ATI RN
ATI Detailed Answer Key Medical Surgical Questions
Question 1 of 5
A nursing department in an acute care setting decides to redesign its nursing practice based on a theoretical framework. The feedback from patients, families, and staff reflects that caring is a key element. Which theorist best supports this concept?
Correct Answer: D
Rationale: In this scenario, the correct answer is D) Watson. Jean Watson's Theory of Human Caring emphasizes the importance of caring in nursing practice. Watson believes that caring is central to nursing and that a caring attitude promotes healing and growth in patients. By choosing Watson, the nursing department aligns with a theoretical framework that prioritizes patient-centered care and holistic healing. Option A) Erikson is known for his psychosocial development theory, which focuses on stages of human development rather than caring in nursing practice. Option B) Maslow is associated with the hierarchy of needs theory, which emphasizes meeting basic needs to achieve self-actualization, but does not specifically address caring as a key element in nursing practice. Option C) Rogers is known for person-centered therapy in psychology, which emphasizes empathy and unconditional positive regard in therapeutic relationships, but does not directly relate to the concept of caring in nursing practice. Educationally, understanding and applying nursing theoretical frameworks like Watson's Theory of Human Caring can guide nursing practice, enhance patient outcomes, and foster a culture of compassion and empathy within healthcare settings. It reinforces the importance of integrating caring behaviors into daily nursing routines to provide holistic and patient-centered care.
Question 2 of 5
The nurse is caring for a client with cirrhosis of the liver with ascites. When instructing nursing assistants in the care of the client, the nurse should emphasize that:
Correct Answer: D
Rationale: In caring for a client with cirrhosis of the liver and ascites, the correct answer is D) The client may ambulate as tolerated and remain in semi-Fowler's position in bed. This option is correct because allowing the client to ambulate as tolerated helps prevent complications such as deep vein thrombosis and muscle atrophy. Additionally, maintaining a semi-Fowler's position in bed helps reduce abdominal fluid accumulation and improves respiratory function. Option A is incorrect because complete bed rest can lead to deconditioning and other complications. Option B is incorrect as elevating the legs for prolonged periods can impede circulation. Option C is also incorrect as it does not address the need to manage ascites and maintain proper positioning. Educationally, it is important to understand the rationale behind the care of clients with cirrhosis and ascites to promote optimal outcomes. Nurses should emphasize the importance of a balance between ambulation and rest, as well as the significance of positioning in managing symptoms and preventing complications. This knowledge helps nursing assistants provide safe and effective care to clients with these conditions.
Question 3 of 5
A client continually repeats phrases that others have just said. The nurse recognizes this behavior as:
Correct Answer: C
Rationale: In this scenario, the correct answer is C) Echolalic. Echolalia is a common behavior seen in conditions like autism spectrum disorder and certain psychiatric disorders where individuals repeat phrases that they hear, often without understanding the meaning behind them. This behavior can serve as a way for the individual to communicate or as a response to external stimuli. Option A) Autistic is incorrect because echolalia is a symptom often seen in individuals with autism, but it is not synonymous with being autistic. Option B) Ecopraxic refers to imitating movements, not repeating phrases, so it is not the most appropriate answer in this context. Option D) Catatonic pertains to a state of unresponsiveness, immobility, and abnormal movements, which is not reflective of the behavior described in the question. Educationally, understanding behaviors like echolalia is crucial for healthcare professionals working with individuals with communication disorders or psychiatric conditions. Recognizing and correctly identifying these behaviors can aid in providing appropriate care, interventions, and support to improve the individual's quality of life and overall well-being.
Question 4 of 5
In teaching parents to associate prevention with the lifestyle of their child with sickle cell disease, the nurse should emphasize that a priority for their child is to:
Correct Answer: D
Rationale: In teaching parents to associate prevention with the lifestyle of their child with sickle cell disease, emphasizing the priority of maintaining routine immunizations (Option D) is crucial. Sickle cell disease compromises the immune system, making individuals more susceptible to infections. By ensuring routine immunizations, the child is better protected against preventable diseases, reducing the risk of complications associated with sickle cell disease. Avoiding overheating during physical activities (Option A) is important in managing sickle cell disease to prevent a crisis, but routine immunizations take precedence in overall preventive care. Maintaining normal activity with some restrictions (Option B) is relevant but not as vital as ensuring immunizations for overall health. Being cautious of others with viruses or temperatures (Option C) is important but does not address the proactive preventive measure of routine immunizations. In an educational context, this rationale highlights the significance of preventive care in managing sickle cell disease. By prioritizing routine immunizations, parents can actively protect their child from potential health risks associated with the condition, promoting overall well-being and quality of life.
Question 5 of 5
While teaching a client about their medications, the client asks how long it will take before the effects of lithium take place. What is the best response of the nurse?
Correct Answer: C
Rationale: In educating a client about lithium, it is crucial to provide accurate information regarding its onset of action. The correct response is C) 2 weeks. This is because lithium is a mood stabilizer commonly used in the treatment of bipolar disorder. It typically takes around 1 to 2 weeks for lithium to reach therapeutic levels in the blood and start exerting its therapeutic effects on mood stabilization. Option A) Immediately is incorrect because lithium does not work instantaneously like some medications. Option B) Several days is also incorrect as it may not fully capture the typical time frame for lithium to become effective. Option D) 1 month is too extended of a timeline for the onset of action of lithium. Educationally, understanding the onset of action of medications is essential for both healthcare providers and clients to set realistic expectations regarding treatment outcomes. Providing accurate information empowers clients to make informed decisions about their health and treatment plans. It also helps in promoting medication adherence and managing expectations during the treatment process.