ATI RN
Multidimensional Basis of Health Protective Behaviors Questions
Question 1 of 5
Which nursing statement is a good example of the therapeutic communication technique of offering self?
Correct Answer: B
Rationale: The correct answer, B, is an example of offering self, a therapeutic communication technique where the nurse offers to provide assistance or support to the patient. By offering to accompany the patient to their electroconvulsive therapy treatment, the nurse shows willingness to be present and provide comfort during a potentially distressing experience, thereby building trust and rapport. Choice A is incorrect because it focuses on the group session rather than offering personal support. Choice C is incorrect as it observes the patient's behavior without offering direct assistance. Choice D is incorrect as it involves a social invitation after discharge rather than offering support during the current therapy session.
Question 2 of 5
A nurse prepares to teach important medication information to a patient of Mexican heritage. How should the nurse manage the teaching environment?
Correct Answer: A
Rationale: The correct answer is A: Stand very close to the patient while teaching. This approach is important when teaching patients of Mexican heritage as they tend to value close interpersonal relationships. Standing close conveys a sense of warmth and connection, facilitating trust and understanding. Maintaining direct eye contact (B) can be perceived as confrontational in some cultures. Maintaining a neutral emotional tone (C) may come across as disinterested or cold. Sitting 4 feet or more away (D) can create a sense of distance and may be seen as disrespectful or uninviting.
Question 3 of 5
A nurse begins work in an agency that provides care to members of a minority ethnic population. The nurse will be better able to demonstrate cultural competence after
Correct Answer: D
Rationale: The correct answer is D because exploring commonly held beliefs and values of the population is essential for cultural competence. By understanding the cultural context of the population, the nurse can provide more effective and respectful care. This includes recognizing traditions, preferences, and communication styles. A: Identifying culture-bound issues may not necessarily lead to cultural competence as it focuses more on recognizing specific cultural practices rather than understanding the broader cultural context. B: Implementing scientifically proven interventions is important but does not directly relate to cultural competence, which requires a deeper understanding of cultural nuances. C: Correcting inferior health practices of the population is ethnocentric and disrespectful, going against the principles of cultural competence that emphasize respect for diverse beliefs and practices.
Question 4 of 5
Which nursing approach should be used to maintain a therapeutic relationship with a client diagnosed with BPD?
Correct Answer: A
Rationale: The correct answer is A because individuals with Borderline Personality Disorder (BPD) benefit from a nursing approach that is firm, consistent, and empathetic. Being firm sets clear boundaries, consistency builds trust, and empathy shows understanding. This approach helps address specific behaviors, validates the client's feelings, and promotes a sense of safety in the therapeutic relationship. Choice B, promoting self-expression with laissez-faire leadership, may lead to boundary issues and lack of structure, exacerbating BPD symptoms. Choice C, authoritative leadership, can be perceived as controlling and may trigger negative reactions in clients with BPD. Choice D, overlooking inappropriate behaviors, can reinforce maladaptive patterns and hinder progress in therapy.
Question 5 of 5
Which is the priority nursing diagnosis when providing care to a client diagnosed with paranoid personality disorder?
Correct Answer: A
Rationale: The correct answer is A: Risk for violence directed toward others R/T suspicious thoughts. This is the priority nursing diagnosis for a client with paranoid personality disorder because individuals with this disorder often have intense distrust and suspicion of others, which can lead to potential violent behaviors. Addressing this risk is crucial for ensuring the safety of both the client and others. Choice B, Risk for suicide, is not the priority as paranoid personality disorder is not typically associated with a high risk of suicide. Choice C, Altered sensory perception, is not directly related to paranoid personality disorder. Choice D, Social isolation, while a common issue for individuals with this disorder, does not pose an immediate risk to others like the potential violence associated with suspicious thoughts.