ATI RN
Multidimensional Basis of Health Protective Behaviors Questions
Question 1 of 5
Which developmental characteristic should the nurse identify as typical of a client diagnosed with severe intellectual disability (ID)?
Correct Answer: D
Rationale: The correct answer is D because individuals with severe intellectual disability often have limitations in communication skills, leading them to express their needs and wants through behaviors rather than verbal communication. This is a common characteristic of severe ID. Choices A, B, and C are incorrect as severe ID typically involves challenges in self-care activities, speech development, and psychomotor skills. These individuals often require significant support in these areas.
Question 2 of 5
Which nursing intervention is the priority when caring for a child diagnosed with conduct disorder?
Correct Answer: C
Rationale: The correct answer is C because recognizing escalating aggressive behaviors and intervening before violence occurs is crucial in managing conduct disorder in children. By addressing aggressive behaviors promptly, the nurse can prevent harm to the child or others. Option A focuses on environmental modifications which may be helpful but not the priority. Option B emphasizes building a therapeutic relationship, which is important but not as urgent as addressing aggression. Option D highlights positive reinforcement, which is valuable but not as critical as managing aggressive behaviors to ensure safety.
Question 3 of 5
Which nursing intervention is most appropriate for a child diagnosed with ADHD who is easily distracted and unable to complete classroom activities?
Correct Answer: D
Rationale: The correct answer is D because providing an environment free of distractions helps the child with ADHD focus on tasks. This intervention helps the child manage their attention difficulties and complete activities more effectively. By minimizing distractions, the child can enhance their concentration and productivity. A: Establishing goals with rewards may be beneficial but does not directly address the issue of distractions. B: Asking the child to repeat instructions may not address the underlying issue of distractibility. C: Providing one-to-one assistance with simple instructions may be helpful, but creating a distraction-free environment is more essential for managing ADHD symptoms.
Question 4 of 5
Marco approached Nurse Trish asking for advice on how to deal with his alcohol addiction. Nurse Trish should tell the client that the only effective treatment for alcoholism is:
Correct Answer: C
Rationale: In this scenario, Nurse Trish should inform Marco that the only effective treatment for alcoholism is total abstinence (Option C). This is the correct answer because alcoholism is a chronic, progressive disease that requires complete avoidance of alcohol to achieve successful recovery. Psychotherapy (Option A) can be a helpful adjunct to treatment, addressing underlying psychological issues, but on its own, it is not sufficient to treat alcoholism. Alcoholics Anonymous (A.A.) (Option B) is a valuable support group that can complement treatment but is not the sole treatment for alcoholism. Aversion therapy (Option D) is a method that associates alcohol consumption with unpleasant stimuli to deter drinking but is not as effective or sustainable as total abstinence. Educationally, it is crucial for healthcare professionals to understand the comprehensive approach needed to address alcohol addiction. By emphasizing total abstinence as the only effective treatment, Nurse Trish can guide Marco towards the most successful path to recovery, highlighting the importance of lifestyle changes, support systems, and ongoing self-care in managing addiction.
Question 5 of 5
A psychotic client reports to the evening nurse that the day nurse put something suspicious in his water with his medication. The nurse replies, 'You're worried about your medication?' The nurse's communication is:
Correct Answer: C
Rationale: In this scenario, option C) "Focusing on emotional content" is the correct answer. The nurse's response demonstrates a focus on the emotional aspect of the client's statement, acknowledging and addressing the underlying feelings of worry and concern rather than directly engaging with the delusion. Option A) "An example of presenting reality" is incorrect because the nurse did not directly challenge or correct the client's delusion about the medication being tampered with, which would be characteristic of presenting reality. Option B) "Reinforcing the client's delusions" is incorrect because the nurse's response does not validate or support the delusion but rather shifts the focus to the client's emotions. Option D) "A nontherapeutic technique called mind reading" is incorrect as the nurse is not making assumptions about what the client is thinking but rather responding empathetically to the emotional content of the client's statement. Educationally, it is important for healthcare professionals to understand the significance of focusing on the emotional content when communicating with clients experiencing psychosis. By acknowledging and addressing the underlying emotions, nurses can build rapport, trust, and facilitate therapeutic communication while also avoiding reinforcing or challenging delusions directly. This approach promotes a client-centered and empathetic care environment.