ATI RN
Aggressive Behavior Nursing Diagnosis Questions
Question 1 of 5
The nurse has completed the psychosocial assessment. Which of the following is the best approach toward analysis of the data to identify nursing diagnoses and develop an appropriate plan of care?
Correct Answer: B
Rationale: After completing the psychosocial assessment, the nurse analyzes all the data that he or she has collected. Data analysis involves thinking about the overall assessment rather than focusing on isolated bits of information. The nurse looks for patterns or themes in the data that lead to conclusions about the client's strengths and needs and to a particular nursing diagnosis. No one statement or behavior is adequate to reach such a conclusion.
Question 2 of 5
The physician has prescribed Haldol 10 mg for a severely psychotic client. The client refuses the medication. Which nursing intervention is an appropriate response?
Correct Answer: A
Rationale: Clients have the right to refuse medication even when they are psychotic. The client cannot be discharged just because he refuses to take his medications. In this situation, it is not appropriate for the nurse to tell the client that he is too sick to refuse. Restraints are not an appropriate means of getting the client to take the medication.
Question 3 of 5
The nurse is attending an in-service training on safe take-down techniques for aggressive clients. Preparation for safe physical handling prepares the nurse to practice which ethical principle?
Correct Answer: B
Rationale: Nonmaleficence is the requirement to do no harm to others either intentionally or unintentionally. Safe take-down techniques are used to avoid unintentional harm to the client. Veracity is the duty to be honest or truthful. Justice refers to fairness, that is treating all people fairly and equally without regard for social or economic status, race, sex, marital status, religion, ethnicity, or cultural beliefs. Autonomy refers to the person's right to self-determination and independence.
Question 4 of 5
Termination of a therapeutic nurse-patient relationship has been successful when the nurse:
Correct Answer: C
Rationale: Successful termination involves closure through reflection and evaluation of the relationship’s progress, as in Option C. This validates the experience for both parties. Option A avoids closure, Option B maintains dependency, and Option D blurs boundaries into a social relationship, all of which are non-therapeutic.
Question 5 of 5
A patient says, I’ve done a lot of cheating and manipulating in my relationships. Select a nonjudgmental response by the nurse.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.