ATI RN
Theory of Health Behavior Change Questions
Question 1 of 5
The school guidance counselor refers a family with an 8-year-old child to the mental health clinic because of the child's frequent fighting in school and truancy. Which of the following data would be a priority to the nurse doing the initial family assessment?
Correct Answer: C
Rationale: The correct answer is C because understanding the family's perception of the current problem is crucial to building rapport and developing a comprehensive assessment. By exploring the family's perspective, the nurse can gain insight into their understanding of the situation, beliefs, and potential barriers to intervention. This information can guide the nurse in formulating an appropriate plan of care that aligns with the family's values and needs. Choice A (The child's performance in school) may provide valuable information but is not as essential as understanding the family's perception of the problem. Choice B (Family education and work history) is important but not a priority at this stage. Choice D (The teacher's attempt to solve the problem) is also relevant but not as critical as understanding the family's viewpoint.
Question 2 of 5
A client slammed a door on the unit several times. The nurse responds, "You seem angry." The client states, "I'm not angry." What therapeutic communication technique has the nurse employed and what defense mechanism is the client unconsciously demonstrating?
Correct Answer: B
Rationale: The correct answer is B: Verbalizing the implied and the defense mechanism of denial. 1. Verbalizing the implied: The nurse is reflecting the underlying emotion by stating "You seem angry," encouraging the client to explore their feelings. 2. Defense mechanism of denial: The client's statement "I'm not angry" is a form of denial, where they are unconsciously rejecting their true emotions. Summary: A: Making observations does not involve reflecting underlying emotions. Suppression involves consciously pushing down emotions, not the case here. C: Reflection involves mirroring the client's feelings, not stating an assumption. Projection is when one attributes their emotions to others. D: Encouraging descriptions of perceptions is not the same as verbalizing the implied. Displacement involves redirecting emotions to a less threatening target.
Question 3 of 5
The sibling of an Asian American patient tells the nurse, "My sister needs help for pain. She cries from the hurt." Which understanding by the nurse will contribute to culturally competent care for this patient? Persons of an Asian American heritage
Correct Answer: A
Rationale: The correct answer is A because it reflects the cultural understanding that individuals of Asian American heritage often tend to express emotional distress through physical symptoms. This is important for the nurse to recognize in order to provide appropriate care and support for the patient. Choice B is incorrect because assuming that Asian Americans will respond best to an impersonal therapist is a culturally insensitive generalization. Choice C is incorrect as it does not necessarily apply to all Asian Americans and their treatment needs. Choice D is incorrect as it overlooks the importance of understanding the cultural nuances in communication and emotional expression within the Asian American community.
Question 4 of 5
A Chinese American patient diagnosed with an anxiety disorder says, "My problems began when my energy became imbalanced." The nurse asks for the patient's ideas about how to treat the imbalance. Which comment would the nurse expect from this patient?
Correct Answer: A
Rationale: The correct answer is A because it reflects the patient's belief in traditional Chinese medicine, which focuses on balancing the body's energy or Qi through special foods like herbal remedies. This aligns with the patient's perspective on energy imbalance. Choice B is incorrect because it suggests a Western medical approach involving medication, which may not resonate with the patient's cultural beliefs. Choice C is incorrect as it suggests a support group approach, which may not address the patient's specific cultural beliefs about energy imbalance. Choice D is incorrect as it involves a native healer and ceremony, which may not be in line with the patient's Chinese cultural beliefs about energy imbalance. Ultimately, choice A is the most culturally sensitive and aligned with the patient's beliefs.
Question 5 of 5
A nurse cares for a first-generation American whose family emigrated from Germany. Which worldview about the source of knowledge would this patient likely have?
Correct Answer: B
Rationale: The correct answer is B because individuals from a German cultural background often value and prioritize scientific evidence and rational thinking in acquiring knowledge. Germans have a strong tradition of scientific achievements and emphasis on logic and empirical evidence. This worldview aligns with the belief that science is the foundation of knowledge and provides tangible proof of existence. Choices A, C, and D are incorrect because: A: Knowledge acquired through affective senses is more subjective and based on personal feelings, which does not align with the German cultural emphasis on empirical evidence. C: Striving for transcendence of mind and body is more associated with Eastern philosophies like Buddhism or Hinduism, not typical of German cultural perspectives. D: The idea of knowledge evolving from a relationship with a supreme being is more aligned with religious beliefs, which may not necessarily reflect the worldview of a first-generation German-American who values scientific evidence and rational thinking.