ATI RN
Behavioral Questions for Nurse Questions
Question 1 of 5
Which of the following cultural phenomena that should be assessed by the nurse includes preference such as touch and eye contact?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) Communication. The rationale behind this choice lies in the fact that cultural preferences related to touch and eye contact directly impact the way individuals communicate with each other. These preferences are integral components of non-verbal communication, which plays a crucial role in cross-cultural interactions. Option B) Social organization pertains more to how societies structure themselves and less to individual preferences in communication styles. Option C) Environmental control focuses on how individuals interact with their surroundings, which is not directly related to personal communication choices. Option D) Biologic variations are more about genetic differences rather than cultural preferences in communication. In an educational context, understanding the significance of cultural phenomena in communication is essential for nurses. Being aware of these preferences enables nurses to provide culturally sensitive care, establish rapport with patients from diverse backgrounds, and ensure effective communication, which is vital for quality healthcare outcomes. Therefore, nurses must be equipped with knowledge and skills to identify and respect these cultural nuances in their practice.
Question 2 of 5
A new antidepressant is prescribed for an elderly patient with major depression, but the dose is more than the usual geriatric dose The nurse should:
Correct Answer: C
Rationale: In this scenario, the correct answer is option C) withhold the medication and confer with the health care provider. This is the most appropriate action for the nurse to take in this situation for several reasons. Firstly, as a nurse, patient safety is of utmost importance. Administering a dose of medication that exceeds the usual geriatric dose can potentially harm the elderly patient due to age-related physiological changes that affect drug metabolism and sensitivity. Consulting a reliable drug reference (Option A) is a good practice, but in this case, the immediate concern is the safety of the patient. Teaching the patient about possible side effects and adverse effects (Option B) is important but should not be the first action when a potentially harmful dose has been prescribed. Encouraging the patient to increase oral fluids (Option D) is not the correct course of action in this situation as it does not address the issue of the prescribed dose being higher than recommended for the elderly patient. Educationally, this question emphasizes the importance of medication safety and critical thinking in nursing practice. Nurses need to be vigilant in assessing medication orders, especially in vulnerable populations like the elderly, and advocate for the well-being of their patients by communicating with healthcare providers when necessary.
Question 3 of 5
A newly admitted patient diagnosed with major depression has gained pounds over a few months and has suicidal ideation The patient has taken an antidepressant medication for week without remission of symptoms Select the priority nursing diagnosis
Correct Answer: C
Rationale: The priority nursing diagnosis in this scenario is C) Risk for suicide. This choice takes precedence over the other options because suicidal ideation poses an immediate threat to the patient's safety and requires urgent intervention to ensure the patient's well-being and prevent harm. Option A) Imbalanced nutrition: more than body requirements, while important, is not the priority in this case as the patient's suicidal ideation takes precedence due to the acute risk it presents. Option B) Chronic low self-esteem and option D) Hopelessness are both relevant to the patient's mental health status, but they are secondary to the immediate concern of the patient's safety and risk for suicide. In an educational context, it is crucial for nurses to prioritize nursing diagnoses based on the level of risk they pose to the patient. Understanding the hierarchy of needs and the urgency of certain conditions is essential in providing effective and timely care to patients, especially in situations involving mental health crises like suicidal ideation. Nurses must be able to quickly assess and prioritize patient needs to ensure optimal outcomes and patient safety.
Question 4 of 5
Which entry in the medical record best meets the requirement for problem-oriented charting?
Correct Answer: B
Rationale: The correct answer is option B because it follows the SOAP (Subjective, Objective, Assessment, Plan) format of problem-oriented charting commonly used in medical records. In this entry, the nurse documents the patient's subjective statement ("I feel like I’m ready to blow up"), objective observation (pacing hall, mumbling to self), assessment (auditory hallucinations), and plan of care (offering haloperidol). This structured approach helps in organizing patient information systematically for better communication among healthcare providers. Option A is incorrect because it lacks a clear subjective statement and assessment of the patient's condition. Option C is incorrect as it does not follow the SOAP format and lacks detailed information on the patient's symptoms and response to treatment. Option D is incorrect as it mixes objective and assessment information together without a clear separation, deviating from the problem-oriented charting approach. Educationally, understanding the importance of structured documentation like problem-oriented charting is crucial for healthcare professionals to ensure clear communication, continuity of care, and accurate assessment of patient progress. By adhering to standardized formats, nurses can provide comprehensive patient care and contribute to better patient outcomes.
Question 5 of 5
A nurse documents: Patient is mute despite repeated efforts to elicit speech. Makes no eye contact. Inattentive to staff. Gazes off to the side or looks upward rather than at speaker. Which nursing diagnosis should be considered?
Correct Answer: D
Rationale: In this scenario, the most appropriate nursing diagnosis to consider is option D) Impaired verbal communication. The patient's inability to speak, lack of eye contact, and disinterest in engaging with staff indicate a communication issue. Impaired verbal communication encompasses difficulties expressing oneself through speech, which aligns with the patient's behavior. Option A) Defensive coping typically involves psychological defense mechanisms in response to stress, which is not evident in the patient's behavior. Option B) Decisional conflict refers to uncertainty or inability to make choices, which is not the primary issue presented here. Option C) Risk for other-directed violence involves the potential for a patient to harm others, which is not indicated by the patient's behavior described in the scenario. Educationally, understanding how to differentiate between various nursing diagnoses based on assessment findings is crucial for nurses to provide accurate and individualized care. By selecting the correct diagnosis, nurses can develop effective care plans to address the patient's specific needs, such as implementing alternative communication strategies for a patient with impaired verbal communication.