ATI RN
Theoretical Basis for Behavior Modification Questions
Question 1 of 5
A patient in the emergency department shows a variety of psychiatric symptoms, including restlessness and anxiety. The patient says, "I feel sad because evil spirits have overtaken my mind." Which worldview is most applicable to this individual?
Correct Answer: D
Rationale: The correct answer is D: Indigenous/harmony. This worldview is most applicable because the patient's belief in evil spirits aligns with many indigenous cultures that attribute mental health issues to spiritual causes. In indigenous communities, maintaining harmony with nature and spiritual beings is essential for well-being. The patient's symptoms and explanation indicate a belief in the influence of spiritual forces on mental health. A: Eastern/balance focuses on achieving harmony within oneself and with the environment, but the patient's explanation is more about external evil spirits. B: Southern/holistic emphasizes interconnectedness of mind, body, and spirit, but the patient's belief in evil spirits is more specific to indigenous perspectives. C: Western/scientific relies on empirical evidence and medical explanations, which are not in line with the patient's spiritual explanation.
Question 2 of 5
A client diagnosed with borderline personality disorder (BPD) brings up a conflict with the staff in a community meeting and develops a following of clients who unreasonably demand modification of unit rules. Which approach is best for the nursing staff to implement?
Correct Answer: B
Rationale: The correct approach is B: Maintain consistency of care by open communication to avoid staff manipulation. In this scenario, the client with BPD is exhibiting manipulative behavior by rallying other clients to unreasonably demand rule modifications. By maintaining consistency in care and open communication, staff can address the conflict effectively without succumbing to manipulation. This approach also promotes a therapeutic environment and upholds boundaries. Choice A: Allowing clients to apply the democratic process may further enable manipulation and chaos rather than resolving the conflict effectively. Choice C: Allowing only the client spokesperson to verbalize concerns may not address the underlying issue of manipulation and could potentially reinforce the behavior. Choice D: Applying autocratic leadership may lead to a power struggle and exacerbate the conflict, rather than promoting a collaborative resolution.
Question 3 of 5
Which client situation should the nurse identify as reflective of the impulsive behavior that is commonly associated with BPD?
Correct Answer: D
Rationale: The correct answer is D because it demonstrates impulsive behavior commonly associated with Borderline Personality Disorder (BPD). Cutting oneself in response to fear of abandonment is a hallmark of BPD. This behavior is impulsive, self-destructive, and a maladaptive coping mechanism. Choices A, B, and C do not involve self-harm or the extreme impulsivity typical of BPD. While they all depict fear of abandonment, only choice D involves a drastic and impulsive action in response to the perceived threat of the nurse leaving, aligning with the impulsive behavior seen in BPD.
Question 4 of 5
Which nursing statement would be most appropriate when confronting a client about secondary gains related to extreme dependency on her spouse?
Correct Answer: D
Rationale: The correct answer is D because it directly addresses the concept of secondary gains related to extreme dependency on the spouse. By asking about the specific benefits gained from the relationship, the nurse can uncover underlying motivations for the dependency. A: This choice focuses on a broad question about lifelong concerns, not specifically targeting the secondary gains of dependency. B: This choice asks about anxiety related to decision-making, which is not directly addressing the benefits gained from dependency. C: This choice is too general and does not directly address the issue of secondary gains in the context of dependency.
Question 5 of 5
Which initial nursing diagnosis should the nurse assign to a client diagnosed with cluster C traits who sits alone and ignores others' attempts to converse?
Correct Answer: B
Rationale: The correct answer is B: Social isolation R/T poor self-esteem. This choice is correct because the client's behavior of sitting alone and ignoring others' attempts to converse indicates a pattern of social withdrawal, which aligns with social isolation. Poor self-esteem is a cluster C trait often associated with social isolation. The other choices are incorrect because there is no evidence of fear related to hospitalization, no indication of suicidal ideation or hopelessness, and no clear link to powerlessness due to dependence issues in the scenario provided.