ATI RN
Stage Theories of Health Behavior Questions
Question 1 of 5
A patient experiencing significant stress associated with a disturbing new medical diagnosis asks the nurse, Do you think saying a prayer would help? Select the nurses best answer.
Correct Answer: B
Rationale: Many patients find that spiritual measures, including prayer, are helpful in mediating stress. Studies have shown that spiritual practices can enhance the sense of well-being. When a patient suggests a viable means of reducing stress, it should be supported by the nurse. Indicating that prayer is the patients only hope is pessimistic and would cause further distress. Suggesting meditation or other alternatives to prayer implies that the nurse does not think prayer would be effective.
Question 2 of 5
Which outcome would be most appropriate for a symptom-management group for persons with schizophrenia? Group members will:
Correct Answer: D
Rationale: An appropriate psychoeducational focus for patients with schizophrenia is managing their symptoms; coping with symptoms such as impaired memory or impaired reality testing can improve functioning and enhance their quality of life. Names of medications might be appropriate for a medication education group but would be a low priority for symptom management. Addressing intra-family issues would be more appropriate within a family therapy group or possibly a support group. Rating anxiety lower would be an expected outcome for a stress-management group.
Question 3 of 5
A group is in the working phase. One member says, That is the stupidest thing Ive ever heard. Everyone whines and tells everyone else what to do. This group is a total waste of my time. Which comment by the group leader would be most therapeutic?
Correct Answer: C
Rationale: The members comments demean the group and its members and suggest that the member is very angry. Labeling the emotion and conveying empathy would be therapeutic. Focusing on members who are likely to be more positive can balance the influence of demoralizing members. You seem to know a lot conveys hostility from the leader, who confronts and challenges the member to explain how he came to be readmitted if he was so knowledgeable, implying that he is less knowledgeable than he claims. This comment suggests countertransference and is non-therapeutic. Shifting away from the complaining member to see if others agree seeks to have others express disagreement with this member, but that might not happen. In the face of his anger, they might be quiet or afraid to oppose him, or they could respond in kind by expressing hostility themselves. A rule that only positive exchanges are permitted would suppress conflict, reducing the effectiveness of the therapy group.
Question 4 of 5
Pete has recently been admitted to the hospital and is being treated for bipolar disorder. When you go to check in on him, he tells you that he is feeling very drowsy and has been vomiting. He is also running a fever. You suspect that Pete's problem is caused by:
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
Linda says that she feels confused and anxious. In addition, Linda feels unorganized and states, 'It is as not bad as it seems.' What phase of crisis is Linda experiencing?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.