ATI RN
Theoretical Basis for Behavior Modification Questions
Question 1 of 5
According to Maslow's hierarchy of needs, which client action would demonstrate the highest achievement in terms of mental health?
Correct Answer: C
Rationale: The correct answer is C because it aligns with the highest level of Maslow's hierarchy of needs, self-actualization. This level represents achieving personal growth, self-fulfillment, and realizing one's full potential. This surpasses the lower needs of safety, love/belonging, and esteem. A, maintaining a relationship, falls under love/belonging; B, self-confidence, relates to esteem; and D, sense of purpose, pertains to esteem and self-actualization but does not encapsulate the full realization of potential like option C does.
Question 2 of 5
Surgeries like I and D (incision and drainage) and debridement are relatively short procedures but considered dirty cases'. When are these procedures best scheduled?
Correct Answer: A
Rationale: The correct answer is A: Last case. Surgeries like I and D and debridement are considered "dirty cases" due to the risk of infection. Scheduling them as the last case reduces the risk of contamination to other patients and operating rooms. It also allows for thorough cleaning and sterilization of the operating room after the procedure. Choosing option B (In between cases) would increase the risk of contamination. Option C (According to availability of anesthesiologist) is irrelevant to the scheduling of dirty cases. Option D (According to the surgeon's preference) may not prioritize patient safety and infection control.
Question 3 of 5
Which of the following nursing actions should be initiated first?
Correct Answer: B
Rationale: The correct answer is B: Administer oxygen at 6L/min. This should be initiated first because it addresses the client's immediate physiological need for oxygenation, ensuring adequate oxygen supply to vital organs. Providing oxygen takes precedence over emotional support (A), suctioning (C), and administering bronchodilators (D). Emotional support is important but not as urgent as oxygenation. Suctioning and administering bronchodilators are secondary interventions once oxygenation is optimized. Administering oxygen first is essential in managing respiratory distress and ensuring the client's safety and stability.
Question 4 of 5
As a nurse, you know you can improve on accuracy of patient's identification by 2 patient identifiers, EXCEPT:
Correct Answer: C
Rationale: The correct answer is C. Calling the client by their case and bed number is not considered an effective way to improve accuracy of patient identification. Here's the rationale: 1. Patient identifiers should be unique to the individual, so using case and bed number are not specific enough. 2. Wrist tags are a common and reliable method for patient identification. 3. Verifying with family members or calling the patient by their name ensures accuracy. 4. Using both wrist tags and calling the patient by name reinforces identification. In summary, choice C lacks specificity and does not provide a direct link to the patient, unlike the other options provided.
Question 5 of 5
The following are appropriate nursing interventions during colostomy irrigation EXCEPT:
Correct Answer: A
Rationale: Correct Answer: A Rationale: A) Increasing the flow rate when abdominal cramps occur can lead to discomfort and potential injury to the stoma. Instead, the flow rate should be adjusted to a comfortable level. B) Inserting 2-4 inches of lubricated catheter helps ensure proper irrigation without causing trauma to the stoma. C) Positioning the client in semi-Fowler aids in comfort and proper visualization during the procedure. D) Hanging the solution 18 inches above the stoma creates the appropriate pressure for effective irrigation without causing discomfort or excessive pressure on the stoma.