ATI RN
Theories of Health Behavior Change Questions
Question 1 of 5
A client is admitted to an emergency department experiencing memory deficits and decreased motor function. What alteration in brain chemistry should a nurse correlate with the production of these symptoms?
Correct Answer: D
Rationale: The correct answer is D: Decreased levels of acetylcholine. Acetylcholine plays a crucial role in memory and motor function. Decreased levels can lead to memory deficits and decreased motor function. Abnormal levels of serotonin (A) are more associated with mood regulation. Decreased levels of histamine (B) are linked to allergic responses and wakefulness. Increased levels of norepinephrine (C) are related to the stress response. In this case, decreased acetylcholine is the most likely cause of the client's symptoms.
Question 2 of 5
Surgery schedules are communicated to the OR usually a day prior to the procedure by the nurse of the floor or ward where the patient is confined. For orthopedic cases, what department is usually informed to be present in the OR?
Correct Answer: D
Rationale: The correct answer is D: Radiology department. Orthopedic cases often require imaging studies such as X-rays or MRIs before and during surgery. Radiology department needs to be present in the OR to provide real-time imaging guidance for the surgeon. The other choices are incorrect because: A: Rehabilitation department is not typically needed in the OR during surgery. B: Laboratory department deals with analysis of blood and other samples, not directly involved in orthopedic surgeries. C: Maintenance department is responsible for the upkeep of equipment and facilities, not required in the OR during surgery.
Question 3 of 5
Disposal of medical records in government hospitals/institutions must be done in close coordination with what agency?
Correct Answer: C
Rationale: The correct answer is C: Records Management Archives Office (RMAO). This agency is responsible for overseeing the proper management and disposal of records in government institutions. They ensure compliance with regulations to protect sensitive information. DILG and MMDA do not have jurisdiction over record management. DOH may have a role in healthcare records but not specifically in the disposal process. RMAO's expertise in records management makes them the most suitable agency for coordinating the disposal of medical records in government hospitals.
Question 4 of 5
Which of the following role would be the responsibility of the scrub nurse?
Correct Answer: C
Rationale: The correct answer is C because the responsibility of the scrub nurse is to account for the number of sponges, needles, and supplies used during the surgical procedure. This is crucial for patient safety and to prevent any foreign objects from being left inside the patient. Explanation: A: Assessing the readiness of the client prior to surgery is typically the responsibility of the pre-op nurse or the circulating nurse, not the scrub nurse. B: Ensuring that the airway is adequate is the responsibility of the anesthesiologist or anesthesia provider, not the scrub nurse. D: Evaluating the type of anesthesia appropriate for the surgical client is the responsibility of the anesthesia provider, not the scrub nurse.
Question 5 of 5
As a nurse, you are always alerted to monitor status asthmaticus who will likely and initially manifest symptoms of:
Correct Answer: C
Rationale: The correct answer is C: respiratory alkalosis. In status asthmaticus, the patient experiences prolonged, severe asthma attacks leading to hyperventilation. Hyperventilation causes excessive removal of carbon dioxide, leading to a decrease in PaCO2 levels and respiratory alkalosis. The other choices are incorrect because metabolic alkalosis (choice A) is not typically associated with asthma attacks, respiratory acidosis (choice B) occurs with inadequate ventilation, and metabolic acidosis (choice D) is not a common initial manifestation of status asthmaticus.