ATI RN
Stage Theories of Health Behavior Questions
Question 1 of 5
The nurse understands that electroconvulsive therapy is primarily used in psychiatric care for the treatment of:
Correct Answer: B
Rationale: The correct answer is B: Depression. Electroconvulsive therapy (ECT) is primarily used in psychiatric care to treat severe depression that has not responded to other treatments. ECT is considered an effective treatment for severe depression, especially when rapid improvement is necessary. It is not typically used for anxiety disorders (A), mania (C), or schizophrenia (D) as first-line treatments. ECT is not indicated for these conditions and may even exacerbate symptoms in some cases. Hence, the correct choice is B as it aligns with the established clinical guidelines and evidence-based practice in psychiatric care.
Question 2 of 5
The nurse is interacting with a family consisting of a mother, a father, and a hospitalized adolescent who has a diagnosis of alcohol abuse. The nurse analyzes the situation and agrees with the adolescent's view about family rules. Which intervention is most appropriate?
Correct Answer: D
Rationale: Step-by-step rationale for why answer D is correct: 1. Remaining objective: It is important for the nurse to stay neutral and unbiased in order to facilitate effective communication and problem-solving within the family. 2. Encouraging mutual negotiation: By encouraging mutual negotiation, the nurse promotes a collaborative approach where all family members can express their views and work towards consensus. 3. Respecting autonomy: This approach respects the autonomy of all family members, including the adolescent, while still promoting a healthy resolution of conflicts. 4. Building healthy communication: Encouraging negotiation helps improve communication skills within the family and fosters a sense of understanding and cooperation. Summary of why other choices are incorrect: A: Aligning with the adolescent as the scapegoat is not appropriate as it may perpetuate dysfunctional family dynamics. B: Encouraging parents to adopt more realistic rules may not address the underlying issues and may not involve the adolescent in the decision-making process. C: Encouraging the adolescent to comply with
Question 3 of 5
A client on an in-patient psychiatric unit tells the nurse, "I should have died because I am totally worthless." In order to encourage the client to continue talking about feelings, which should be the nurse's initial response?
Correct Answer: C
Rationale: The correct initial response is C: "You've been feeling sad and alone for some time now?" This response acknowledges the client's emotions and opens up the conversation for further exploration. By reflecting the client's feelings back to them, the nurse shows empathy and encourages the client to continue sharing their emotions. It validates the client's experience without judgment or minimizing their feelings. Choice A is incorrect as it shifts the focus to the family's feelings, which may not be helpful in addressing the client's immediate emotional distress. Choice B is incorrect as it invalidates the client's current feelings by suggesting they will change with time. Choice D is incorrect as it does not directly address the client's expressed feelings of worthlessness and may come across as dismissive.
Question 4 of 5
To provide culturally competent care, the nurse should
Correct Answer: D
Rationale: The correct answer is D because identifying strategies that fit within the cultural context of the patient is essential for providing culturally competent care. This involves understanding the patient's beliefs, values, and practices to tailor interventions accordingly. A: Accurately interpreting the thinking of individual patients may not necessarily address their cultural needs. B: Predicting how a patient may perceive treatment interventions is important but does not guarantee culturally competent care. C: Formulating interventions to reduce the patient's ethnocentrism may not be appropriate or effective in all cultural contexts.
Question 5 of 5
Which viewpoint of an Asian American family will most affect decision making about care?
Correct Answer: A
Rationale: The correct answer is A because in traditional Asian American families, the father typically holds the authority in decision-making. This cultural norm influences how care decisions are made within the family. The father's role as the authority figure means that his opinions and decisions are highly regarded and often determine the course of action. This dynamic can impact the entire family's approach to care, including healthcare choices, financial decisions, and overall well-being. Choice B is incorrect because it goes against the traditional gender roles in Asian American families where the father usually holds the primary authority. Choice C is incorrect as it focuses on individual decision-making, which may not align with the collective decision-making process often seen in Asian American families. Choice D is incorrect because emotional communication styles, while important, may not be the primary factor influencing decision-making about care in Asian American families.