ATI RN
Aggressive Behavior Nursing Diagnosis Questions
Question 1 of 5
As a nurse escorts a patient being discharged after treatment for major depression, the patient gives the nurse a necklace with a heart pendant and says, 'Thank you for helping mend my broken heart.' Which is the nurse's best response?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
Documentation in a patient's chart shows, 'Throughout a 5-minute interaction, patient fidgeted and tapped left foot, periodically covered face with hands, and looked under chair while stating, 'I enjoy spending time with you.' Which analysis is most accurate?
Correct Answer: C
Rationale: When a verbal message is not reinforced with nonverbal behavior, the message is confusing and incongruent. It is inaccurate to say that the patient is giving positive feedback about the nurse's communication techniques. The concept of a cultural filter is not relevant to the situation because a cultural filter determines what we will pay attention to and what we will ignore. Data are insufficient to draw the conclusion that the patient is demonstrating psychotic behaviors.
Question 3 of 5
A school age child tells the school nurse, 'Other kids call me mean names and will not sit with me at lunch. Nobody likes me.' Select the nurse's most therapeutic response.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A nurse is assessing a patient diagnosed with bulimia nervosa. The patient states, 'I feel so ashamed after I eat.' What is the priority nursing intervention?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A nurse is caring for a patient diagnosed with bipolar disorder who is in the manic phase. The patient states, 'I'm going to buy a new car and take a trip to Paris.' Which of the following is the priority nursing intervention?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.