ATI RN
Stage Theories of Health Behavior Questions
Question 1 of 5
Which comment about a 3-year-old child if made by the parent may indicate child abuse?
Correct Answer: B
Rationale: The correct answer is B because the statement implies unrealistic expectations and a lack of understanding of a 3-year-old's developmental stage. At this age, children often require repeated instructions and reminders due to their cognitive and behavioral development. This expectation of immediate compliance could lead to frustration and potentially abusive behavior if the child does not meet these unreasonable demands. Choice A is incorrect because it refers to normal toddler behavior of occasional accidents even after toilet training. Choice C is incorrect as it highlights age-appropriate expectations for a 3-year-old to attempt dressing and feeding independently. Choice D is incorrect as saying "NO" is a common behavior in toddlers as they assert their independence and test boundaries.
Question 2 of 5
The client admitted for alcohol detoxification develops increased tremors, irritability, hypertension, and fever. The nurse should be alert for impending:
Correct Answer: A
Rationale: The correct answer is A: Delirium tremens. These symptoms are characteristic of delirium tremens, a severe form of alcohol withdrawal. Increased tremors, irritability, hypertension, and fever are signs of worsening withdrawal symptoms that can progress to delirium tremens, a life-threatening condition. Delirium tremens is a medical emergency that requires immediate intervention to prevent complications such as seizures and cardiovascular collapse. Korsakoff's syndrome (B), Esophageal varices (C), and Wernicke's syndrome (D) are all associated with chronic alcohol use, but they do not present with the acute symptoms described in the scenario.
Question 3 of 5
Situation: A 17-year-old gymnast is admitted to the hospital due to weight loss and dehydration secondary to starvation. Which of the following nursing diagnoses will be given priority for the client?
Correct Answer: B
Rationale: The correct answer is B: Fluid volume deficit. Priority is given to addressing physiological needs first. In this case, the client is experiencing dehydration, which can lead to serious complications. Replenishing fluids is crucial to stabilize the client's condition. Altered self-image (A), altered nutrition less than body requirements (C), and altered family process (D) are important but addressing the fluid volume deficit takes precedence due to its immediate life-threatening potential.
Question 4 of 5
Which is the desired outcome in conducting desensitization:
Correct Answer: D
Rationale: Desensitization aims to help the client overcome their fears gradually. Option D is correct as the desired outcome is for the client to overcome their fear, indicating successful desensitization. Verbalizing fears (A) is a step in the process but not the ultimate goal. Attending group therapy (B) and socializing (C) are not specific outcomes of desensitization.
Question 5 of 5
A client with obsessive-compulsive disorder is hospitalized on an inpatient unit. Which nursing response is most therapeutic?
Correct Answer: A
Rationale: The correct answer is A: Accepting the client's obsessive-compulsive behaviors. By accepting the client's behaviors, the nurse creates a non-judgmental and supportive environment, fostering trust and rapport. This approach helps the client feel understood and respected, leading to improved therapeutic communication. Challenging (B) the behaviors may cause resistance and increase anxiety. Preventing (C) or rejecting (D) the behaviors can escalate distress and hinder therapeutic progress. Overall, accepting the client's behaviors demonstrates empathy and promotes a therapeutic relationship essential for effective treatment.