ATI RN
Theories of Health Behavior Change Questions
Question 1 of 5
What is the psychological phenomenon characterized by emotional exhaustion, depersonalization, and a diminished sense of personal accomplishment related to one's work?
Correct Answer: A
Rationale: Burnout is defined by emotional exhaustion, depersonalization, and reduced personal accomplishment, specifically tied to work-related stress, distinguishing it from compassion fatigue (empathy-related), depression (broader mood disorder), or chronic anxiety (persistent worry not necessarily work-specific).
Question 2 of 5
The nurse is preparing a patient for an MRI scan of the head. The nurse should ask the patient,
Correct Answer: D
Rationale: The person undergoing an MRI must lie in a small, closed chamber and remain motionless during the procedure, which takes about 45 minutes. Those who feel claustrophobic or have increased anxiety may require sedation before the procedure. PET scans require radioactive substances to be injected into the bloodstream. A patient is not required to fast before brain imaging studies.
Question 3 of 5
The nurse knows that the client understands the rationale for dietary restrictions when taking MAOI when the client makes which of the following statements?
Correct Answer: D
Rationale: The correct answer is D) "I should avoid carbohydrates to prevent weight gain on this medication." This statement demonstrates understanding of the dietary restrictions needed when taking MAOIs because these medications can lead to weight gain as a side effect. By avoiding carbohydrates, the client can manage their weight while on this medication. Option A is incorrect because the allergy to foods high in tyramine is not the rationale for dietary restrictions with MAOIs. Option B is incorrect as sexual dysfunction is not a known side effect related to dietary restrictions with this medication. Option C is incorrect as foods high in tyramine can actually interact with MAOIs, potentially leading to a hypertensive crisis rather than reducing the medication's effectiveness. In an educational context, it's important for nurses to understand the rationale behind dietary restrictions with specific medications to ensure optimal patient outcomes. Providing clear explanations to clients about why certain foods should be avoided can help them adhere to these restrictions and prevent potential complications. Educating clients on the relationship between diet and medication effects is crucial for their overall health and well-being.
Question 4 of 5
Which of the following is the primary consideration with clients taking antidepressants?
Correct Answer: C
Rationale: In the context of clients taking antidepressants, the primary consideration is the risk of suicide, which makes option C the correct answer. Antidepressants, especially in the initial stages of treatment, can sometimes lead to an increase in suicidal thoughts or behaviors, particularly in young adults and adolescents. This is a crucial aspect to monitor and address during therapy. Option A, decreased mobility, is not a primary consideration with clients taking antidepressants. While some antidepressants may have side effects that impact mobility, it is not a key concern compared to the risk of suicide. Option B, emotional changes, is a common side effect of antidepressants but is not the primary consideration when it comes to ensuring the safety and well-being of clients. Emotional changes are expected as part of the therapeutic process. Option D, weight gain, is another potential side effect of some antidepressants but is not the primary consideration regarding the immediate safety and well-being of clients, as it does not pose an immediate threat like the risk of suicide does. In an educational context, understanding the primary considerations when working with clients taking antidepressants is crucial for healthcare professionals, especially those in mental health and primary care settings. Recognizing the potential risks associated with antidepressant use allows for informed decision-making and appropriate monitoring to ensure the safety of clients undergoing treatment for mental health conditions.
Question 5 of 5
When the client asks the nurse how long it will take before the SSRI antidepressant medication will be effective, which of the following replies is most accurate and therapeutic?
Correct Answer: B
Rationale: The correct answer is B: "You will have gradual improvement in symptoms over the next few weeks, but the changes may be so subtle that you may not notice them for a while. It is important for you to keep taking the medication." This response is the most accurate and therapeutic because it provides the client with realistic expectations about the timeline for the medication to take effect. SSRI antidepressants typically require several weeks to reach their full therapeutic effect, so setting the expectation of gradual improvement over time is crucial for managing the client's expectations and promoting medication adherence. Option A is incorrect because stating that the medication will be effective within 20 minutes of the first dose is misleading and inaccurate. Immediate effects are not typical of SSRIs. Option C is incorrect because suggesting that it will take months for the medication to work and advising the client to simply work on improving their attitude undermines the evidence-based approach of using medication to treat depression. Option D is incorrect as well because claiming that the effects will be immediate is not true for SSRI antidepressants and can lead to unrealistic expectations and possible non-adherence if the client does not experience immediate results. In an educational context, it is important for healthcare providers to communicate effectively with clients about the expected timeline for medication effects to manage expectations, promote adherence, and empower clients in their treatment journey. Understanding the pharmacodynamics of medications helps clients make informed decisions about their health and treatment plan.