ATI RN
Theories of Health Behavior Change Questions
Question 1 of 5
Which is the orientation of assertive community treatment (ACT)?
Correct Answer: D
Rationale: An ACT program has a problem-solving orientation: Staff members attend to specific life issues, no matter how mundane. ACT programs provide most services directly rather than relying on referrals to other programs or agencies, and they implement the services in the clients' homes or communities, not in offices.
Question 2 of 5
The nurse is working with a client who is grieving over the death of a parent. Which concept is the nurse demonstrating when stating to the client, 'I know how sad I was when I lost my parent'?
Correct Answer: A
Rationale: The nurse is demonstrating empathy with discussion of the same experience so that the nurse can relate to the client's grief. Transference is the displacement of thoughts, feelings, and behaviors originally associated with significant others from childhood onto a person in a current therapeutic relationship and would represent the client's and not the nurse's statement. Object relations involves the psychological attachment to another person and while the nurse may demonstrate this with a parent, this doesn't relate to the client's need. Operant behavior involves conditioning such as with Pavlov's theory.
Question 3 of 5
A client is being admitted to an inpatient unit for treatment of anorexia nervosa. Of the following assessment data, which should the nurse place as priority in the plan of care?
Correct Answer: D
Rationale: Maslow's hierarchy of needs hypothesizes that the physiological needs at the bottom of the pyramid dominate the person's behavior until those needs are met, at which time the next level of needs would become dominant. A very low heart rate poses a more acute threat to survival than low body weight. Once physical needs are met, the higher level needs such as body image and self-esteem can be addressed.
Question 4 of 5
A client who has been working on controlling impulsive behavior shows a strengthening ego through which behavior?
Correct Answer: B
Rationale: The ego represents mature and adaptive behavior that allows a person to function successfully in the world. Rationally weighing pros and cons of a decision exemplifies this aspect of the self. Inconsistent attendance at therapy would suggest a lack of impulse control, as would focusing on giving advice to others. Having fun does not necessarily indicate that the client's ego is strengthening or that he and she is controlling impulses.
Question 5 of 5
The nurse is observing a child in the pediatric unit at the hospital. Which behavior would alert the nurse that the child is in Piaget's preoperational stage of intellectual development?
Correct Answer: A
Rationale: The preoperational stage of a child involves the use of symbols such as mental images, words, or gestures to represent objects with language development. The child naming stuffed animals is developing the ability to use words to name objects such as stuffed animals and is in the 2-7 year old range. The child classifying the art supplies is an older child in the period of formal operations and is age 11-adolescence. The child that is learning object permanence, such as the parent that returns when not seen, and the child developing motor and sensory reflexes, are both in the sensorimotor period.