ATI RN
Theory of Health Behavior Change Questions
Question 1 of 5
Which of the following increases the risk for neuroleptic malignant syndrome (NMS)?
Correct Answer: C
Rationale: Neuroleptic malignant syndrome (NMS) is a rare but potentially life-threatening condition associated with the use of certain psychiatric medications, particularly antipsychotic drugs. The correct answer, option C) Dehydration, increases the risk for NMS. Dehydration can lead to an imbalance in electrolytes and impair the body's ability to regulate temperature, which are key factors in the development of NMS. Patients taking neuroleptic medications are already at risk for NMS due to the drugs' effects on dopamine receptors, and dehydration can exacerbate this risk. Option A) Overhydration is incorrect because excessive fluid intake, while potentially harmful in other situations, does not specifically increase the risk for NMS. Option B) Intake of vitamins is also incorrect as vitamin consumption is not directly linked to NMS risk. Option D) High protein diet is incorrect because although some medications may interact with protein intake, it is not a known risk factor for NMS. In an educational context, understanding the risk factors for NMS is crucial for healthcare providers, particularly those working in psychiatric settings. Educating healthcare professionals about the potential complications of antipsychotic medications and the importance of monitoring patients for signs of NMS, especially in situations like dehydration, can help prevent adverse outcomes and ensure patient safety.
Question 2 of 5
A client diagnosed with major depressive disorder asks, What part of my brain controls my emotions? Which nursing response is appropriate?
Correct Answer: D
Rationale: The correct answer is D: The limbic system is largely responsible for one's emotional state. The limbic system, including structures like the amygdala and hippocampus, plays a crucial role in regulating emotions and emotional responses. The amygdala, for example, is involved in processing emotions such as fear and pleasure. Therefore, it is appropriate to inform the client that the limbic system controls emotions. Choice A is incorrect because the occipital lobe is primarily responsible for processing visual information. Choice B is incorrect as the parietal lobe is more associated with sensory processing and spatial orientation. Choice C is incorrect because the medulla is involved in regulating vital functions like breathing and heart rate, not emotions.
Question 3 of 5
Which would a nursing instructor describe to students as the emotional brain?
Correct Answer: B
Rationale: The correct answer is B: The limbic system. The limbic system is often referred to as the "emotional brain" due to its role in processing emotions, behavior, and motivation. It includes structures like the amygdala and hippocampus, which are crucial for emotional responses and memory formation. The cerebellum (A) is responsible for coordination and motor control, not emotions. The cortex (C) is involved in higher cognitive functions like reasoning and decision-making, not specifically emotions. The left temporal lobe (D) is primarily associated with language processing, not emotions. Therefore, the limbic system is the correct answer for the emotional brain.
Question 4 of 5
A psychiatric nurse intern states, This client's use of defense mechanisms should be eliminated. Which is a correct evaluation of this nurse's statement?
Correct Answer: A
Rationale: Step 1: Defense mechanisms are psychological strategies used unconsciously to cope with anxiety or stress. Step 2: Some defense mechanisms are healthy and adaptive, helping individuals manage difficult emotions. Step 3: Eliminating all defense mechanisms could lead to increased distress and inability to cope effectively. Step 4: Therefore, the correct evaluation is that defense mechanisms can be appropriate responses to stress and need not be eliminated. Summary: Option A is correct because defense mechanisms serve a purpose in managing stress and eliminating them entirely may not be beneficial. Option B is incorrect as not all defense mechanisms are maladaptive.
Question 5 of 5
The sterile nurse or sterile personnel touch only sterile supplies and instruments. When there is a need for sterile supply which is not in the sterile field, who hands out these items by opening its outer cover?
Correct Answer: A
Rationale: The correct answer is A: Circulating Nurse. The circulating nurse is responsible for handing out sterile supplies that are not within the sterile field by opening its outer cover. This is to maintain the sterility of the items being used in the surgical field. The circulating nurse's role is crucial in preventing contamination and ensuring patient safety during surgical procedures. Summary: - A: Circulating Nurse (Correct): Responsible for providing sterile supplies from outside the sterile field. - B: Anaesthesiologist (Incorrect): Not typically responsible for handling sterile supplies. - C: Surgeon (Incorrect): Focuses on the surgical procedure and does not usually handle sterile supplies. - D: Nursing Aide (Incorrect): Not typically involved in handling sterile supplies during surgical procedures.