ATI RN
Theoretical Basis for Behavior Modification Questions
Question 1 of 5
Which therapeutic communication technique should the nurse use when communicating with a client who is experiencing auditory hallucinations?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates empathy and validation of the client's experience without reinforcing the hallucinations. By acknowledging the client's reality while emphasizing the nurse's own perception, it helps the client feel understood and builds trust. Choice A is incorrect as it shifts the focus to the nurse's sister, minimizing the client's experience. Choice C is incorrect as it suggests avoidance rather than addressing the client's feelings. Choice D is incorrect as it dismisses the client's concerns and relies solely on medication without addressing the client's emotional needs.
Question 2 of 5
A patient in the emergency department shows a variety of psychiatric symptoms, including restlessness and anxiety. The patient says, "I feel sad because evil spirits have overtaken my mind." Which worldview is most applicable to this individual?
Correct Answer: D
Rationale: The correct answer is D: Indigenous/harmony. This worldview is most applicable because the patient's belief in evil spirits aligns with many indigenous cultures that attribute mental health issues to spiritual causes. In indigenous communities, maintaining harmony with nature and spiritual beings is essential for well-being. The patient's symptoms and explanation indicate a belief in the influence of spiritual forces on mental health. A: Eastern/balance focuses on achieving harmony within oneself and with the environment, but the patient's explanation is more about external evil spirits. B: Southern/holistic emphasizes interconnectedness of mind, body, and spirit, but the patient's belief in evil spirits is more specific to indigenous perspectives. C: Western/scientific relies on empirical evidence and medical explanations, which are not in line with the patient's spiritual explanation.
Question 3 of 5
A Mexican American patient puts a picture of the Virgin Mary on the bedside table. What is the nurse's best action?
Correct Answer: C
Rationale: The correct action is to leave the picture where the patient placed it (Choice C) because it shows respect for the patient's cultural and religious beliefs, promoting patient-centered care. Moving the picture (Choice A) disrespects the patient's wishes. Sending it to the business office safe (Choice B) or home with the family (Choice D) interferes with the patient's autonomy and cultural practices.
Question 4 of 5
A client diagnosed with borderline personality disorder (BPD) brings up a conflict with the staff in a community meeting and develops a following of clients who unreasonably demand modification of unit rules. Which approach is best for the nursing staff to implement?
Correct Answer: B
Rationale: The correct approach is B: Maintain consistency of care by open communication to avoid staff manipulation. In this scenario, the client with BPD is exhibiting manipulative behavior by rallying other clients to unreasonably demand rule modifications. By maintaining consistency in care and open communication, staff can address the conflict effectively without succumbing to manipulation. This approach also promotes a therapeutic environment and upholds boundaries. Choice A: Allowing clients to apply the democratic process may further enable manipulation and chaos rather than resolving the conflict effectively. Choice C: Allowing only the client spokesperson to verbalize concerns may not address the underlying issue of manipulation and could potentially reinforce the behavior. Choice D: Applying autocratic leadership may lead to a power struggle and exacerbate the conflict, rather than promoting a collaborative resolution.
Question 5 of 5
Which client situation should the nurse identify as reflective of the impulsive behavior that is commonly associated with BPD?
Correct Answer: D
Rationale: The correct answer is D because it demonstrates impulsive behavior commonly associated with Borderline Personality Disorder (BPD). Cutting oneself in response to fear of abandonment is a hallmark of BPD. This behavior is impulsive, self-destructive, and a maladaptive coping mechanism. Choices A, B, and C do not involve self-harm or the extreme impulsivity typical of BPD. While they all depict fear of abandonment, only choice D involves a drastic and impulsive action in response to the perceived threat of the nurse leaving, aligning with the impulsive behavior seen in BPD.