ATI RN
Behavioral Theory of Mental Health Questions
Question 1 of 5
Situation: A 35-year-old male has an intense fear of riding an elevator. He claims "As if I will die inside." This has affected his studies The client is suffering from:
Correct Answer: C
Rationale: The correct answer is C: Claustrophobia. Claustrophobia is an intense fear of confined spaces, such as elevators. In this case, the individual's fear of riding an elevator and the belief of dying inside indicate a fear of being trapped in a small space, which aligns with the symptoms of claustrophobia. Agoraphobia (A) is a fear of open or public spaces, social phobia (B) is a fear of social situations, and xenophobia (D) is a fear of strangers or foreigners, none of which match the symptoms described in the scenario.
Question 2 of 5
A client with a bipolar disorder exhibits manic behavior. The nursing diagnosis is Disturbed thought processes related to difficulty concentrating, secondary to flight of ideas. Which of the following outcome criteria would indicate improvement in the client?
Correct Answer: C
Rationale: The correct answer is C: The client speaks in coherent sentences. Improvement in disturbed thought processes due to flight of ideas in bipolar disorder is indicated by the client speaking in coherent sentences, demonstrating improved concentration and organization of thoughts. Verbalizing feelings directly (choice A) may not directly relate to improved thought processes. Positive "self" statements (choice B) may reflect self-esteem but do not address the issue of thought processes. Reporting feeling calmer (choice D) is too general and does not specifically address the improvement in thought processes.
Question 3 of 5
Which factor is least important in the decision regarding whether a victim of family violence can safely remain in the home?
Correct Answer: D
Rationale: Step 1: The victim's safety is the top priority in cases of family violence. Step 2: Factors like availability of shelters, caretaker's intervention, and victim's response to relocation directly impact safety. Step 3: Socioeconomic status does not guarantee safety and can be addressed through other means. Step 4: Therefore, the family's socioeconomic status is least important for ensuring the victim's safety.
Question 4 of 5
When providing family therapy, the nurse analyzes the functioning of healthy family systems. Which situations would not increase stress on a healthy family system?
Correct Answer: D
Rationale: The correct answer is D: Parental disagreement. In a healthy family system, open communication and conflict resolution are key. Parental disagreement is a common occurrence and can be addressed constructively without significantly increasing stress. On the other hand, choices A, B, and C involve significant life transitions that can potentially disrupt the equilibrium of a healthy family system, leading to increased stress. Adolescence going away to college, the birth of a child, and the death of a grandparent are all events that can bring about changes and adjustments within the family dynamics, potentially causing stress.
Question 5 of 5
A client with panic disorder experiences an acute attack while the nurse is completing an admission assessment. List the following interventions according to their level of priority.
Correct Answer: A
Rationale: The correct answer is A: Remain with the client. This is the highest priority as it provides immediate support and reassurance, helping to prevent harm and promote safety during the panic attack. Choice B (Encourage physical activity) may worsen symptoms, choice C (Encourage low, deep breathing) may not be effective during an acute attack, and choice D (Reduce external stimuli) may not address the immediate need for support and reassurance.