ATI RN
Theoretical Basis for Behavior Modification Questions
Question 1 of 5
A patient with depression has been taking paroxetine (Paxil) for the last 3 months and has noticed improvement of symptoms. Which of the following side effects would the nurse expect the patient to report?
Correct Answer: B
Rationale: Sexual dysfunction can result from enhanced serotonin transmission associated with SSRI use. Headache caused by hypertension can result when combining MAOIs with foods containing tyramine, such as aged cheeses and alcoholic beverages. An intense need to move about (akathisia) is an extrapyramidal side effect that would be expected of an antipsychotic medication.
Question 2 of 5
A client with bipolar disorder has been taking lithium, and today his serum blood level is 2.0 mEq/L. What effects would the nurse expect to see?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A client's wife of 34 years dies unexpectedly. The client cries often and becomes socially isolated. The client's therapist encourages open discussion of feelings, proper nutrition, and exercise. What is the best rationale for the therapist's recommendations?
Correct Answer: D
Rationale: The correct answer is D because stress can weaken the immune system, making the client more susceptible to illness. By encouraging proper nutrition and exercise, the therapist aims to boost the client's immune system. Crying and social isolation are common responses to grief and can further exacerbate the negative effects of stress. Choices A, B, and C are incorrect because they do not directly address the client's physical health or immune system response to stress. Circadian rhythms, neurotransmitters, and acetylcholine levels are important factors in mental health but are not the primary concern in this scenario.
Question 4 of 5
A client has been given a diagnosis of human immunodeficiency virus (HIV). Which statement made by the client does the nurse recognize as the bargaining stage of grief?
Correct Answer: B
Rationale: The correct answer is B because it reflects the bargaining stage of grief in the context of the HIV diagnosis. In this stage, the individual tries to negotiate with a higher power or fate to avoid the reality of the situation. By stating, "If I don't do intravenous drugs anymore, God won't let me die," the client is demonstrating an attempt to make a deal with a higher power to avoid the consequences of the diagnosis. This statement shows an element of bargaining and denial. Choices A, C, and D do not represent the bargaining stage of grief. Choice A expresses anger towards the partner, which aligns more with the anger stage of grief. Choice C demonstrates acceptance and a proactive approach to learning about the disease, indicating a stage beyond bargaining. Choice D reflects denial, as the client is requesting to redo the test results instead of accepting the diagnosis.
Question 5 of 5
According to Maslow's hierarchy of needs, which client action would demonstrate the highest achievement in terms of mental health?
Correct Answer: C
Rationale: The correct answer is C because it aligns with the highest level of Maslow's hierarchy of needs, self-actualization. This level represents achieving personal growth, self-fulfillment, and realizing one's full potential. This surpasses the lower needs of safety, love/belonging, and esteem. A, maintaining a relationship, falls under love/belonging; B, self-confidence, relates to esteem; and D, sense of purpose, pertains to esteem and self-actualization but does not encapsulate the full realization of potential like option C does.