1 of 5
A patient experiencing psychosis asks a psychiatric technician, 'What’s the matter with me?' The technician replies, 'Nothing is wrong with you You just need to use some self-control' The nurse who overheard the exchange should take action based on:
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 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 3 of 5
Which of the following factors influencing assessment is under the nurse's control?
Correct Answer: C
Rationale: The factors that influence assessment include client participation and feedback, client's health status, client's ability to understand, client's previous experiences, and misconceptions about health care. The only one of these that is under the control of the nurse is the nurse's attitude and approach.
Question 4 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 5 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.