ATI RN
geriatric nursing exam questions with rationale Questions
Question 1 of 5
Which of the following is a true statement about differing health belief systems?
Correct Answer: B
Rationale: The correct answer is B because in most cultures, including Western ones, older adults are more likely to initially seek traditional or cultural methods of treatment before resorting to biomedical professionals. This is often due to cultural beliefs and practices ingrained in societies.
A is incorrect because personalistic or magicoreligious beliefs still exist in Western societies alongside biomedical principles. C is incorrect because Ayurvedic medicine is a traditional Indian system of medicine, not the same as traditional Chinese medicine. D is incorrect because the belief in balancing opposite qualities is characteristic of holistic or traditional medicine practices, not necessarily magicoreligious belief systems.
Question 2 of 5
The nurse plans care for an older African American man who is from Jamaica and resides in New York City. Which should the nurse include in planning care?
Correct Answer: C
Rationale:
Correct
Answer: C - Maintain blood pressure below 120/70 mm Hg.
Rationale:
1. Older African American individuals are at higher risk for hypertension.
2. African American men have a higher prevalence of hypertension compared to other demographic groups.
3. Hypertension is a common health issue among Jamaican individuals.
4. Keeping blood pressure below 120/70 mm Hg helps prevent complications like stroke and heart disease.
Summary:
A. Attributing illness to voodoo is culturally inappropriate and lacks evidence-based practice.
B. Improving social relationships may be beneficial but is not directly related to the man's health needs.
D. Reviewing magicoreligious systems is not relevant to addressing the man's health issues like hypertension.
Question 3 of 5
An older patient learns she has metastatic cancer and states: “I must have angered God.” This is an example of which type of belief?
Correct Answer: B
Rationale: The correct answer is B: Magicoreligious. This belief involves attributing illness to supernatural forces or divine punishment. In this scenario, the patient's statement implies a belief that her illness is a result of angering God, indicating a magical or religious explanation.
Choice A (Biomedical) focuses on scientific and physical causes of illness, which is not reflected in the patient's statement.
Choice C (Naturalistic) involves viewing illness as a part of the natural world, without supernatural elements.
Choice D (Ayurvedic) is a traditional Indian system of medicine and does not relate to the patient's belief in supernatural punishment.
Question 4 of 5
Which factor(s) are associated with the provision of culturally competent care? (Select all that apply.)
Correct Answer: A, B
Rationale:
Step-by-step rationale:
1. Cultural awareness is crucial for understanding one's own biases and recognizing cultural differences.
2. Cultural knowledge involves understanding diverse cultural practices, beliefs, and values.
3. Cultural skills refer to the ability to effectively communicate and adapt care to meet individual cultural needs.
4. Cultural connections, while important, do not directly relate to providing culturally competent care.
In summary, A and B are correct as they form the foundation for providing culturally competent care, while C and D do not encompass all aspects necessary for culturally competent care.
Question 5 of 5
Which approach requires the nurse to integrate and balance all aspects of an individual’s life into the plan of care?
Correct Answer: A
Rationale: Holistic nursing is the correct answer because it considers the physical, emotional, social, and spiritual aspects of an individual's life in the care plan. It emphasizes treating the whole person rather than just the symptoms. Healthy People 2020 focuses on improving the overall health of the population. Maslow's hierarchy of needs prioritizes basic human needs. Orem's self-care requirements focus on the individual's ability to care for themselves. Holistic nursing is the only approach that integrates and balances all aspects of an individual's life into the care plan, making it the most comprehensive and patient-centered approach.