ATI RN
Theory of Health Behavior Change Questions
Question 1 of 5
The nurse is teaching a group of clients about the mood-stabilizing medications lithium carbonate. Which medications should she instruct the clients to avoid because of the increased risk of lithium toxicity?
Correct Answer: C
Rationale: The correct answer is C: Diuretics. Diuretics can reduce lithium excretion, leading to increased lithium levels and potential toxicity. Other choices are incorrect because: A: Antacids may actually help reduce lithium absorption. B: Antibiotics do not have a direct interaction with lithium. D: Hypoglycemic agents do not affect lithium levels. In summary, diuretics are the only medication that can significantly increase the risk of lithium toxicity due to their impact on lithium excretion.
Question 2 of 5
The school guidance counselor refers a family with an 8-year-old child to the mental health clinic because of the child's frequent fighting in school and truancy. Which of the following data would be a priority to the nurse doing the initial family assessment?
Correct Answer: C
Rationale: The correct answer is C because understanding the family's perception of the current problem is crucial to building rapport and developing a comprehensive assessment. By exploring the family's perspective, the nurse can gain insight into their understanding of the situation, beliefs, and potential barriers to intervention. This information can guide the nurse in formulating an appropriate plan of care that aligns with the family's values and needs. Choice A (The child's performance in school) may provide valuable information but is not as essential as understanding the family's perception of the problem. Choice B (Family education and work history) is important but not a priority at this stage. Choice D (The teacher's attempt to solve the problem) is also relevant but not as critical as understanding the family's viewpoint.
Question 3 of 5
A student nurse is learning about the appropriate use of touch when communicating with clients diagnosed with psychiatric disorders. Which statement by the instructor best provides information about this aspect of therapeutic communication?
Correct Answer: A
Rationale: The correct answer is A because touch carries a different meaning for different individuals. This statement acknowledges the importance of individual preferences and boundaries in therapeutic touch. It emphasizes the necessity of understanding and respecting each client's unique perspective on touch. Explanation of why other choices are incorrect: B: This statement oversimplifies the use of touch in de-escalating volatile situations and does not address the complexity of touch in therapeutic communication. C: While touch can convey interest and warmth, this statement does not encompass the full range of meanings and implications that touch can have in therapeutic interactions. D: While empathy is important in conjunction with touch, this statement does not capture the diversity of meanings that touch can hold for clients.
Question 4 of 5
A client slammed a door on the unit several times. The nurse responds, "You seem angry." The client states, "I'm not angry." What therapeutic communication technique has the nurse employed and what defense mechanism is the client unconsciously demonstrating?
Correct Answer: B
Rationale: The correct answer is B: Verbalizing the implied and the defense mechanism of denial. 1. Verbalizing the implied: The nurse is reflecting the underlying emotion by stating "You seem angry," encouraging the client to explore their feelings. 2. Defense mechanism of denial: The client's statement "I'm not angry" is a form of denial, where they are unconsciously rejecting their true emotions. Summary: A: Making observations does not involve reflecting underlying emotions. Suppression involves consciously pushing down emotions, not the case here. C: Reflection involves mirroring the client's feelings, not stating an assumption. Projection is when one attributes their emotions to others. D: Encouraging descriptions of perceptions is not the same as verbalizing the implied. Displacement involves redirecting emotions to a less threatening target.
Question 5 of 5
The sibling of an Asian American patient tells the nurse, "My sister needs help for pain. She cries from the hurt." Which understanding by the nurse will contribute to culturally competent care for this patient? Persons of an Asian American heritage
Correct Answer: A
Rationale: The correct answer is A because it reflects the cultural understanding that individuals of Asian American heritage often tend to express emotional distress through physical symptoms. This is important for the nurse to recognize in order to provide appropriate care and support for the patient. Choice B is incorrect because assuming that Asian Americans will respond best to an impersonal therapist is a culturally insensitive generalization. Choice C is incorrect as it does not necessarily apply to all Asian Americans and their treatment needs. Choice D is incorrect as it overlooks the importance of understanding the cultural nuances in communication and emotional expression within the Asian American community.