ATI RN
Theories of Health Behavior Change Questions
Question 1 of 5
Initial intervention for the client should be to:
Correct Answer: C
Rationale: Correct Answer: C - Establish trust through a consistent approach. Rationale: 1. Establishing trust is essential in the initial stages of counseling to create a safe and supportive environment. 2. Trust helps the client feel comfortable sharing their thoughts and feelings openly. 3. Consistency in approach builds predictability and reliability, which fosters a sense of security for the client. 4. By focusing on trust-building first, the counselor can then effectively address the client's fears in a supportive and understanding manner. Summary: A: Encouraging the client to verbalize fears without establishing trust may lead to them feeling vulnerable or judged. B: Helping the client find meaning in feelings is important but should come after trust is established. D: Accepting fears without criticism is important, but trust-building should come first for effective support.
Question 2 of 5
A client tells a nurse, "Everyone would be better off if I wasn't alive." Which nursing diagnosis would be made based on this statement?
Correct Answer: C
Rationale: The correct answer is C: Risk for self-directed violence. The client's statement indicates suicidal ideation, which poses a risk for self-harm. This diagnosis focuses on the potential for the client to harm themselves. Disturbed thought processes (A) may be present, but the primary concern is the risk of self-directed violence. Ineffective coping (B) may contribute to the client's distress, but the immediate concern is the risk of harm to themselves. Impaired social interaction (D) is not the most relevant diagnosis in this scenario, as the client's statement is more indicative of self-harm than social interaction issues.
Question 3 of 5
The nurse would expect a client with early Alzheimer's disease to have problems with:
Correct Answer: A
Rationale: The correct answer is A because early Alzheimer's disease primarily affects cognitive functions such as memory and problem-solving abilities. Balancing a checkbook requires intact cognitive abilities, which are impaired in Alzheimer's. Self-care measures (B) and relating to family members (C) involve more social and emotional aspects, which are typically preserved in early stages. Remembering one's own name (D) is a basic form of memory that is usually retained in early Alzheimer's.
Question 4 of 5
A client taking the monoamine oxidase inhibitor (MAOI) antidepressant isocarboxazid (Marplan) is instructed by the nurse to avoid which foods and beverages?
Correct Answer: A
Rationale: The correct answer is A: Aged cheese and red wine. Isocarboxazid is an MAOI, which can interact with tyramine-rich foods like aged cheese and red wine, leading to hypertensive crisis. Other choices like milk, green leafy vegetables, carbonated beverages, tomato products, lean red meats, and fruit juices do not have the same potential for interaction with MAOIs. It's crucial for the client to avoid these foods and beverages to prevent serious adverse reactions.
Question 5 of 5
The doctor has prescribed haloperidol (Haldol) 2.5 mg. I.M. for an agitated client. The medication is labeled haloperidol 10 mg/2 ml. The nurse prepares the correct dose by drawing up how many milliliters in the syringe?
Correct Answer: C
Rationale: To calculate the correct dose: 1. Determine the desired dose: 2.5 mg 2. Determine the concentration of the medication: 10 mg/2 ml 3. Set up a proportion: 2.5 mg is to x ml as 10 mg is to 2 ml 4. Cross multiply: 2.5x = 10 * 2 5. Solve for x: 2.5x = 20 6. x = 20 / 2.5 = 8 ml Thus, the nurse should draw up 0.5 ml in the syringe, as it is the correct dose for the agitated client. Other choices are incorrect as they do not match the calculated dose based on the prescription and medication concentration.