ATI RN
Theories of Health Behavior Change Questions
Question 1 of 5
She says to the nurse who offers her breakfast, "Oh no, I will wait for my husband. We will eat together" The therapeutic response by the nurse is:
Correct Answer: D
Rationale: The correct answer is D because it demonstrates therapeutic communication by acknowledging the patient's feelings and gently challenging her perception. This response encourages the patient to reflect on her statement and potentially recognize any confusion or delusion. Choice A is incorrect as it is abrupt and insensitive, disregarding the patient's feelings. Choice B is also incorrect as it is harsh and lacks empathy. Choice C is incorrect as it is dismissive and does not address the patient's emotional needs. In summary, option D is the best choice as it promotes dialogue and helps the patient explore her thoughts, while the other options lack empathy and may cause distress to the patient.
Question 2 of 5
The nurse explains to a mental health care technician that a client's obsessive-compulsive behaviors are related to an unconscious conflict between id impulses and the superego (or conscience). On which of the following theories does the nurse base this statement?
Correct Answer: D
Rationale: The correct answer is D: Psychoanalytic theory. In psychoanalytic theory, behaviors such as obsessive-compulsive behaviors are believed to be manifestations of unconscious conflicts between id impulses (drives and desires) and the superego (moral conscience). This theory, developed by Sigmund Freud, emphasizes the role of unconscious processes in shaping behavior. Behavioral theory (choice A) focuses on learned behaviors through reinforcement and punishment. Cognitive theory (choice B) emphasizes the role of thought processes in behavior. Interpersonal theory (choice C) focuses on relationships and social interactions influencing behavior. However, in the context of explaining obsessive-compulsive behaviors as a result of unconscious conflicts, the most appropriate theory is psychoanalytic theory.
Question 3 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 4 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 5 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.