ATI RN
Theoretical Basis for Behavior Modification Questions
Question 1 of 5
The nurse asks a newly admitted client, "What can we do to help you?" What is the purpose of this therapeutic communication technique?
Correct Answer: C
Rationale: The correct answer is C: To explore a subject, idea, experience, or relationship. This therapeutic communication technique aims to encourage the client to express their thoughts, feelings, and needs freely. By asking the client how they can be helped, the nurse is inviting the client to discuss their concerns and preferences, allowing for a deeper exploration of their situation. This can help establish trust, build rapport, and facilitate a better understanding of the client's perspective. Choices A, B, and D are incorrect: A: Reframing the client's thoughts is not the primary purpose of this communication technique. B: Putting the client at ease is important, but not the main goal of asking this question. D: While showing active listening is essential, the main purpose of this question is to encourage the client to open up and share their concerns.
Question 2 of 5
A group activity on an inpatient psychiatric unit is scheduled to begin at 1000. A patient, who was recently discharged from U.S. Marine Corps, arrives at 0945. Which analysis best explains this behavior?
Correct Answer: C
Rationale: The correct answer is C: The military culture values timeliness. The patient does not want to be late. The patient's behavior aligns with the values instilled in the U.S. Marine Corps, where punctuality is highly emphasized. This explains why the patient arrived early for the group activity, as being late goes against the core values of the military culture. A: The patient arriving early does not necessarily indicate a desire to lead the group. B: Securing a chair close to the group leader is not the most likely explanation for the patient's early arrival. D: The patient's behavior is more likely motivated by adherence to military values rather than seeking appreciation for self-importance. In summary, choice C is the best analysis as it directly relates the patient's behavior to their military background and the importance of timeliness in that culture.
Question 3 of 5
A patient in the emergency department shows a variety of psychiatric symptoms, including restlessness and anxiety. The patient says, "I feel sad because evil spirits have overtaken my mind." Which worldview is most applicable to this individual?
Correct Answer: D
Rationale: The correct answer is D: Indigenous/harmony. This worldview is most applicable because the patient's belief in evil spirits aligns with many indigenous cultures that attribute mental health issues to spiritual causes. In indigenous communities, maintaining harmony with nature and spiritual beings is essential for well-being. The patient's symptoms and explanation indicate a belief in the influence of spiritual forces on mental health. A: Eastern/balance focuses on achieving harmony within oneself and with the environment, but the patient's explanation is more about external evil spirits. B: Southern/holistic emphasizes interconnectedness of mind, body, and spirit, but the patient's belief in evil spirits is more specific to indigenous perspectives. C: Western/scientific relies on empirical evidence and medical explanations, which are not in line with the patient's spiritual explanation.
Question 4 of 5
A Mexican American patient puts a picture of the Virgin Mary on the bedside table. What is the nurse's best action?
Correct Answer: C
Rationale: The correct action is to leave the picture where the patient placed it (Choice C) because it shows respect for the patient's cultural and religious beliefs, promoting patient-centered care. Moving the picture (Choice A) disrespects the patient's wishes. Sending it to the business office safe (Choice B) or home with the family (Choice D) interferes with the patient's autonomy and cultural practices.
Question 5 of 5
A client diagnosed with borderline personality disorder (BPD) brings up a conflict with the staff in a community meeting and develops a following of clients who unreasonably demand modification of unit rules. Which approach is best for the nursing staff to implement?
Correct Answer: B
Rationale: The correct approach is B: Maintain consistency of care by open communication to avoid staff manipulation. In this scenario, the client with BPD is exhibiting manipulative behavior by rallying other clients to unreasonably demand rule modifications. By maintaining consistency in care and open communication, staff can address the conflict effectively without succumbing to manipulation. This approach also promotes a therapeutic environment and upholds boundaries. Choice A: Allowing clients to apply the democratic process may further enable manipulation and chaos rather than resolving the conflict effectively. Choice C: Allowing only the client spokesperson to verbalize concerns may not address the underlying issue of manipulation and could potentially reinforce the behavior. Choice D: Applying autocratic leadership may lead to a power struggle and exacerbate the conflict, rather than promoting a collaborative resolution.