ATI RN
Theory of Health Behavior Change Questions
Question 1 of 5
A student nurse is learning about the appropriate use of touch when communicating with clients diagnosed with psychiatric disorders. Which statement by the instructor best provides information about this aspect of therapeutic communication?
Correct Answer: A
Rationale: The correct answer is A because touch carries a different meaning for different individuals. This statement acknowledges the importance of individual preferences and boundaries in therapeutic touch. It emphasizes the necessity of understanding and respecting each client's unique perspective on touch. Explanation of why other choices are incorrect: B: This statement oversimplifies the use of touch in de-escalating volatile situations and does not address the complexity of touch in therapeutic communication. C: While touch can convey interest and warmth, this statement does not encompass the full range of meanings and implications that touch can have in therapeutic interactions. D: While empathy is important in conjunction with touch, this statement does not capture the diversity of meanings that touch can hold for clients.
Question 2 of 5
The sibling of an Asian American patient tells the nurse, "My sister needs help for pain. She cries from the hurt." Which understanding by the nurse will contribute to culturally competent care for this patient? Persons of an Asian American heritage
Correct Answer: A
Rationale: The correct answer is A because it reflects the cultural understanding that individuals of Asian American heritage often tend to express emotional distress through physical symptoms. This is important for the nurse to recognize in order to provide appropriate care and support for the patient. Choice B is incorrect because assuming that Asian Americans will respond best to an impersonal therapist is a culturally insensitive generalization. Choice C is incorrect as it does not necessarily apply to all Asian Americans and their treatment needs. Choice D is incorrect as it overlooks the importance of understanding the cultural nuances in communication and emotional expression within the Asian American community.
Question 3 of 5
A Chinese American patient diagnosed with an anxiety disorder says, "My problems began when my energy became imbalanced." The nurse asks for the patient's ideas about how to treat the imbalance. Which comment would the nurse expect from this patient?
Correct Answer: A
Rationale: The correct answer is A because it reflects the patient's belief in traditional Chinese medicine, which focuses on balancing the body's energy or Qi through special foods like herbal remedies. This aligns with the patient's perspective on energy imbalance. Choice B is incorrect because it suggests a Western medical approach involving medication, which may not resonate with the patient's cultural beliefs. Choice C is incorrect as it suggests a support group approach, which may not address the patient's specific cultural beliefs about energy imbalance. Choice D is incorrect as it involves a native healer and ceremony, which may not be in line with the patient's Chinese cultural beliefs about energy imbalance. Ultimately, choice A is the most culturally sensitive and aligned with the patient's beliefs.
Question 4 of 5
A nurse cares for a first-generation American whose family emigrated from Germany. Which worldview about the source of knowledge would this patient likely have?
Correct Answer: B
Rationale: The correct answer is B because individuals from a German cultural background often value and prioritize scientific evidence and rational thinking in acquiring knowledge. Germans have a strong tradition of scientific achievements and emphasis on logic and empirical evidence. This worldview aligns with the belief that science is the foundation of knowledge and provides tangible proof of existence. Choices A, C, and D are incorrect because: A: Knowledge acquired through affective senses is more subjective and based on personal feelings, which does not align with the German cultural emphasis on empirical evidence. C: Striving for transcendence of mind and body is more associated with Eastern philosophies like Buddhism or Hinduism, not typical of German cultural perspectives. D: The idea of knowledge evolving from a relationship with a supreme being is more aligned with religious beliefs, which may not necessarily reflect the worldview of a first-generation German-American who values scientific evidence and rational thinking.
Question 5 of 5
Which adult client should the nurse recognize as exhibiting the characteristics of a dependent personality disorder?
Correct Answer: C
Rationale: The correct answer is C because a dependent personality disorder is characterized by an excessive need to be taken care of, leading to submissive and clinging behavior. The client living with parents and relying on public transportation demonstrates an inability to function independently and relies on others for basic needs. Choice A focuses on social needs being met through pets, not necessarily dependence on others for care. Choice B mentions intense relationships, but not necessarily dependence for basic needs. Choice D describes characteristics more aligned with obsessive-compulsive personality disorder, not dependent personality disorder.