ATI RN
foundation of nursing practice questions Questions
Question 1 of 5
A patient expresses concerns over having blackstool. The fecal occult test is negative. Which response by the nurse is mostappropriate?
Correct Answer: D
Rationale: Black or tarry stools can be caused by certain medications and supplements, such as iron supplements. Since the fecal occult test is negative, it indicates that bleeding is not occurring. Therefore, in this situation, it is important to consider factors that can affect the color of stool, including iron supplementation. Addressing this question can help determine the cause of the black stool and provide appropriate guidance or reassurance to the patient. This response shows a comprehensive understanding of potential causes and demonstrates a thoughtful approach in addressing the patient's concern.
Question 2 of 5
A nurse is teaching a health class about colorectalcancer. Which information should the nurse include in the teaching session? (Select all that apply.)
Correct Answer: A
Rationale: In teaching about colorectal cancer, it is crucial for the nurse to provide accurate information to promote understanding and prevention. Option A, stating that smoking is a risk factor, is correct because smoking has been linked to an increased risk of colorectal cancer. This information is essential for individuals to make informed decisions about their lifestyle choices. Options B, C, and D are incorrect. While high intake of animal fats or red meat is a risk factor for other health conditions, it is not a primary risk factor for colorectal cancer. Rectal bleeding and a sense of incomplete evacuation are indeed warning signs of colorectal cancer, but they are not the most crucial information to include in this teaching session. Educationally, focusing on the most significant risk factors and symptoms helps learners prioritize information and take actionable steps towards prevention and early detection. By emphasizing smoking as a risk factor, the nurse can effectively convey a key message that can potentially save lives through smoking cessation interventions and regular screenings.
Question 3 of 5
A nurse is beginning to use patient-centered careand cultural competence to improve nursing care. Which step should the nurse takefirst?
Correct Answer: A
Rationale: Assessing own biases and attitudes is the first step a nurse should take when beginning to use patient-centered care and cultural competence to improve nursing care. By becoming more aware of one's biases and attitudes about human behavior, the nurse can enhance self-awareness and self-reflection. This self-awareness is vital in understanding one's own perspectives, beliefs, and values that may influence interactions with patients from different cultural backgrounds. It also allows the nurse to identify areas that may require improvement or further education. Understanding and addressing personal biases is fundamental to providing patient-centered care and avoiding potential cultural misunderstandings that may arise in the healthcare setting.
Question 4 of 5
A nurse is assessing population groups for therisk of suicide requiring medical attention. Which group should the nurse monitormostclosely?
Correct Answer: A
Rationale: Gay, lesbian, and bisexual young people have a significantly increased risk for depression, anxiety, suicide attempts, and substance use disorders. In particular, bisexual youth are at a higher risk than their straight peers for experiencing mental health issues and suicide attempts that require medical attention. Studies have shown that young bisexuals are four times more likely than their straight counterparts to make suicide attempts that necessitate medical intervention. Therefore, it is crucial for the nurse to closely monitor this population group for signs of suicidal behavior and provide the necessary support and interventions to prevent such tragedies.
Question 5 of 5
A nurse is using Campinha-Bacote’s model of culturalcompetency. Which areas will the nurse focus on to become competent? (Select all that apply.)
Correct Answer: A
Rationale: In the context of nursing practice, Campinha-Bacote's model of cultural competence emphasizes the development of cultural skills as a key component. Cultural skills refer to the ability to conduct a cultural assessment, incorporate cultural knowledge into practice, and adapt interventions to meet the individual's cultural needs. Option A (Cultural skills) is the correct answer because it directly aligns with the core principles of Campinha-Bacote's model, focusing on the practical application of cultural knowledge in delivering patient-centered care. By honing cultural skills, a nurse can effectively communicate, assess, and provide care that respects and incorporates the cultural beliefs and practices of diverse patient populations. Options B, C, and D are incorrect in this context because they do not directly address the practical skills required to implement culturally competent care. While cultural desire (B) reflects the motivation and commitment to engage in cultural competence, cultural transition (C) pertains to an individual's growth and change in cultural awareness, and cultural knowledge (D) refers to understanding diverse cultural backgrounds, they are not the primary focus of Campinha-Bacote's model in terms of developing actionable skills for culturally competent care delivery. In educational contexts, understanding the nuances of cultural competence and the specific skills required to practice effectively in diverse healthcare settings is crucial for nursing students. By emphasizing the importance of developing cultural skills, educators can help students build the foundation needed to provide holistic and culturally sensitive care to individuals from various backgrounds.