ATI RN
Theory of Health Behavior Change Questions
Question 1 of 5
The following statements describe somatoform disorders:
Correct Answer: C
Rationale: The correct answer is C because somatoform disorders involve expressing psychological conflicts through physical symptoms. This is supported by research showing that these disorders are often linked to unresolved emotional issues manifesting as physical complaints. Choice A is incorrect because somatoform disorders are not explained by organic causes but rather by psychological factors. Choice B is incorrect as it suggests a conscious decision to express conflicts, whereas somatoform disorders are typically unconscious. Choice D is incorrect because management of somatoform disorders typically involves psychological interventions rather than specific medical treatments.
Question 2 of 5
She tearfully tells the nurse " can't take it when she accuses me of stealing her things." Which response by the nurse will be most therapeutic?
Correct Answer: C
Rationale: The correct answer is C because it shows empathy and acknowledges the patient's feelings without dismissing them. By stating "This must be difficult for you and your mother," the nurse validates the patient's emotions and shows understanding. This response fosters a therapeutic relationship and encourages further exploration of the patient's feelings. Choice A is incorrect because it minimizes the patient's feelings and may come across as dismissive. Choice B shifts the focus away from the patient's emotions and onto problem-solving, which may not be what the patient needs at that moment. Choice D is inappropriate as it implies the patient is at fault and suggests a confrontational approach, which is not conducive to therapeutic communication.
Question 3 of 5
In the management of bulimic patients, the following nursing interventions will promote a therapeutic relationship EXCEPT:
Correct Answer: B
Rationale: Correct Answer: B Rationale: Discussing eating behavior may lead to feelings of shame or guilt in bulimic patients, hindering the therapeutic relationship. A: Establishing trust is essential for effective communication and support. C: Helping patients identify feelings encourages self-awareness and emotional regulation. D: Educating patients about bulimia nervosa promotes understanding and empowers them in managing their condition.
Question 4 of 5
Unlike psychophysiologic disorder Linda may be best managed with:
Correct Answer: C
Rationale: Step-by-step rationale for choice C (Stress management technique) being correct: 1. Linda's condition involves psychological factors contributing to physical symptoms. 2. Stress management techniques help address the underlying stress that may exacerbate her symptoms. 3. Techniques such as relaxation exercises and cognitive-behavioral therapy can help Linda cope with stress. 4. By managing stress effectively, Linda can reduce the frequency and severity of her symptoms. Summary of why other choices are incorrect: A. Medical regimen: Linda's condition is primarily psychological, so solely focusing on medications may not address the root cause. B. Milieu therapy: This therapy focuses on the environment, which may not directly target Linda's stress and psychological factors. D. Psychotherapy: While psychotherapy is beneficial, stress management techniques specifically target stressors that may worsen Linda's symptoms.
Question 5 of 5
Which method would a nurse use to determine a client's potential risk for suicide?
Correct Answer: C
Rationale: The correct answer is C because questioning the client directly about suicidal thoughts is an evidence-based practice known as suicide risk assessment. It allows the nurse to gather crucial information on the client's mental state and intent. This direct approach can help identify potential risk factors and allow for appropriate interventions to be implemented promptly. Choice A is incorrect because waiting for the client to bring up the subject of suicide may delay necessary intervention. Choice B is incorrect as solely observing behavior may not provide enough information for an accurate assessment. Choice D is incorrect because questioning about future plans does not directly address the client's potential risk for suicide.