ATI RN
Theory of Health Behavior Change Questions
Question 1 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 2 of 5
A student nurse is learning about the appropriate use of touch when communicating with clients diagnosed with psychiatric disorders. Which statement by the instructor best provides information about this aspect of therapeutic communication?
Correct Answer: A
Rationale: The correct answer is A because touch carries a different meaning for different individuals. This statement acknowledges the importance of individual preferences and boundaries in therapeutic touch. It emphasizes the necessity of understanding and respecting each client's unique perspective on touch. Explanation of why other choices are incorrect: B: This statement oversimplifies the use of touch in de-escalating volatile situations and does not address the complexity of touch in therapeutic communication. C: While touch can convey interest and warmth, this statement does not encompass the full range of meanings and implications that touch can have in therapeutic interactions. D: While empathy is important in conjunction with touch, this statement does not capture the diversity of meanings that touch can hold for clients.
Question 3 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 4 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 5 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.