ATI RN
Theories of Health Behavior Change Questions
Question 1 of 5
Mario comes to the clinic complaining of fever, drenching night sweats, and unexplained weight loss over the past 3 months. Physical examination reveals a single enlarged supraclavicular lymph node. Which of the following is the most probable diagnosis?
Correct Answer: D
Rationale: The most probable diagnosis for Mario is Hodgkin's disease. This is supported by his symptoms of fever, night sweats, weight loss, and an enlarged supraclavicular lymph node, which are classic signs of Hodgkin's lymphoma. The presence of a single enlarged supraclavicular lymph node is particularly concerning for malignancy. Influenza (choice A) typically presents with respiratory symptoms, not persistent lymphadenopathy. Sickle cell anemia (choice B) is a genetic disorder affecting red blood cells, not associated with the symptoms described. Leukemia (choice C) may present with similar symptoms but typically involves multiple lymph nodes, not a single enlarged node. Therefore, the correct answer is D, Hodgkin's disease.
Question 2 of 5
The nurse is aware that the following terms used to describe reduced cardiac output and perfusion impairment due to ineffective pumping of the heart is:
Correct Answer: B
Rationale: Step-by-step rationale for choice B (Cardiogenic shock) as the correct answer: 1. Cardiogenic shock refers to reduced cardiac output and perfusion impairment due to ineffective pumping of the heart. 2. In cardiogenic shock, the heart's ability to pump blood is compromised, leading to decreased circulation and inadequate perfusion. 3. Anaphylactic shock (choice A) is a severe allergic reaction, not related to cardiac function. 4. Distributive shock (choice C) involves widespread vasodilation and impaired blood flow regulation, not solely related to ineffective heart pumping. 5. Myocardial infarction (MI) (choice D) is a heart attack resulting from blocked blood flow to the heart, not directly related to reduced cardiac output.
Question 3 of 5
The wife admits that she is a victim of abuse and opens up about her persistent distaste for sex. This sexual disorder is:
Correct Answer: A
Rationale: The correct answer is A: Sexual desire disorder. The wife's persistent distaste for sex indicates a lack of interest or desire for sexual activity, which aligns with the symptoms of Sexual Desire Disorder. This disorder is characterized by a persistent or recurrent lack of sexual fantasies and desire for sexual activity, causing distress or interpersonal difficulties. The other choices (B, C, D) do not fully capture the wife's situation as they focus on different aspects of sexual dysfunction such as arousal, orgasm, and pain, which are not explicitly mentioned in the scenario provided.
Question 4 of 5
Situation: A nurse may encounter children with mental disorders. Her knowledge of these various disorders is vital. When planning school interventions for a child with a diagnosis of attention deficit hyperactivity disorder, a guide to remember is to:
Correct Answer: A
Rationale: Rationale for Choice A (Correct Answer): - Children with ADHD benefit from structure to help them stay organized and focused. - Providing a structured environment helps them understand expectations and routines. - Structure can also help in managing impulsivity and improving behavior. Summary of Other Choices: - Choice B (Ignore overactivity) is incorrect as ignoring the behavior can lead to further issues and does not address the underlying need for structure. - Choice C (Encourage play to dissipate energy) may not address the core issues of ADHD related to organization and focus. - Choice D (Remove child from classroom) does not provide a proactive approach to managing ADHD and may not teach the child appropriate coping strategies.
Question 5 of 5
According to Piaget, a 5-year-old is at what stage of development:
Correct Answer: C
Rationale: The correct answer is C: Pre-operational stage. Piaget's stages of cognitive development outline that at age 5, children are typically in the pre-operational stage characterized by symbolic representation, egocentrism, and inability to perform logical operations. In this stage, children engage in pretend play and use symbols to represent objects. The sensorimotor stage (A) occurs from birth to age 2, concrete operations (B) typically happen around ages 7-11, and formal operations (D) usually emerge around ages 11-15. Therefore, based on Piaget's theory, a 5-year-old is most likely in the pre-operational stage.