ATI RN
Theories of Health Behavior Change Questions
Question 1 of 5
The nurse explains to a mental health care technician that a client's obsessive-compulsive behaviors are related to an unconscious conflict between id impulses and the superego (or conscience). On which of the following theories does the nurse base this statement?
Correct Answer: D
Rationale: The correct answer is D: Psychoanalytic theory. In psychoanalytic theory, behaviors such as obsessive-compulsive behaviors are believed to be manifestations of unconscious conflicts between id impulses (drives and desires) and the superego (moral conscience). This theory, developed by Sigmund Freud, emphasizes the role of unconscious processes in shaping behavior. Behavioral theory (choice A) focuses on learned behaviors through reinforcement and punishment. Cognitive theory (choice B) emphasizes the role of thought processes in behavior. Interpersonal theory (choice C) focuses on relationships and social interactions influencing behavior. However, in the context of explaining obsessive-compulsive behaviors as a result of unconscious conflicts, the most appropriate theory is psychoanalytic theory.
Question 2 of 5
The nurse would expect a client with early Alzheimer's disease to have problems with:
Correct Answer: A
Rationale: The correct answer is A because early Alzheimer's disease primarily affects cognitive functions such as memory and problem-solving abilities. Balancing a checkbook requires intact cognitive abilities, which are impaired in Alzheimer's. Self-care measures (B) and relating to family members (C) involve more social and emotional aspects, which are typically preserved in early stages. Remembering one's own name (D) is a basic form of memory that is usually retained in early Alzheimer's.
Question 3 of 5
A client taking the monoamine oxidase inhibitor (MAOI) antidepressant isocarboxazid (Marplan) is instructed by the nurse to avoid which foods and beverages?
Correct Answer: A
Rationale: The correct answer is A: Aged cheese and red wine. Isocarboxazid is an MAOI, which can interact with tyramine-rich foods like aged cheese and red wine, leading to hypertensive crisis. Other choices like milk, green leafy vegetables, carbonated beverages, tomato products, lean red meats, and fruit juices do not have the same potential for interaction with MAOIs. It's crucial for the client to avoid these foods and beverages to prevent serious adverse reactions.
Question 4 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 5 of 5
The nurse collecting family assessment data asks, 'Who is in your family and where do they live?' Which of the following is the nurse attempting to identify?
Correct Answer: A
Rationale: The nurse is attempting to identify family boundaries by asking about who is in the family and where they live. Boundaries define who is considered part of the family system and their physical proximity. This information helps the nurse understand the structure and dynamics of the family. Ethnicity (B), relationships (C), and triangles (D) are not directly related to the specific information being gathered here. Ethnicity pertains to cultural background, relationships refer to the connections within the family, and triangles are a concept in family systems theory involving three people. Therefore, the correct answer is A as it aligns with the purpose of the question in identifying family boundaries.