ATI RN
Theories of Health Behavior Change Questions
Question 1 of 5
The doctor has prescribed haloperidol (Haldol) 2.5 mg. I.M. for an agitated client. The medication is labeled haloperidol 10 mg/2 ml. The nurse prepares the correct dose by drawing up how many milliliters in the syringe?
Correct Answer: C
Rationale: To calculate the correct dose: 1. Determine the desired dose: 2.5 mg 2. Determine the concentration of the medication: 10 mg/2 ml 3. Set up a proportion: 2.5 mg is to x ml as 10 mg is to 2 ml 4. Cross multiply: 2.5x = 10 * 2 5. Solve for x: 2.5x = 20 6. x = 20 / 2.5 = 8 ml Thus, the nurse should draw up 0.5 ml in the syringe, as it is the correct dose for the agitated client. Other choices are incorrect as they do not match the calculated dose based on the prescription and medication concentration.
Question 2 of 5
After fasting from 10 p.m. the previous evening, a client finds out that the blood test has been canceled. The client swears at the nurse and states, "You are incompetent!" Which is the nurse's best response?
Correct Answer: B
Rationale: The correct answer is B: "I see that you are upset, but I feel uncomfortable when you swear at me." This response acknowledges the client's emotion, sets a boundary against inappropriate behavior, and expresses the nurse's discomfort without being confrontational. It maintains a professional and therapeutic communication while addressing the client's behavior. Choice A: "Do you believe that I was the cause of your blood test being canceled?" This response can come off as defensive and may escalate the situation by questioning the client's perception. Choice C: "Have you ever thought about ways to express anger appropriately?" This response may be perceived as patronizing or dismissive of the client's feelings, potentially leading to further frustration. Choice D: "I'll give you some space. Let me know if you need anything." While giving space can be helpful, this response does not directly address the client's inappropriate behavior or set boundaries, missing an opportunity to address the behavior constructively.
Question 3 of 5
Which Western cultural feature may result in establishing unrealistic outcomes for patients of other cultural groups?
Correct Answer: D
Rationale: The correct answer is D: Direct confrontation to solve problems. This Western cultural feature may result in establishing unrealistic outcomes for patients of other cultural groups because direct confrontation can be perceived as aggressive or disrespectful in many non-Western cultures. It may lead to misunderstandings, conflict, and hinder effective communication and collaboration in healthcare settings. In contrast: A: Interdependence is a valued trait in many cultures and fosters cooperation. B: Present orientation can be beneficial for focusing on the immediate needs of patients. C: Flexible perception of time can accommodate different cultural views on punctuality and time management.
Question 4 of 5
A Native American patient sadly describes a difficult childhood. The patient abused alcohol as a teenager but stopped 10 years ago. The patient now says, "I feel stupid and good for nothing. I don't help my people." How should the treatment team focus planning for this patient?
Correct Answer: D
Rationale: The correct answer is D: Use a holistic approach, including mind, body, and spirit. A holistic approach is essential for Native American patients as it considers their cultural beliefs and values. Native Americans often have a strong connection to their community, nature, and spirituality, so addressing all aspects of their well-being is crucial. This approach acknowledges the interconnectedness of the mind, body, and spirit in promoting healing and overall wellness. Explanation for other choices: A: Psychopharmacological and somatic therapies focus solely on biological aspects and may overlook the importance of cultural and spiritual factors in Native American healing practices. B: While childhood trauma may be a contributing factor, focusing solely on psychoanalytical approaches may not address the holistic needs of the patient. C: Treating depression and alcohol abuse concurrently is important, but it does not address the underlying cultural and spiritual needs of the patient.
Question 5 of 5
A psychoeducational session will discuss medication management for a culturally diverse group of patients. Group participants are predominantly members of minority cultures. Of the four staff nurses below, which nurse should lead this group?
Correct Answer: B
Rationale: The correct answer is B, the older, mature registered nurse. This nurse is likely to have more experience and maturity, making them better equipped to handle discussions on medication management for a culturally diverse group. Older nurses may have encountered a wider range of cultural practices and beliefs, allowing them to provide more informed and sensitive care. The other choices lack the depth of experience and maturity needed for leading such a session. Choice A (very young nurse) may lack sufficient experience, choice C (newly licensed nurse) may not have enough practical knowledge, and choice D (very thin nurse) is unrelated to the ability to lead the session effectively.