ATI RN
Theory of Health Behavior Change Questions
Question 1 of 5
Primary level of prevention is exemplified by:
Correct Answer: C
Rationale: Primary prevention aims to prevent the occurrence of a health issue before it happens. Teaching stress management techniques (Choice C) falls under this category by addressing stress before it leads to health problems. This approach targets the root cause and promotes overall well-being. Choice A (Helping the client resume self-care) focuses on rehabilitation and is considered secondary prevention. Choice B (Ensuring the safety of a suicidal client) relates to crisis intervention, which is tertiary prevention. Choice D (Case finding and surveillance) is more aligned with early detection and is also secondary prevention. In summary, teaching stress management techniques is the best example of primary prevention as it addresses the issue proactively before it escalates.
Question 2 of 5
A 5-year-old boy is diagnosed to have autistic disorder. Which of the following manifestations may be noted in a client with autistic disorder?
Correct Answer: B
Rationale: The correct answer is B: Intolerance to change, disturbed relatedness, stereotypes. Children with autistic disorder often struggle with changes in routine, have difficulties in forming relationships, and exhibit repetitive behaviors or fixations. Intolerance to change is a common feature due to their need for predictability and structure. Disturbed relatedness refers to challenges in social interactions and communication. Stereotypical behaviors like hand-flapping or insistence on sameness are also typical. A: Argumentativeness, disobedience, angry outburst - While children with autism may exhibit behavioral challenges, these specific manifestations are more commonly associated with oppositional defiant disorder or conduct disorder, not necessarily autistic disorder. C: Distractibility, impulsiveness, and overactivity - These symptoms are characteristic of attention-deficit/hyperactivity disorder (ADHD) rather than autistic disorder. D: Aggression, truancy, stealing, lying - While some children with autism may display aggression or difficulties with honesty, truancy, and
Question 3 of 5
She tearfully tells the nurse " can't take it when she accuses me of stealing her things." Which response by the nurse will be most therapeutic?
Correct Answer: C
Rationale: The correct answer is C because it shows empathy and acknowledges the patient's feelings without dismissing them. By stating "This must be difficult for you and your mother," the nurse validates the patient's emotions and shows understanding. This response fosters a therapeutic relationship and encourages further exploration of the patient's feelings. Choice A is incorrect because it minimizes the patient's feelings and may come across as dismissive. Choice B shifts the focus away from the patient's emotions and onto problem-solving, which may not be what the patient needs at that moment. Choice D is inappropriate as it implies the patient is at fault and suggests a confrontational approach, which is not conducive to therapeutic communication.
Question 4 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 5 of 5
Unlike psychophysiologic disorder Linda may be best managed with:
Correct Answer: C
Rationale: Step-by-step rationale for choice C (Stress management technique) being correct: 1. Linda's condition involves psychological factors contributing to physical symptoms. 2. Stress management techniques help address the underlying stress that may exacerbate her symptoms. 3. Techniques such as relaxation exercises and cognitive-behavioral therapy can help Linda cope with stress. 4. By managing stress effectively, Linda can reduce the frequency and severity of her symptoms. Summary of why other choices are incorrect: A. Medical regimen: Linda's condition is primarily psychological, so solely focusing on medications may not address the root cause. B. Milieu therapy: This therapy focuses on the environment, which may not directly target Linda's stress and psychological factors. D. Psychotherapy: While psychotherapy is beneficial, stress management techniques specifically target stressors that may worsen Linda's symptoms.