ATI RN
Multidimensional Basis of Health Protective Behaviors Questions
Question 1 of 5
A patient who had been experiencing significant stress learned to use progressive muscle relaxation and deep breathing exercises. When the patient returns to the clinic 2 weeks later, which finding most clearly shows the patient is coping more effectively with stress?
Correct Answer: A
Rationale: Objective measures tend to be the most reliable means of gauging progress. In this case, the patients elevated blood pressure, an indication of the bodys physiological response to stress, has diminished. The patients report regarding activity level is subjective; sitting quietly could reflect depression rather than improvement. Appetite, mood, and energy levels are also subjective reports that do not necessarily reflect physiological changes from stress and may not reflect improved coping with stress. The patients weight change could be a positive or negative indicator; the blood pressure change is the best answer.
Question 2 of 5
Which remark by a group participant would the nurse expect during the working stage of group therapy?
Correct Answer: D
Rationale: In the working stage, members actively interact to help each other accomplish goals, and because trust has developed, conflict and disagreement can be expressed. Focusing on trust and confidentiality typically occur in the orientation phase as part of establishing group norms. Commonality and universality are also themes typically expressed in the orientation phase, whereas reflecting on progress is a task addressed in the termination phase.
Question 3 of 5
During a support group, a patient diagnosed with schizophrenia says, Sometimes I feel sad that I will never have a good job like my brother. Then I dwell on it and maybe I should not. Select the nurse leaders best comment to facilitate discussion of this issue.
Correct Answer: B
Rationale: Asking others to share their experiences will facilitate discussion of an issue. Giving information may serve to close discussion of the issue because it sounds final. Suggesting a focus on the positives implies a discussion of the issue is not appropriate. Suggesting other possible feelings is inappropriate at this point, considering the patient has identified feelings of sadness and seems to have a desire to explore this feeling. Focusing on other feelings will derail discussion of the patients grief for his perceived lost potential.
Question 4 of 5
During electroconvulsive therapy (ECT), the patient is monitored carefully before and after the procedure. The nurse assisting with this procedure is aware that monitoring is necessary because the patient may suffer from:
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
The patient taking lithium should understand that the following could affect fluid and sodium levels and increase the chances of becoming toxic:
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.