ATI RN
Stage Theories of Health Behavior Questions
Question 1 of 5
The client admitted for alcohol detoxification develops increased tremors, irritability, hypertension, and fever. The nurse should be alert for impending:
Correct Answer: A
Rationale: The correct answer is A: Delirium tremens. These symptoms are characteristic of delirium tremens, a severe form of alcohol withdrawal. Increased tremors, irritability, hypertension, and fever are signs of worsening withdrawal symptoms that can progress to delirium tremens, a life-threatening condition. Delirium tremens is a medical emergency that requires immediate intervention to prevent complications such as seizures and cardiovascular collapse. Korsakoff's syndrome (B), Esophageal varices (C), and Wernicke's syndrome (D) are all associated with chronic alcohol use, but they do not present with the acute symptoms described in the scenario.
Question 2 of 5
Which is the desired outcome in conducting desensitization:
Correct Answer: D
Rationale: Desensitization aims to help the client overcome their fears gradually. Option D is correct as the desired outcome is for the client to overcome their fear, indicating successful desensitization. Verbalizing fears (A) is a step in the process but not the ultimate goal. Attending group therapy (B) and socializing (C) are not specific outcomes of desensitization.
Question 3 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 4 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 5 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.