ATI RN
Theoretical Basis for Behavior Modification Questions
Question 1 of 5
Which client situation should the nurse identify as reflective of the impulsive behavior that is commonly associated with BPD?
Correct Answer: D
Rationale: The correct answer is D because it demonstrates impulsive behavior commonly associated with Borderline Personality Disorder (BPD). Cutting oneself in response to fear of abandonment is a hallmark of BPD. This behavior is impulsive, self-destructive, and a maladaptive coping mechanism. Choices A, B, and C do not involve self-harm or the extreme impulsivity typical of BPD. While they all depict fear of abandonment, only choice D involves a drastic and impulsive action in response to the perceived threat of the nurse leaving, aligning with the impulsive behavior seen in BPD.
Question 2 of 5
Which initial nursing diagnosis should the nurse assign to a client diagnosed with cluster C traits who sits alone and ignores others' attempts to converse?
Correct Answer: B
Rationale: The correct answer is B: Social isolation R/T poor self-esteem. This choice is correct because the client's behavior of sitting alone and ignoring others' attempts to converse indicates a pattern of social withdrawal, which aligns with social isolation. Poor self-esteem is a cluster C trait often associated with social isolation. The other choices are incorrect because there is no evidence of fear related to hospitalization, no indication of suicidal ideation or hopelessness, and no clear link to powerlessness due to dependence issues in the scenario provided.
Question 3 of 5
Which student statement indicates further instruction is needed regarding developmental characteristics of clients diagnosed with moderate ID?
Correct Answer: D
Rationale: The correct answer is D because clients with moderate intellectual disabilities typically struggle with academic tasks, making it unlikely for them to successfully complete elementary school without significant support. This indicates a need for further instruction on understanding the developmental characteristics of clients with moderate ID. A: This choice is incorrect because clients with moderate ID can often work in a sheltered workshop setting with appropriate accommodations and support. B: This choice is incorrect because clients with moderate ID can usually perform some personal care activities independently or with assistance. C: This choice is incorrect because clients with moderate ID may indeed have difficulty relating to peers due to social and communication challenges associated with their disability.
Question 4 of 5
Which child is most likely to be diagnosed with ASD?
Correct Answer: D
Rationale: The correct answer is D: An 8-year-old boy. Boys are around four times more likely to be diagnosed with Autism Spectrum Disorder (ASD) compared to girls. Additionally, ASD is typically diagnosed in early childhood, with symptoms manifesting around the age of 2-3 years old. By the age of 8, a child would have likely shown clear signs of ASD if they have it. Choices A, B, and C (young girls) are less likely to be diagnosed with ASD based on prevalence and age of onset.
Question 5 of 5
Which nursing diagnosis does the outcome criterion 'will attempt to interact with others in the presence of trusted caregiver' address?
Correct Answer: C
Rationale: The correct answer is C: Impaired social interaction; short-term goal. This outcome criterion addresses impaired social interaction because it focuses on the client's ability to interact with others in the presence of a trusted caregiver. This goal is specific to the social aspect of communication and interaction. Choice A is incorrect because impaired verbal communication does not directly address the client's ability to interact socially. Choice B is also incorrect as it focuses on the long-term goal for verbal communication, not social interaction. Choice D is incorrect as it addresses impaired social interaction as a long-term goal, whereas the criterion in the question pertains to a short-term goal.