ATI RN
Theories of Health Behavior Change Questions
Question 1 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 2 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 3 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.
Question 4 of 5
After fasting from 10 p.m. the previous evening, a client finds out that the blood test has been canceled. The client swears at the nurse and states, "You are incompetent!" Which is the nurse's best response?
Correct Answer: B
Rationale: The correct answer is B: "I see that you are upset, but I feel uncomfortable when you swear at me." This response acknowledges the client's emotion, sets a boundary against inappropriate behavior, and expresses the nurse's discomfort without being confrontational. It maintains a professional and therapeutic communication while addressing the client's behavior. Choice A: "Do you believe that I was the cause of your blood test being canceled?" This response can come off as defensive and may escalate the situation by questioning the client's perception. Choice C: "Have you ever thought about ways to express anger appropriately?" This response may be perceived as patronizing or dismissive of the client's feelings, potentially leading to further frustration. Choice D: "I'll give you some space. Let me know if you need anything." While giving space can be helpful, this response does not directly address the client's inappropriate behavior or set boundaries, missing an opportunity to address the behavior constructively.
Question 5 of 5
Which Western cultural feature may result in establishing unrealistic outcomes for patients of other cultural groups?
Correct Answer: D
Rationale: The correct answer is D: Direct confrontation to solve problems. This Western cultural feature may result in establishing unrealistic outcomes for patients of other cultural groups because direct confrontation can be perceived as aggressive or disrespectful in many non-Western cultures. It may lead to misunderstandings, conflict, and hinder effective communication and collaboration in healthcare settings. In contrast: A: Interdependence is a valued trait in many cultures and fosters cooperation. B: Present orientation can be beneficial for focusing on the immediate needs of patients. C: Flexible perception of time can accommodate different cultural views on punctuality and time management.