ATI RN
Multidimensional Basis of Health Protective Behaviors Questions
Question 1 of 5
The following are the appropriate nursing diagnosis for the client EXCEPT:
Correct Answer: D
Rationale: The correct answer is D, Impaired social interaction. This is because impaired social interaction pertains to difficulties in communication or interaction with others, which is not typically a nursing diagnosis but rather an outcome or potential problem. Choices A, B, and C are appropriate nursing diagnoses as they address common patient problems that nurses assess and intervene upon. A: Ineffective individual coping relates to a patient's inability to manage stress; B: Alteration in comfort, pain involves discomfort or pain that affects the patient's well-being; C: Altered role performance refers to changes in the patient's ability to fulfill expected roles.
Question 2 of 5
Situation: An old woman was brought for evaluation due to increasing forgetfulness and limitations in daily function. The daughter revealed that the client used her toothbrush to comb her hair. She is manifesting:
Correct Answer: C
Rationale: The correct answer is C: Agnosia. Agnosia is the inability to recognize or interpret sensory information correctly, such as mistaking a toothbrush for a comb due to cognitive impairment. In this case, the old woman's confusion in using a toothbrush to comb her hair indicates a sensory recognition issue. Apraxia (A) is the inability to execute purposeful movements, Aphasia (B) is the loss of ability to understand or express speech, and Amnesia (D) is the loss of memory, none of which are demonstrated in this scenario.
Question 3 of 5
A nursing diagnosis for bulimia nervosa is powerlessness related to feeling not in control of eating habits. The goal for this problem is:
Correct Answer: A
Rationale: The correct answer is A because learning problem-solving skills can help the patient regain control over their eating habits and address the underlying issue of powerlessness. This intervention empowers the patient to identify triggers, develop coping strategies, and make informed decisions about their eating behaviors. Choices B, C, and D are incorrect because decreasing anxiety symptoms, performing self-care activities, and verbalizing setting limits on others do not directly address the core issue of powerlessness related to bulimia nervosa.
Question 4 of 5
Malingering is different from somatoform disorder because the former:
Correct Answer: B
Rationale: The correct answer is B because malingering involves intentionally feigning or exaggerating symptoms for secondary gain, such as avoiding responsibilities or obtaining benefits. In contrast, somatoform disorders are characterized by genuine physical symptoms without a conscious intent to deceive. Choice A is incorrect as malingering does not have an organic basis, unlike genuine medical conditions. Choice C is incorrect as malingering is not driven by obtaining gratification from the environment. Choice D is incorrect as stress being expressed through physical symptoms is characteristic of somatoform disorders, not malingering.
Question 5 of 5
The nurse is working with a client with a somatoform disorder. Which client outcome goal would the nurse most likely establish in this situation?
Correct Answer: D
Rationale: The correct answer is D because for clients with somatoform disorders, expressing anxiety verbally can help them address underlying psychological issues rather than manifesting physical symptoms. This goal focuses on improving emotional expression and reducing reliance on physical symptoms for coping. Choice A is incorrect as it does not address the root cause of the disorder. Choice B is incorrect because coping with physical illness is not the primary goal in somatoform disorders. Choice C is incorrect as medication alone may not address the psychological aspects of the disorder.