ATI RN
Public Health Theories of Behavior Change Questions
Question 1 of 5
A psychiatric nurse leads a medication education group for Hispanic patients. This nurse holds a Western worldview and uses pamphlets as teaching tools. Groups are short and concise. After the group, the patients are most likely to believe
Correct Answer: A
Rationale: Step-by-step rationale: 1. The nurse holds a Western worldview, which may not align with the cultural beliefs of Hispanic patients. 2. Using pamphlets may not effectively communicate information in a culturally sensitive manner. 3. Short and concise groups may be perceived as rushed or lacking in depth. 4. Patients may feel the nurse was uncaring due to the mismatch in cultural understanding and communication style. Summary: The correct answer is A because cultural differences and communication styles can lead to patients feeling uncared for despite the nurse's intentions. Choices B, C, and D are incorrect because effectiveness, efficiency, and respect can be compromised when cultural considerations are not adequately addressed.
Question 2 of 5
A nurse wants to engage an interpreter for a severely anxious 21-year-old male who immigrated to the United States 2 years ago. Of the four interpreters below who are available and fluent in the patient's language, which one should the nurse call?
Correct Answer: B
Rationale: The correct answer is B, the 24-year-old male professional interpreter, for several reasons. Firstly, a professional interpreter is trained in medical terminology and confidentiality, ensuring accurate communication. Secondly, being closer in age to the patient may help establish rapport and trust, especially with a young male patient experiencing anxiety. Additionally, using a neutral third-party interpreter avoids potential biases or conflicts of interest that could arise with a family member or friend. Therefore, choice B is the best option for effective communication and providing culturally sensitive care. Choices A, C, and D are incorrect because they do not offer the same level of professionalism, expertise, and neutrality required in this situation.
Question 3 of 5
During an assessment interview, a client diagnosed with antisocial personality disorder spits, curses, and refuses to answer questions. Which is the most appropriate nursing statement to address this behavior?
Correct Answer: B
Rationale: The correct answer is B: "I understand that you are angry, but this behavior will not be tolerated." Rationale: 1. Acknowledges the client's emotions: Acknowledging the client's anger shows empathy and validates their feelings. 2. Sets clear boundaries: It establishes that the behavior is not acceptable while still recognizing the underlying emotions. 3. Maintains therapeutic relationship: It addresses the behavior without resorting to judgment or confrontation. 4. Promotes safety: By stating that the behavior will not be tolerated, it ensures a safe environment for both the client and the nurse. Summary of other choices: A: Blaming and shaming the client may escalate the situation and damage the therapeutic relationship. C: Asking the client to modify behaviors may not be effective when dealing with personality disorders characterized by defiance and lack of empathy. D: Asking about medications for antisocial personality disorder is not appropriate during an initial assessment interview and may not address the immediate behavior.
Question 4 of 5
Which client statement indicates to the nurse that a potential diagnosis of schizotypal personality disorder should be considered?
Correct Answer: D
Rationale: The correct answer is D because it demonstrates a belief in supernatural or unusual experiences, which is a characteristic of schizotypal personality disorder. This statement suggests ideas of reference and magical thinking, common in individuals with this disorder. Explanation for why other choices are incorrect: A: This choice suggests paranoia, which can be seen in various mental health conditions but is not specific to schizotypal personality disorder. B: Excitement about nail polish is not a symptom of schizotypal personality disorder. C: Being knowledgeable about a specific topic, like bees, does not directly indicate schizotypal personality disorder.
Question 5 of 5
Which reaction to a compliment from another client should the nurse identify as a typical response from a client diagnosed with avoidant personality disorder?
Correct Answer: C
Rationale: The correct answer is C because individuals with avoidant personality disorder often have low self-esteem and fear rejection. Therefore, they may feel grateful for a compliment but still worry about potential future rejection and humiliation. A: Interpreting the compliment as a secret code used to increase personal power is more indicative of paranoid personality disorder. B: Feeling the compliment was well deserved shows a positive self-view, which is less common in avoidant personality disorder. D: Wondering what deep meaning and purpose are attached to the compliment suggests a more analytical or introspective response, rather than fear of rejection.