ATI RN
Public Health Theories of Behavior Change Questions
Question 1 of 5
The nurse is interviewing an elderly client who may have been abused by the neighbor. The nurse during interview should:
Correct Answer: C
Rationale: In this scenario, option C) to be nonthreatening and nonjudgmental during the interview with the elderly client who may have been abused by the neighbor is the correct approach. This is because being nonthreatening and nonjudgmental creates a safe and supportive environment for the client to disclose sensitive information about potential abuse. It helps in building trust and rapport with the client, which is crucial in facilitating open communication and providing appropriate care and support. Option A) being confrontational is wrong because it can further intimidate and distress the client, making them less likely to share their experiences. Option B) blaming the patient for the abuse is inappropriate and can lead to feelings of guilt and shame, hindering the therapeutic relationship. Option D) avoiding asking the client about potential abuse is detrimental as it overlooks the duty of healthcare professionals to address and intervene in cases of suspected abuse, potentially putting the client at continued risk. Educationally, it is important for healthcare professionals, especially nurses, to be equipped with communication skills that prioritize empathy, active listening, and nonjudgmental attitude when addressing sensitive issues like abuse. By understanding the significance of creating a safe space for clients to disclose their experiences, nurses can effectively advocate for their well-being and provide appropriate interventions.
Question 2 of 5
Which statement would the nurse use to describe the primary purpose of boundaries?
Correct Answer: A
Rationale: Boundaries are the social, physical, and emotional limits of the interaction. As such, they serve to define the responsibilities and duties of the nurse in relation to the patient. Objectives and roles are determined during the orientation stage. Emergence of undesired material may be a significant issue for the patient.
Question 3 of 5
A patient tells the nurse, 'I really like you. You're the only true friend I have.' The patient's remarks call for the nurse to revisit the issue of:
Correct Answer: C
Rationale: The patient's remarks call for the nurse to remind the patient of the parameters of the nurse-patient relationship. The remark would also give the nurse the opening to go on to discuss the matter of friendship. The patient's remarks do not suggest the need to deal with trust, safety, or countertransference.
Question 4 of 5
When another patient serves as 'alter ego' during an outpatient group session, the nurse documents that the group had been engaged in:
Correct Answer: B
Rationale: In this scenario, the correct answer is B) Psychodrama. Psychodrama involves group members taking on roles, such as an alter ego, to explore and address emotional issues. This technique allows for a deeper understanding of one's own thoughts and behaviors through the perspective of another person. Option A) Role-playing is similar to psychodrama but typically involves acting out specific situations or scenarios, often for skill-building purposes rather than deep emotional exploration as in psychodrama. Option C) Cognitive therapy focuses on identifying and changing negative thought patterns to alter behaviors, which is different from the interactive, role-playing nature of psychodrama. Option D) Consensus building involves reaching an agreement or shared understanding among group members, which is not the primary focus of using alter egos in psychodrama. In an educational context, understanding the nuances of therapeutic techniques like psychodrama is essential for healthcare professionals, especially nurses working in mental health or behavioral health settings. By grasping the distinctive features of each intervention, nurses can effectively choose and implement the most appropriate strategies to support patient well-being and growth.
Question 5 of 5
Nurse Tonis assignment included a 41-year-old male client. Per Erikson, which developmental stage is the patient at?
Correct Answer: A
Rationale: In this scenario, the correct answer is option A) Focus on having a family. According to Erik Erikson's theory of psychosocial development, the stage that aligns with a 41-year-old male client is generativity versus stagnation. During this stage, individuals are focused on contributing to future generations and often prioritize activities related to family, work, and community involvement. Option B) Does not assume responsibility for his actions does not align with Erikson's stages of development. This statement reflects a lack of maturity and accountability, which is not characteristic of the generativity versus stagnation stage. Option C) Unable to solve problems does not accurately reflect the characteristics of the generativity versus stagnation stage. This option implies a more fundamental cognitive issue rather than a stage of psychosocial development. Option D) Perceptions are based on illusions is not relevant to Erikson's stages of development. This statement pertains more to cognitive processes or perceptual distortions rather than a specific developmental stage. Educationally, understanding Erikson's theory of psychosocial development is crucial for healthcare professionals, especially nurses, as it helps them comprehend the psychological needs and challenges faced by individuals at different life stages. By applying this knowledge, nurses can tailor their care and interventions to better support their clients' overall well-being.