ATI RN
Theory of Health Behavior Change Questions
Question 1 of 5
The nursing theorist Peplau identified which as the essence of psychiatric-mental health nursing?
Correct Answer: C
Rationale: The correct answer is C) The nurse-client relationship. In the Theory of Health Behavior Change, Peplau emphasized the importance of the therapeutic nurse-client relationship in psychiatric-mental health nursing. This relationship is considered the essence of nursing care in this context as it forms the foundation for understanding and meeting the holistic needs of individuals with mental health issues. Option A) Nursing care independent of physicians is incorrect as collaboration with physicians and other healthcare providers is essential in providing comprehensive care to individuals with mental health concerns. Nursing care should be interprofessional and team-based. Option B) The nurse's use of self is an important aspect of nursing practice, but it is not the essence of psychiatric-mental health nursing according to Peplau's theory. While the nurse's therapeutic use of self is valuable, the central focus is on the nurse-client relationship. Option D) A neurobiologic approach does not align with Peplau's emphasis on the interpersonal dynamics in psychiatric-mental health nursing. While understanding neurobiology is important, it is not the core essence of care in this context. Educationally, understanding the significance of the nurse-client relationship in psychiatric-mental health nursing is crucial for students and practitioners in this field. It highlights the importance of communication, empathy, trust-building, and therapeutic interventions within the nurse-client dynamic to promote healing and positive health behavior change. Peplau's theory continues to be relevant in shaping contemporary psychiatric-mental health nursing practices.
Question 2 of 5
A client with a history of trauma has told the nurse that he is pursuing psychoanalysis with an independent therapist. What statement by the client would be most consistent with a Freudian approach to psychoanalysis?
Correct Answer: A
Rationale: In a Freudian approach to psychoanalysis, exploring the themes in dreams is a fundamental aspect as dreams are believed to provide insights into unconscious conflicts and desires. Option A, "We're spending quite a bit of time exploring the themes in my dreams," is consistent with this approach. Option B discussing the tension between personal and societal expectations, Option C mentioning conditioning in response to situations, and Option D focusing on behavior modeling after others do not directly align with the core tenets of Freudian psychoanalysis, which heavily emphasizes the role of dreams and the unconscious mind. From an educational perspective, understanding the key principles and techniques of different therapeutic approaches is crucial for healthcare professionals to provide effective and appropriate support to clients. Knowing the distinct features of Freudian psychoanalysis helps nurses and therapists tailor their interactions and interventions to better support clients engaging in this type of therapy, ultimately enhancing the therapeutic alliance and treatment outcomes.
Question 3 of 5
You would expect a client with a diagnosis of bipolar disorder to be treated with:
Correct Answer: C
Rationale: In the context of treating a client with bipolar disorder, the correct option is C) lithium. Lithium is a mood-stabilizing medication commonly used in the treatment of bipolar disorder. It helps to reduce the intensity and frequency of manic episodes, as well as prevent depressive episodes. Option A) librium is a benzodiazepine used primarily for the treatment of anxiety disorders and is not indicated for bipolar disorder. Option B) lioresal is a muscle relaxant used to treat spasticity and is not appropriate for managing bipolar disorder. Option D) lindane is an insecticide used to treat lice and scabies, completely unrelated to the treatment of bipolar disorder. Educationally, it is crucial for healthcare professionals to understand the appropriate medications for specific mental health conditions like bipolar disorder. Understanding the mechanisms of action, side effects, and contraindications of these medications is essential for providing effective care to individuals with bipolar disorder. Selecting the correct medication can significantly impact the client's quality of life and overall well-being.
Question 4 of 5
What would the nurse most expect to observe in a client with impulsive behavior?
Correct Answer: B
Rationale: In the context of health behavior change, impulsive behavior is often characterized by a low tolerance for frustration. This means that individuals with impulsive behavior may have difficulty managing their emotions and may react impulsively in situations that trigger frustration or discomfort. Option A, the ability to delay gratification, is incorrect because individuals with impulsive behavior tend to seek immediate gratification without considering long-term consequences. Option C, good problem-solving skills, is also incorrect as impulsive individuals may struggle to think through consequences and potential solutions before acting. Option D, commitment to a long-term goal, is incorrect because impulsive behavior is often marked by a focus on immediate desires rather than long-term goals. Educationally, it is important for nurses and healthcare providers to understand the behavioral characteristics associated with impulsivity as it can impact an individual's ability to adhere to health behavior change recommendations. By recognizing signs of low frustration tolerance, healthcare professionals can tailor interventions to support clients in managing impulsive behaviors and making sustainable health behavior changes.
Question 5 of 5
The client's family asks the nurse ' what is hypchondriasis ? . The best response by the nurse, hypochondriasis is .....
Correct Answer: A
Rationale: In the context of health behavior change, it is crucial for healthcare professionals to have a clear understanding of terms like hypochondriasis to effectively communicate with clients and their families. The correct answer, option A, states that hypochondriasis is a persistent preoccupation with getting a serious disease without support by medical investigation. This response is accurate because hypochondriasis, also known as illness anxiety disorder, involves excessive worry about having a serious illness despite medical reassurance to the contrary. Option B is incorrect because hypochondriasis is not an illness fully explained by a diagnosed medical condition; rather, it is a condition related to anxiety and preoccupation with health concerns. Option C is incorrect as well because hypochondriasis is not just characterized by a variety of symptoms over time but specifically by the persistent fear or belief of having a serious illness. Option D is also wrong as hypochondriasis is not the eventual result of excessive worry about disease but rather a specific psychological condition in which individuals are consumed by thoughts of having a severe medical condition. From an educational perspective, understanding hypochondriasis is essential in health behavior change as it allows healthcare providers to address the underlying anxiety and fear driving the individual's health concerns. By recognizing and appropriately addressing hypochondriasis, healthcare professionals can better support clients in making positive behavior changes and managing their health concerns effectively.