ATI RN
Theory of Health Behavior Change Questions
Question 1 of 5
Being creative, productive, and establishing the next generation occurs in which stage of Erikson's psychosocial development?
Correct Answer: C
Rationale: Generativity versus stagnation occurs in middle adulthood and includes the tasks of being creative and productive. Intimacy versus isolation involves forming adult, loving relationships. Identity versus role confusion involves formulating a sense of self and belonging. Ego integrity versus despair involves accepting responsibility for oneself and life.
Question 2 of 5
The nursing theorist Peplau identified which as the essence of psychiatric-mental health nursing?
Correct Answer: C
Rationale: The correct answer is C) The nurse-client relationship. In the Theory of Health Behavior Change, Peplau emphasized the importance of the therapeutic nurse-client relationship in psychiatric-mental health nursing. This relationship is considered the essence of nursing care in this context as it forms the foundation for understanding and meeting the holistic needs of individuals with mental health issues. Option A) Nursing care independent of physicians is incorrect as collaboration with physicians and other healthcare providers is essential in providing comprehensive care to individuals with mental health concerns. Nursing care should be interprofessional and team-based. Option B) The nurse's use of self is an important aspect of nursing practice, but it is not the essence of psychiatric-mental health nursing according to Peplau's theory. While the nurse's therapeutic use of self is valuable, the central focus is on the nurse-client relationship. Option D) A neurobiologic approach does not align with Peplau's emphasis on the interpersonal dynamics in psychiatric-mental health nursing. While understanding neurobiology is important, it is not the core essence of care in this context. Educationally, understanding the significance of the nurse-client relationship in psychiatric-mental health nursing is crucial for students and practitioners in this field. It highlights the importance of communication, empathy, trust-building, and therapeutic interventions within the nurse-client dynamic to promote healing and positive health behavior change. Peplau's theory continues to be relevant in shaping contemporary psychiatric-mental health nursing practices.
Question 3 of 5
The nurse is caring for a group of clients and recognizes which client is acting from the id portion of personality according to Sigmund Freud?
Correct Answer: A
Rationale: The client who is sexually promiscuous is acting from the id portion of personality which is concerned with unconscious desires and sexual tendencies. The client remorseful over theft of money or critical of own performance is acting from the superego part of the personality which is concerned with ethics, standards, and self-criticism. The client concerned over friendships is operating from the ego part of the personality which involves the capacity to form mutually satisfying relationships.
Question 4 of 5
A client with a history of trauma has told the nurse that he is pursuing psychoanalysis with an independent therapist. What statement by the client would be most consistent with a Freudian approach to psychoanalysis?
Correct Answer: A
Rationale: In a Freudian approach to psychoanalysis, exploring the themes in dreams is a fundamental aspect as dreams are believed to provide insights into unconscious conflicts and desires. Option A, "We're spending quite a bit of time exploring the themes in my dreams," is consistent with this approach. Option B discussing the tension between personal and societal expectations, Option C mentioning conditioning in response to situations, and Option D focusing on behavior modeling after others do not directly align with the core tenets of Freudian psychoanalysis, which heavily emphasizes the role of dreams and the unconscious mind. From an educational perspective, understanding the key principles and techniques of different therapeutic approaches is crucial for healthcare professionals to provide effective and appropriate support to clients. Knowing the distinct features of Freudian psychoanalysis helps nurses and therapists tailor their interactions and interventions to better support clients engaging in this type of therapy, ultimately enhancing the therapeutic alliance and treatment outcomes.
Question 5 of 5
You would expect a client with a diagnosis of bipolar disorder to be treated with:
Correct Answer: C
Rationale: In the context of treating a client with bipolar disorder, the correct option is C) lithium. Lithium is a mood-stabilizing medication commonly used in the treatment of bipolar disorder. It helps to reduce the intensity and frequency of manic episodes, as well as prevent depressive episodes. Option A) librium is a benzodiazepine used primarily for the treatment of anxiety disorders and is not indicated for bipolar disorder. Option B) lioresal is a muscle relaxant used to treat spasticity and is not appropriate for managing bipolar disorder. Option D) lindane is an insecticide used to treat lice and scabies, completely unrelated to the treatment of bipolar disorder. Educationally, it is crucial for healthcare professionals to understand the appropriate medications for specific mental health conditions like bipolar disorder. Understanding the mechanisms of action, side effects, and contraindications of these medications is essential for providing effective care to individuals with bipolar disorder. Selecting the correct medication can significantly impact the client's quality of life and overall well-being.