ATI RN
Multidimensional Basis of Health Protective Behaviors Questions
Question 1 of 5
A student nurse tells the instructor, "I'm concerned that when a client asks me for advice I won't have a good solution." Which should be the nursing instructor's best response?
Correct Answer: B
Rationale: The correct answer is B because it emphasizes the importance of client autonomy and responsibility in decision-making. As a nurse, it is crucial to empower clients to make their own choices and decisions regarding their care. By reminding the student nurse that clients are responsible for their choices, the instructor encourages the student to focus on supporting and guiding the client rather than providing direct advice. This approach aligns with ethical principles of patient-centered care and promotes client empowerment. Choice A is incorrect because it normalizes not having the answer, which may undermine the student nurse's confidence. Choice C is incorrect as it is vague and does not provide specific guidance on how to address the student's concerns. Choice D is incorrect because it focuses on personal improvement rather than the client's autonomy, which is the key issue in this scenario.
Question 2 of 5
A nurse in the clinic has a full appointment schedule. A Hispanic American patient arrives at 1230 for a 1000 appointment. A Native American patient does not keep an appointment at all. What understanding will improve the nurse's planning? These patients are
Correct Answer: A
Rationale: The correct answer is A: members of cultural groups that have a different view of time. Hispanic American and Native American cultures may have different perceptions of punctuality and time management. Hispanic American cultures may prioritize relationships over strict adherence to schedules. Native American cultures may have a more fluid concept of time. It is important for the nurse to understand and respect these cultural differences to provide effective care. Choices B, C, and D are incorrect because they make assumptions about the patients' behaviors based on stereotypes or psychological theories that are not relevant to the situation. It is crucial to avoid making unfounded judgments and instead focus on cultural competence when providing healthcare services.
Question 3 of 5
A nurse prepares to teach important medication information to a patient of Mexican heritage. How should the nurse manage the teaching environment?
Correct Answer: A
Rationale: The correct answer is A: Stand very close to the patient while teaching. This approach is important when teaching patients of Mexican heritage as they tend to value close interpersonal relationships. Standing close conveys a sense of warmth and connection, facilitating trust and understanding. Maintaining direct eye contact (B) can be perceived as confrontational in some cultures. Maintaining a neutral emotional tone (C) may come across as disinterested or cold. Sitting 4 feet or more away (D) can create a sense of distance and may be seen as disrespectful or uninviting.
Question 4 of 5
A nurse begins work in an agency that provides care to members of a minority ethnic population. The nurse will be better able to demonstrate cultural competence after
Correct Answer: D
Rationale: The correct answer is D because exploring commonly held beliefs and values of the population is essential for cultural competence. By understanding the cultural context of the population, the nurse can provide more effective and respectful care. This includes recognizing traditions, preferences, and communication styles. A: Identifying culture-bound issues may not necessarily lead to cultural competence as it focuses more on recognizing specific cultural practices rather than understanding the broader cultural context. B: Implementing scientifically proven interventions is important but does not directly relate to cultural competence, which requires a deeper understanding of cultural nuances. C: Correcting inferior health practices of the population is ethnocentric and disrespectful, going against the principles of cultural competence that emphasize respect for diverse beliefs and practices.
Question 5 of 5
Which nursing approach should be used to maintain a therapeutic relationship with a client diagnosed with BPD?
Correct Answer: A
Rationale: The correct answer is A because individuals with Borderline Personality Disorder (BPD) benefit from a nursing approach that is firm, consistent, and empathetic. Being firm sets clear boundaries, consistency builds trust, and empathy shows understanding. This approach helps address specific behaviors, validates the client's feelings, and promotes a sense of safety in the therapeutic relationship. Choice B, promoting self-expression with laissez-faire leadership, may lead to boundary issues and lack of structure, exacerbating BPD symptoms. Choice C, authoritative leadership, can be perceived as controlling and may trigger negative reactions in clients with BPD. Choice D, overlooking inappropriate behaviors, can reinforce maladaptive patterns and hinder progress in therapy.