ATI RN
Behavioral Nursing Questions
Question 1 of 5
A patient tells members of a therapy group, "I hear voices saying my doctor is poisoning me." Another patient replies, "I once heard voices too. They sounded real, but I found out later they were not. The voices you hear are not real either." Which therapeutic factor is exemplified in this interchange?
Correct Answer: D
Rationale: Here a member gains insight into his own experiences from hearing about the experiences of others through interpersonal learning. Catharsis refers to a therapeutic discharge of emotions. Universality refers to members realizing their feelings are common to most people and not abnormal. Imitative behavior involves copying or borrowing the adaptive behavior of others.
Question 2 of 5
A patient in a detoxification unit asks, "What good it will do to go to Alcoholics Anonymous and talk to other people with the same problem?" The nurse's best response would be to explain that self-help groups such as AA provide opportunities for
Correct Answer: B
Rationale: The patient needs basic information about the purpose of a self-help group. The basis of self-help groups is sharing by individuals with similar problems. Self-help is based on the belief that an individual with a problem can be truly understood and helped only by others who have the same problem. The other options fail to address this or provide incorrect information.
Question 3 of 5
When providing care for a client who is terminally ill, how can the nurse assess and support the client’s spiritual distress? Select one that does not apply.
Correct Answer: D
Rationale: In the context of providing care for a terminally ill client, assessing and supporting the client's spiritual distress is crucial for holistic nursing practice. Option D, "Avoiding discussing spirituality to avoid confusion and conflict," is the correct answer to the question as it goes against the principles of person-centered care and holistic nursing. Discussing spirituality with terminally ill clients allows nurses to understand their beliefs, values, and needs, which is essential for providing individualized and culturally sensitive care. Avoiding this discussion can lead to overlooking important aspects of the client's well-being and can hinder the establishment of a trusting nurse-client relationship. Options A, B, and C are all important strategies for assessing and supporting a client's spiritual distress. Asking about the client's spiritual practices and preferences, connecting them to spiritual support persons, and incorporating prayer or religious practices into care when appropriate are all ways to address the spiritual needs of terminally ill clients. These actions can provide comfort, solace, and a sense of connection to something larger than themselves, which can be especially meaningful during end-of-life care. In an educational context, it is important for nursing students to understand that spiritual care is an integral part of holistic nursing practice. By recognizing and addressing the spiritual needs of clients, nurses can provide comprehensive and compassionate care that respects the whole person. Avoiding discussions about spirituality can limit the quality of care provided and overlook important aspects of a client's well-being.
Question 4 of 5
How can health-care professionals address abuse and violence in the clinical setting?
Correct Answer: B
Rationale: In the clinical setting, addressing abuse and violence is crucial for the well-being of patients. Option B, providing support and resources for victims, is the correct choice. By offering support and resources, healthcare professionals can help victims of abuse access the help they need to break free from abusive situations, ensuring their safety and promoting healing. Option A, ensuring confidentiality for the abuser, is incorrect as the priority should be on the safety and well-being of the victim, not protecting the abuser. Confidentiality should be maintained for the victim, not the perpetrator. Option C, ignoring signs of abuse to respect privacy, is also incorrect. It is essential to recognize and address signs of abuse proactively to protect the victim and prevent further harm. Respecting privacy should not come at the cost of patient safety. Option D, minimizing documentation of abuse cases, is not the right approach. Proper documentation is essential for tracking patterns of abuse, ensuring continuity of care, and providing legal support if needed. In an educational context, it is crucial for healthcare professionals to understand the importance of recognizing and addressing abuse and violence in the clinical setting. Training on how to identify signs of abuse, protocols for reporting and responding to abuse, and connecting patients with appropriate support services are essential components of providing comprehensive and compassionate care. By choosing the correct option, healthcare professionals can play a vital role in supporting victims and promoting a safe and healing environment for all patients.
Question 5 of 5
The creation of asylums during the 1800s was meant to
Correct Answer: B
Rationale: The asylum was meant to be a safe haven with food, shelter, and humane treatment for the mentally ill. Asylums were not used to improve treatment of mental disorders or to punish mentally ill people who were believed to be possessed. The asylum was not created to remove the dangerously mentally ill from the community.