ATI RN
health assessment exam 2 test bank Questions
Question 1 of 5
During an interview, a woman says, "I just know labour will be so painful that I won't be able to stand it. I know it sounds awful, but I really dread going into labour." The nurse responds by stating, "Oh, don't worry about labour so much. I have been through it myself, and yes, it is painful, but there are many good medications to decrease the pain." Which of the following statements about this response is true?
Correct Answer: B
Rationale: The correct answer is B: It was a nontherapeutic response. The nurse responded in a way that downplayed the patient's concerns and shut down the conversation.
Rationale:
1. The nurse's response of dismissing the woman's fear and immediately shifting the focus to medication options invalidates the woman's feelings.
2. By sharing her own experience without acknowledging the woman's emotions, the nurse fails to provide genuine support.
3. The response lacks empathy and fails to address the woman's emotional needs, thus hindering effective communication.
4. This type of response may discourage the woman from expressing her concerns openly in the future, leading to potential emotional distress.
Summary of other choices:
A: Incorrect. Sharing personal experience alone does not make it therapeutic. In this context, it did not address the woman's emotional concerns effectively.
C: Incorrect. Providing information about medications, although helpful, does not address the woman's emotional distress and fears.
D: Incorrect. While the response did minimize the patient
Question 2 of 5
A nurse is caring for a patient with diabetes who is experiencing hypoglycemia. The nurse should prioritize which of the following interventions?
Correct Answer: B
Rationale: The correct answer is B: Providing a source of fast-acting carbohydrate. In hypoglycemia, the priority is to quickly raise the patient's blood sugar levels to prevent potential complications like seizures or loss of consciousness. Fast-acting carbohydrates, such as glucose tablets or juice, can rapidly increase blood sugar levels. Administering insulin (
A) would further lower blood sugar levels, worsening the situation. Administering an oral hypoglycemic agent (
C) is not appropriate in an acute hypoglycemic episode. Monitoring blood pressure (
D) is important but not the priority in this situation.
Question 3 of 5
A nurse is caring for a patient with a history of asthma. The nurse should educate the patient to avoid which of the following triggers?
Correct Answer: B
Rationale: The correct answer is B: Cold, dry air. Cold, dry air is a common trigger for asthma exacerbations, as it can irritate the airways and lead to bronchoconstriction. This trigger can worsen asthma symptoms and increase the risk of an asthma attack. Educating the patient to avoid cold, dry air can help prevent asthma flare-ups.
Explanation for why the other choices are incorrect:
A: Exercise-induced asthma is triggered by physical activity but can be managed with proper warm-up and medication. It is not typically something to avoid altogether.
C: Caffeine is a mild bronchodilator and can actually help alleviate asthma symptoms in some cases.
D: Environmental allergens can trigger asthma in some individuals, but they vary from person to person, so avoidance strategies would depend on specific allergens identified through testing.
Question 4 of 5
A nurse is teaching a patient with diabetes about managing foot care. Which of the following statements by the patient indicates proper understanding?
Correct Answer: A
Rationale: The correct answer is A: "I will inspect my feet daily for cuts or blisters." This statement indicates proper understanding because daily foot inspection is crucial for early detection of any wounds, which can prevent complications in diabetic patients.
Incorrect choices:
B: Avoiding trimming toenails can lead to ingrown nails and potential injury.
C: Wearing tight shoes can increase the risk of blisters and discomfort.
D: Ignoring small wounds can lead to infections and more serious foot issues.
In summary, choice A is correct as it promotes proactive foot care, while the other choices can potentially harm the patient's foot health.
Question 5 of 5
The public's concept of health has changed since the 1950s. Which of the following statements most accurately describes this change?
Correct Answer: A
Rationale: The correct answer is A because it reflects the shift towards a holistic view of health focusing on preventive measures and lifestyle choices. In the 1950s, the emphasis was more on treating diseases rather than preventing them through healthy habits.
Choice B is incorrect as it only focuses on identifying pathogens, not overall health.
Choice C is incorrect because it emphasizes physician-centered healthcare rather than individual responsibility.
Choice D is incorrect as it only considers the absence of symptoms, not overall well-being.
Therefore, A is the best choice as it aligns with the modern understanding of health promotion and disease prevention.