ATI RN
Behavioral Theory of Mental Health Questions
Question 1 of 5
The primary nursing intervention in working with a client with moderate stage dementia is ensuring that the client:
Correct Answer: C
Rationale: The correct answer is C: Remains in a safe and secure environment. This is the primary nursing intervention because clients with moderate stage dementia may have impaired judgment and memory, making them vulnerable to accidents or wandering. Keeping them in a safe and secure environment helps prevent injuries or getting lost. Choice A is important but not the primary intervention as safety comes first. Choice B, reminiscing, is beneficial for cognitive stimulation but not a priority for safety. Choice D, self-care, may be challenging for clients with dementia, so ensuring safety takes precedence.
Question 2 of 5
Which nursing intervention is best for facilitating communication with a psychiatric client who speaks a foreign language?
Correct Answer: D
Rationale: The correct answer is D: Use the services of an interpreter. This is the best nursing intervention because it ensures accurate communication and understanding between the nurse and the psychiatric client who speaks a foreign language. Using an interpreter helps convey complex and nuanced information effectively, promotes trust and rapport, and ensures the client's needs are accurately addressed. Rationale for why the other choices are incorrect: A: Relying on nonverbal communication may lead to misunderstandings and misinterpretations, especially in a psychiatric setting where verbal communication is crucial. B: Selecting symbolic pictures as aids may be helpful to some extent, but it may not fully address the client's communication needs and may limit the depth of conversation. C: Speaking in universal phrases may be too simplistic and may not capture the complexity of the client's thoughts and emotions when addressing mental health issues.
Question 3 of 5
A client with a bipolar disorder exhibits manic behavior. The nursing diagnosis is Disturbed thought processes related to difficulty concentrating, secondary to flight of ideas. Which of the following outcome criteria would indicate improvement in the client?
Correct Answer: C
Rationale: The correct answer is C: The client speaks in coherent sentences. Improvement in disturbed thought processes due to flight of ideas in bipolar disorder is indicated by the client speaking in coherent sentences, demonstrating improved concentration and organization of thoughts. Verbalizing feelings directly (choice A) may not directly relate to improved thought processes. Positive "self" statements (choice B) may reflect self-esteem but do not address the issue of thought processes. Reporting feeling calmer (choice D) is too general and does not specifically address the improvement in thought processes.
Question 4 of 5
Which factor is least important in the decision regarding whether a victim of family violence can safely remain in the home?
Correct Answer: D
Rationale: Step 1: The victim's safety is the top priority in cases of family violence. Step 2: Factors like availability of shelters, caretaker's intervention, and victim's response to relocation directly impact safety. Step 3: Socioeconomic status does not guarantee safety and can be addressed through other means. Step 4: Therefore, the family's socioeconomic status is least important for ensuring the victim's safety.
Question 5 of 5
When providing family therapy, the nurse analyzes the functioning of healthy family systems. Which situations would not increase stress on a healthy family system?
Correct Answer: D
Rationale: The correct answer is D: Parental disagreement. In a healthy family system, open communication and conflict resolution are key. Parental disagreement is a common occurrence and can be addressed constructively without significantly increasing stress. On the other hand, choices A, B, and C involve significant life transitions that can potentially disrupt the equilibrium of a healthy family system, leading to increased stress. Adolescence going away to college, the birth of a child, and the death of a grandparent are all events that can bring about changes and adjustments within the family dynamics, potentially causing stress.