ATI RN
Theory of Health Behavior Change Questions
Question 1 of 5
In the management of bulimic patients, the following nursing interventions will promote a therapeutic relationship EXCEPT:
Correct Answer: B
Rationale: Correct Answer: B Rationale: Discussing eating behavior may lead to feelings of shame or guilt in bulimic patients, hindering the therapeutic relationship. A: Establishing trust is essential for effective communication and support. C: Helping patients identify feelings encourages self-awareness and emotional regulation. D: Educating patients about bulimia nervosa promotes understanding and empowers them in managing their condition.
Question 2 of 5
Which method would a nurse use to determine a client's potential risk for suicide?
Correct Answer: C
Rationale: The correct answer is C because questioning the client directly about suicidal thoughts is an evidence-based practice known as suicide risk assessment. It allows the nurse to gather crucial information on the client's mental state and intent. This direct approach can help identify potential risk factors and allow for appropriate interventions to be implemented promptly. Choice A is incorrect because waiting for the client to bring up the subject of suicide may delay necessary intervention. Choice B is incorrect as solely observing behavior may not provide enough information for an accurate assessment. Choice D is incorrect because questioning about future plans does not directly address the client's potential risk for suicide.
Question 3 of 5
The emergency department nurse is assigned to provide care for a victim of a sexual assault. When following legal and agency guidelines, which intervention is most important?
Correct Answer: D
Rationale: The correct answer is D, ensuring an unbroken chain of evidence. This is crucial in cases of sexual assault to maintain the integrity of evidence for legal proceedings. By preserving and documenting evidence properly, it increases the chances of bringing the perpetrator to justice. A: Determining the assailant's identity is important but not the nurse's role. B: Preserving the client's privacy is important but secondary to maintaining evidence. C: Identifying the extent of injury is relevant for treatment but doesn't take precedence over preserving evidence.
Question 4 of 5
The nurse is teaching a group of clients about the mood-stabilizing medications lithium carbonate. Which medications should she instruct the clients to avoid because of the increased risk of lithium toxicity?
Correct Answer: C
Rationale: The correct answer is C: Diuretics. Diuretics can reduce lithium excretion, leading to increased lithium levels and potential toxicity. Other choices are incorrect because: A: Antacids may actually help reduce lithium absorption. B: Antibiotics do not have a direct interaction with lithium. D: Hypoglycemic agents do not affect lithium levels. In summary, diuretics are the only medication that can significantly increase the risk of lithium toxicity due to their impact on lithium excretion.
Question 5 of 5
Which client outcome is most appropriately achieved in a community approach setting in psychiatric nursing?
Correct Answer: C
Rationale: The correct answer is C because in a community approach setting in psychiatric nursing, the focus is on helping clients integrate into society and function independently. By demonstrating self-reliance and social adaptation, clients can better navigate their daily lives and relationships. This approach promotes long-term stability and well-being. A: While performing activities of daily living and learning crafts are important, they do not necessarily address the client's ability to adapt socially. B: Preventing aggressive behavior and monitoring medications are more individual-focused goals rather than community-oriented outcomes. D: Anxiety relief and symptom education are valuable, but they do not directly address the client's ability to adapt and function within a community setting.