ATI RN
Theory of Health Behavior Change Questions
Question 1 of 5
Unlike psychophysiologic disorder Linda may be best managed with:
Correct Answer: C
Rationale: Step-by-step rationale for choice C (Stress management technique) being correct: 1. Linda's condition involves psychological factors contributing to physical symptoms. 2. Stress management techniques help address the underlying stress that may exacerbate her symptoms. 3. Techniques such as relaxation exercises and cognitive-behavioral therapy can help Linda cope with stress. 4. By managing stress effectively, Linda can reduce the frequency and severity of her symptoms. Summary of why other choices are incorrect: A. Medical regimen: Linda's condition is primarily psychological, so solely focusing on medications may not address the root cause. B. Milieu therapy: This therapy focuses on the environment, which may not directly target Linda's stress and psychological factors. D. Psychotherapy: While psychotherapy is beneficial, stress management techniques specifically target stressors that may worsen Linda's symptoms.
Question 2 of 5
The emergency department nurse is assigned to provide care for a victim of a sexual assault. When following legal and agency guidelines, which intervention is most important?
Correct Answer: D
Rationale: The correct answer is D, ensuring an unbroken chain of evidence. This is crucial in cases of sexual assault to maintain the integrity of evidence for legal proceedings. By preserving and documenting evidence properly, it increases the chances of bringing the perpetrator to justice. A: Determining the assailant's identity is important but not the nurse's role. B: Preserving the client's privacy is important but secondary to maintaining evidence. C: Identifying the extent of injury is relevant for treatment but doesn't take precedence over preserving evidence.
Question 3 of 5
The nurse is teaching a group of clients about the mood-stabilizing medications lithium carbonate. Which medications should she instruct the clients to avoid because of the increased risk of lithium toxicity?
Correct Answer: C
Rationale: The correct answer is C: Diuretics. Diuretics can reduce lithium excretion, leading to increased lithium levels and potential toxicity. Other choices are incorrect because: A: Antacids may actually help reduce lithium absorption. B: Antibiotics do not have a direct interaction with lithium. D: Hypoglycemic agents do not affect lithium levels. In summary, diuretics are the only medication that can significantly increase the risk of lithium toxicity due to their impact on lithium excretion.
Question 4 of 5
Which client outcome is most appropriately achieved in a community approach setting in psychiatric nursing?
Correct Answer: C
Rationale: The correct answer is C because in a community approach setting in psychiatric nursing, the focus is on helping clients integrate into society and function independently. By demonstrating self-reliance and social adaptation, clients can better navigate their daily lives and relationships. This approach promotes long-term stability and well-being. A: While performing activities of daily living and learning crafts are important, they do not necessarily address the client's ability to adapt socially. B: Preventing aggressive behavior and monitoring medications are more individual-focused goals rather than community-oriented outcomes. D: Anxiety relief and symptom education are valuable, but they do not directly address the client's ability to adapt and function within a community setting.
Question 5 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.