ATI RN
Theoretical Basis for Behavior Modification Questions
Question 1 of 5
Nikki reveals that the boyfriend has been pressuring her to engage in premarital sex. The most therapeutic response by the nurse is:
Correct Answer: D
Rationale: The correct answer is D because it focuses on exploring Nikki's feelings and understanding her perspective on the situation. By asking how she feels, the nurse encourages open communication and helps Nikki reflect on her emotions. Option A dismisses her feelings, B is judgmental, and C is irrelevant to the issue at hand. Option D is therapeutic as it promotes self-awareness and empowers Nikki to make informed decisions regarding her relationship.
Question 2 of 5
An 11-year-old child diagnosed with conduct disorder is admitted to the psychiatric unit for treatment. Which of the following behaviors would the nurse assess?
Correct Answer: B
Rationale: The correct answer is B because physical aggressiveness, low-stress tolerance, and disregard for the rights of others are common behaviors seen in children with conduct disorder. This behavior pattern aligns with the diagnostic criteria for conduct disorder, which includes aggression towards people or animals, destruction of property, deceitfulness, and violation of rules. Choices A, C, and D do not specifically align with the typical behaviors associated with conduct disorder in children. Choice A describes symptoms commonly seen in ADHD, choice C aligns more with symptoms of anxiety disorders or psychotic disorders, and choice D describes symptoms of depression rather than conduct disorder.
Question 3 of 5
Two nurses are co-leading group therapy for seven clients in the psychiatric unit. The leaders observe that the group members are anxious and look to the leaders for answers. Which phase of development is this group in?
Correct Answer: B
Rationale: The correct answer is B: Initiation phase. In this phase, group members often look to leaders for guidance and are anxious as they are getting to know each other and establishing trust. During initiation, the group is forming and exploring roles and relationships. The other choices are incorrect because: A: Conflict resolution phase comes after the working phase and involves resolving conflicts that have arisen. C: Working phase is characterized by group cohesion, problem-solving, and goal achievement, not by anxiety and dependence on leaders. D: Termination phase occurs when the group is ending, not when it is forming and experiencing anxiety.
Question 4 of 5
The nurse correctly teaches a client taking the Benzodiazepine Oxazepam (Serax) to avoid excessive intake of:
Correct Answer: B
Rationale: The correct answer is B: Coffee. Oxazepam is a benzodiazepine that can cause drowsiness and relaxation. Coffee contains caffeine which can counteract these effects, making the medication less effective. Avoiding excessive coffee intake ensures the desired therapeutic effects of Oxazepam. Choices A, C, and D are incorrect because they do not interact directly with Oxazepam or affect its effectiveness.
Question 5 of 5
In clients with a cognitive impairment disorder, the phenomenon of increased confusion in the early evening hours is called:
Correct Answer: C
Rationale: The correct answer is C: Sundowning. Sundowning refers to increased confusion and behavioral changes in clients with cognitive impairment disorders, typically worsening in the early evening hours. This phenomenon is believed to be influenced by factors such as fatigue, changes in light exposure, and disruption of the body's internal clock. Aphasia (A) refers to language difficulties, agnosia (B) is the inability to recognize objects or persons, and confabulation (D) is the production of false memories. These terms do not specifically relate to the described phenomenon of increased confusion in the early evening hours seen in sundowning.