ATI RN
Theories of Health Behavior Change Questions
Question 1 of 5
The priority of inpatient care for people with severe mental illness is
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A patient with bipolar disorder taking lithium returns from a walk outside and reports feeling shaky and dizzy. The nurse suspects the patient is experiencing a toxic reaction to the lithium and immediately notifies the
Correct Answer: A
Rationale: The primary function of the psychiatrist is diagnosis of mental disorders and prescription of medical treatments. Psychologists participate in the design of therapy programs for groups of individuals. The nurse is an essential team member in evaluating the effectiveness of medical treatment particularly medications. The recreation therapist helps the client to achieve a balance of work and play.
Question 3 of 5
The nurse is working with a client who is grieving over the death of a parent. Which concept is the nurse demonstrating when stating to the client, 'I know how sad I was when I lost my parent'?
Correct Answer: A
Rationale: The nurse is demonstrating empathy with discussion of the same experience so that the nurse can relate to the client's grief. Transference is the displacement of thoughts, feelings, and behaviors originally associated with significant others from childhood onto a person in a current therapeutic relationship and would represent the client's and not the nurse's statement. Object relations involves the psychological attachment to another person and while the nurse may demonstrate this with a parent, this doesn't relate to the client's need. Operant behavior involves conditioning such as with Pavlov's theory.
Question 4 of 5
A client is being admitted to an inpatient unit for treatment of anorexia nervosa. Of the following assessment data, which should the nurse place as priority in the plan of care?
Correct Answer: D
Rationale: Maslow's hierarchy of needs hypothesizes that the physiological needs at the bottom of the pyramid dominate the person's behavior until those needs are met, at which time the next level of needs would become dominant. A very low heart rate poses a more acute threat to survival than low body weight. Once physical needs are met, the higher level needs such as body image and self-esteem can be addressed.
Question 5 of 5
A client who has been working on controlling impulsive behavior shows a strengthening ego through which behavior?
Correct Answer: B
Rationale: The ego represents mature and adaptive behavior that allows a person to function successfully in the world. Rationally weighing pros and cons of a decision exemplifies this aspect of the self. Inconsistent attendance at therapy would suggest a lack of impulse control, as would focusing on giving advice to others. Having fun does not necessarily indicate that the client's ego is strengthening or that he and she is controlling impulses.