ATI RN
Stage Theories of Health Behavior Questions
Question 1 of 5
Situation: A 17-year-old gymnast is admitted to the hospital due to weight loss and dehydration secondary to starvation. Which of the following nursing diagnoses will be given priority for the client?
Correct Answer: B
Rationale: The correct answer is B: Fluid volume deficit. Priority is given to addressing physiological needs first. In this case, the client is experiencing dehydration, which can lead to serious complications. Replenishing fluids is crucial to stabilize the client's condition. Altered self-image (A), altered nutrition less than body requirements (C), and altered family process (D) are important but addressing the fluid volume deficit takes precedence due to its immediate life-threatening potential.
Question 2 of 5
A client with obsessive-compulsive disorder is hospitalized on an inpatient unit. Which nursing response is most therapeutic?
Correct Answer: A
Rationale: The correct answer is A: Accepting the client's obsessive-compulsive behaviors. By accepting the client's behaviors, the nurse creates a non-judgmental and supportive environment, fostering trust and rapport. This approach helps the client feel understood and respected, leading to improved therapeutic communication. Challenging (B) the behaviors may cause resistance and increase anxiety. Preventing (C) or rejecting (D) the behaviors can escalate distress and hinder therapeutic progress. Overall, accepting the client's behaviors demonstrates empathy and promotes a therapeutic relationship essential for effective treatment.
Question 3 of 5
A nurse is working with a client who has schizophrenia, paranoid type. Which of the following outcomes related to the client's delusional perceptions would the nurse establish?
Correct Answer: A
Rationale: The correct answer is A because establishing a realistic interpretation of daily events helps the client differentiate between delusions and reality, promoting improved coping and decision-making. Choice B is incorrect as it focuses on hygiene, not delusions. Choice C is incorrect as medication compliance does not directly address delusional perceptions. Choice D is incorrect as participation in activities is not directly related to addressing delusions. Thus, option A is the most appropriate outcome to target for a client with paranoid schizophrenia.
Question 4 of 5
Which neurotransmitter has been implicated in the development of Alzheimer's disease?
Correct Answer: A
Rationale: The correct answer is A: Acetylcholine. Acetylcholine is a neurotransmitter that plays a crucial role in memory and learning processes. In Alzheimer's disease, there is a significant reduction in acetylcholine levels, leading to cognitive decline. Studies have shown that drugs that increase acetylcholine levels can improve cognitive function in Alzheimer's patients. Dopamine, epinephrine, and serotonin are not directly linked to the development of Alzheimer's disease. Dopamine is associated with movement and reward, epinephrine with the fight-or-flight response, and serotonin with mood regulation. Therefore, the reduction in acetylcholine levels is the key factor in Alzheimer's disease development.
Question 5 of 5
The nurse understands that electroconvulsive therapy is primarily used in psychiatric care for the treatment of:
Correct Answer: B
Rationale: The correct answer is B: Depression. Electroconvulsive therapy (ECT) is primarily used in psychiatric care to treat severe depression that has not responded to other treatments. ECT is considered an effective treatment for severe depression, especially when rapid improvement is necessary. It is not typically used for anxiety disorders (A), mania (C), or schizophrenia (D) as first-line treatments. ECT is not indicated for these conditions and may even exacerbate symptoms in some cases. Hence, the correct choice is B as it aligns with the established clinical guidelines and evidence-based practice in psychiatric care.