ATI RN
Theories of Health Behavior Change Questions
Question 1 of 5
Timothy's arterial blood gas (ABG) results are as follows; pH 7.16; Paco2 80 mm Hg; Pao2 46 mm Hg; HCO3- 24mEq/L; Sao2 81%. This ABG result represents which of the following conditions?
Correct Answer: C
Rationale: The correct answer is C, respiratory acidosis. The low pH (7.16) indicates acidosis, and the high Paco2 (80 mm Hg) suggests respiratory involvement. The Pao2 (46 mm Hg) is low, indicating hypoxemia. The HCO3- (24 mEq/L) is normal, ruling out metabolic acidosis. The Sao2 (81%) is also low, supporting respiratory acidosis due to poor oxygen exchange in the lungs. A: Metabolic acidosis - ruled out due to normal HCO3- B: Metabolic alkalosis - ruled out due to low pH and normal HCO3- D: Respiratory alkalosis - ruled out due to high Paco2 and low Pao2
Question 2 of 5
The wife admits that she is a victim of abuse and opens up about her persistent distaste for sex. This sexual disorder is:
Correct Answer: A
Rationale: The correct answer is A: Sexual desire disorder. The wife's persistent distaste for sex indicates a lack of interest or desire for sexual activity, which aligns with the symptoms of Sexual Desire Disorder. This disorder is characterized by a persistent or recurrent lack of sexual fantasies and desire for sexual activity, causing distress or interpersonal difficulties. The other choices (B, C, D) do not fully capture the wife's situation as they focus on different aspects of sexual dysfunction such as arousal, orgasm, and pain, which are not explicitly mentioned in the scenario provided.
Question 3 of 5
Situation: A nurse may encounter children with mental disorders. Her knowledge of these various disorders is vital. When planning school interventions for a child with a diagnosis of attention deficit hyperactivity disorder, a guide to remember is to:
Correct Answer: A
Rationale: Rationale for Choice A (Correct Answer): - Children with ADHD benefit from structure to help them stay organized and focused. - Providing a structured environment helps them understand expectations and routines. - Structure can also help in managing impulsivity and improving behavior. Summary of Other Choices: - Choice B (Ignore overactivity) is incorrect as ignoring the behavior can lead to further issues and does not address the underlying need for structure. - Choice C (Encourage play to dissipate energy) may not address the core issues of ADHD related to organization and focus. - Choice D (Remove child from classroom) does not provide a proactive approach to managing ADHD and may not teach the child appropriate coping strategies.
Question 4 of 5
According to Piaget, a 5-year-old is at what stage of development:
Correct Answer: C
Rationale: The correct answer is C: Pre-operational stage. Piaget's stages of cognitive development outline that at age 5, children are typically in the pre-operational stage characterized by symbolic representation, egocentrism, and inability to perform logical operations. In this stage, children engage in pretend play and use symbols to represent objects. The sensorimotor stage (A) occurs from birth to age 2, concrete operations (B) typically happen around ages 7-11, and formal operations (D) usually emerge around ages 11-15. Therefore, based on Piaget's theory, a 5-year-old is most likely in the pre-operational stage.
Question 5 of 5
She says to the nurse who offers her breakfast, "Oh no, I will wait for my husband. We will eat together" The therapeutic response by the nurse is:
Correct Answer: D
Rationale: The correct answer is D because it demonstrates therapeutic communication by acknowledging the patient's feelings and gently challenging her perception. This response encourages the patient to reflect on her statement and potentially recognize any confusion or delusion. Choice A is incorrect as it is abrupt and insensitive, disregarding the patient's feelings. Choice B is also incorrect as it is harsh and lacks empathy. Choice C is incorrect as it is dismissive and does not address the patient's emotional needs. In summary, option D is the best choice as it promotes dialogue and helps the patient explore her thoughts, while the other options lack empathy and may cause distress to the patient.