ATI RN
Theories of Health Behavior Change Questions
Question 1 of 5
Situation: A nurse may encounter children with mental disorders. Her knowledge of these various disorders is vital. When planning school interventions for a child with a diagnosis of attention deficit hyperactivity disorder, a guide to remember is to:
Correct Answer: A
Rationale: Rationale for Choice A (Correct Answer): - Children with ADHD benefit from structure to help them stay organized and focused. - Providing a structured environment helps them understand expectations and routines. - Structure can also help in managing impulsivity and improving behavior. Summary of Other Choices: - Choice B (Ignore overactivity) is incorrect as ignoring the behavior can lead to further issues and does not address the underlying need for structure. - Choice C (Encourage play to dissipate energy) may not address the core issues of ADHD related to organization and focus. - Choice D (Remove child from classroom) does not provide a proactive approach to managing ADHD and may not teach the child appropriate coping strategies.
Question 2 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 3 of 5
Initial intervention for the client should be to:
Correct Answer: C
Rationale: Correct Answer: C - Establish trust through a consistent approach. Rationale: 1. Establishing trust is essential in the initial stages of counseling to create a safe and supportive environment. 2. Trust helps the client feel comfortable sharing their thoughts and feelings openly. 3. Consistency in approach builds predictability and reliability, which fosters a sense of security for the client. 4. By focusing on trust-building first, the counselor can then effectively address the client's fears in a supportive and understanding manner. Summary: A: Encouraging the client to verbalize fears without establishing trust may lead to them feeling vulnerable or judged. B: Helping the client find meaning in feelings is important but should come after trust is established. D: Accepting fears without criticism is important, but trust-building should come first for effective support.
Question 4 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 5 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.