ATI RN
Behavioral Questions for Nurse Questions
Question 1 of 5
Select the correct etiology to complete this nursing diagnosis for a patient diagnosed with dissociative identity disorder. Disturbed personal identity related to
Correct Answer: D
Rationale: In this scenario, the correct answer is option D: cognitive distortions associated with unresolved childhood abuse issues. This option aligns with the etiology of disturbed personal identity commonly seen in individuals with dissociative identity disorder. Option A, obsessive fears of harming self or others, is more indicative of conditions like obsessive-compulsive disorder rather than dissociative identity disorder. Option B, poor impulse control and lack of self-confidence, is more aligned with impulse control disorders or personality disorders rather than dissociative identity disorder. Option C, depressed mood secondary to nightmares and intrusive thoughts, is more characteristic of post-traumatic stress disorder or mood disorders, not dissociative identity disorder. Educationally, understanding the rationale behind selecting the correct etiology for a nursing diagnosis is crucial for nurses caring for patients with complex mental health conditions. By differentiating between various etiologies, nurses can provide targeted and effective interventions to address the specific needs of individuals with dissociative identity disorder. This knowledge enhances the quality of care and promotes better patient outcomes.
Question 2 of 5
A patient says, "I know I have a brain tumor despite the results of the MRI. The radiologist is wrong. People who have brain tumors vomit, and yesterday I vomited all day." Which response by the nurse fosters cognitive reframing?
Correct Answer: B
Rationale: In this scenario, option B, "Let's see if there are any other possible explanations for your vomiting," is the best response to foster cognitive reframing in the patient. This response encourages the patient to consider alternative explanations for their symptoms, which can help challenge and reframe their belief about having a brain tumor. Option A is incorrect because dismissing the patient's belief outright can lead to resistance and does not address the underlying issue. It may also reinforce the patient's conviction. Option C is less effective as it focuses more on the emotional aspect rather than challenging the patient's cognitive distortion. Option D is not helpful as it avoids addressing the patient's concerns altogether. Educationally, this question highlights the importance of therapeutic communication in nursing practice. Nurses play a crucial role in supporting patients' mental well-being by using techniques like cognitive reframing to help patients challenge and reevaluate their thoughts and beliefs. Encouraging patients to explore alternative perspectives can lead to more positive outcomes and improved coping mechanisms.
Question 3 of 5
An adolescent was arrested for theft. At the program, the adolescent refused to join in planned activities and pushed a staff member, causing a fall. Which approach by nursing staff will be most therapeutic?
Correct Answer: B
Rationale: Firm limits are necessary to ensure physical safety and emotional security. Limit setting will also protect other patients from the teen's thoughtless or aggressive behavior. Permitting refusals to participate in the treatment plan, ignoring, coaxing, and bargaining are strategies that do not help the patient learn to abide by rules or structure.
Question 4 of 5
A nurse works with an adolescent who was placed in a residential program after multiple episodes of violence at school. Establishing rapport with this adolescent is a priority because (Select all that apply)
Correct Answer: B
Rationale: Trust is frequently an issue because the adolescent may never have had a trusting relationship with an adult. Trust promotes feelings of security and is the basis of the nurse's therapeutic use of self. Adolescents value peer relationships over those related to authority. Rewards for appropriate behavior are the main component of behavior modification programs.
Question 5 of 5
A patient who is visiting the crisis clinic for the first time asks, "How long will I be coming here?" The nurse's reply should consider that the usual duration of crisis intervention is
Correct Answer: C
Rationale: The disorganization associated with crisis is so distressing that it usually cannot be tolerated for more than 4 to 6 weeks. If it is not resolved by that time, the individual usually adopts dysfunctional behaviors that reduce anxiety without solving the problem. Crisis intervention can shorten the duration.