ATI RN
Stage Theories of Health Behavior Questions
Question 1 of 5
Which statement indicates the nurse's understanding of conduct disorder related to a client's situation?
Correct Answer: A
Rationale: Step 1: Childhood-onset conduct disorder is more severe than adolescent-onset type due to early onset of disruptive behaviors impacting development. Step 2: Individuals with childhood-onset conduct disorder are at higher risk for developing antisocial personality disorder in adulthood due to long-standing behavioral patterns. Step 3: Understanding this progression helps nurses anticipate future challenges and tailor interventions. Summary of other choices: B: Incorrect - Childhood-onset conduct disorder is persistent and unlikely to outgrow without appropriate intervention. C: Incorrect - Diagnosis is not limited to behaviors before age 5, and improvement may require comprehensive treatment. D: Incorrect - Childhood-onset conduct disorder can be treated with various interventions, and not all individuals progress to ODD.
Question 2 of 5
Which information would the nurse include when teaching parents about task performance improvement for a child diagnosed with ADHD?
Correct Answer: C
Rationale: The correct answer is C. Dividing the homework task into smaller steps and providing an activity break helps children with ADHD manage their attention and focus better. This approach breaks down the task into manageable parts, reducing overwhelm and improving completion rates. It also incorporates movement and breaks, which are beneficial for children with ADHD. A is incorrect because isolating the child can lead to feelings of loneliness and may not address the underlying attention issues. B is incorrect as withholding privileges can create negative associations with homework and may not address the root cause of the attention difficulties. D is incorrect because adjusting medication should always be done under the guidance of a healthcare professional and not as a standard strategy for task performance improvement.
Question 3 of 5
The nurse is working with a client who has sought counseling after trying to rescue a neighbor involved in a house fire. In spite of the client's efforts, the neighbor died. Which action does the nurse engage in with the client during the working phase of the nurse-client relationship?
Correct Answer: D
Rationale: In this scenario, the correct action for the nurse during the working phase of the nurse-client relationship is option D) Inquiring about and examining the client's feelings that may block adaptive coping. This is the most appropriate action because the client experienced a traumatic event, the death of a neighbor, and may be struggling with emotions that could hinder their ability to cope effectively. Option A) Exploring the client's ability to function may not directly address the emotional impact of the traumatic event and may overlook the client's emotional well-being. Option B) Exploring the client's potential for self-harm is important but may not be the immediate priority in this situation where addressing grief and coping mechanisms is crucial. Option C) Inquiring about the client's perception or appraisal of the neighbor's death is valuable but may not directly address the client's emotional barriers to adaptive coping. In an educational context, it is essential for nurses to understand the significance of addressing emotions and feelings in clients who have experienced trauma. By exploring and examining the client's feelings that may impede adaptive coping, the nurse can provide the necessary support and interventions to help the client process their emotions and develop healthy coping strategies. This approach aligns with the principles of therapeutic communication and client-centered care, enhancing the effectiveness of the nurse-client relationship and promoting positive outcomes for the client's emotional well-being.
Question 4 of 5
Situation: The nurse may encounter clients with concerns on sexuality. The most basic factor in the intervention with clients in the area of sexuality is:
Correct Answer: C
Rationale: In the context of interventions with clients regarding sexuality, the most basic factor is comfort with one's own sexuality (Option C). This is the correct answer because a nurse who is comfortable with their own sexuality is better equipped to approach and discuss sensitive topics related to sexuality with clients in a non-judgmental and empathetic manner. Option A, knowledge about sexuality, is important but it is not the most basic factor as having knowledge alone does not ensure an effective intervention. Option B, experience in dealing with clients with sexual problems, is valuable but may not always be available or necessary for providing initial support. Option D, ability to communicate effectively, is crucial in all nursing interventions, but without personal comfort with one's own sexuality, effective communication may be hindered in discussions about sensitive topics like sexuality. In an educational context, understanding the importance of personal comfort with sexuality in nursing practice highlights the significance of self-awareness, self-reflection, and empathy in providing holistic and patient-centered care. Nurses need to be able to create a safe and supportive environment for clients to discuss their concerns openly, and this often starts with their own level of comfort and acceptance of sexuality.
Question 5 of 5
A family has a long history of conflicted relationships among members. Which comment best reflects a mentally healthy perspective?
Correct Answer: C
Rationale: The correct answer is C) "I will make some changes in my behavior for the good of the family." This response reflects a mentally healthy perspective because it demonstrates personal accountability and a willingness to take proactive steps towards improving the family dynamics. By recognizing the need for personal change and the impact it can have on the family, this individual shows emotional maturity and a positive approach to addressing conflicts. Option A is not the best choice as it deflects responsibility by comparing oneself to others and minimizing personal accountability. This can perpetuate a cycle of blame and lack of personal growth. Option B, while reflecting positive memories, does not address the current conflicts or offer a solution for improvement. Option D is also not ideal as it suggests avoidance and running away from problems, which does not promote healthy resolution or personal development. Educationally, this question assesses understanding of how individuals contribute to family dynamics and the importance of taking ownership of one's behavior in fostering healthier relationships. It emphasizes the role of personal growth and responsibility in promoting mental health within the family unit. Students should learn that healthy relationships require effort, self-awareness, and a willingness to adapt and change for the betterment of all involved.