ATI RN
Theories of Health Behavior Change Questions
Question 1 of 5
Diagnostic assessment of Francis would probably not reveal:
Correct Answer: D
Rationale: The correct answer is D: Elevated thrombocyte counts. Diagnostic assessment of Francis, who likely has leukemia, would not reveal elevated thrombocyte counts because leukemia typically causes thrombocytopenia, not thrombocytosis. Thrombocytosis is an increased platelet count, which is not a common feature of leukemia. Predominance of lymphoblasts, leukocytosis, and abnormal blast cells in the bone marrow are all characteristic findings in leukemia.
Question 2 of 5
Mr. Rodriguez is admitted with severe pain in the knees. Which form of arthritis is characterized by urate deposits and joint pain, usually in the feet and legs, and occurs primarily in men over age 30?
Correct Answer: D
Rationale: The correct answer is D: Gouty arthritis. This form of arthritis is characterized by urate deposits and joint pain, commonly in the feet and legs. Gout primarily affects men over age 30. Urate crystals form due to high levels of uric acid in the blood, leading to inflammation and pain in the joints. Septic arthritis (A) is caused by an infection in the joint, traumatic arthritis (B) results from joint injury, and intermittent arthritis (C) is not a recognized medical term.
Question 3 of 5
For a diabetic male client with a foot ulcer, the doctor orders bed rest, a wet-to-dry dressing change every shift, and blood glucose monitoring before meals and bedtime. Why are wet-to-dry dressings used for this client?
Correct Answer: C
Rationale: The correct answer is C because wet-to-dry dressings are used to debride the wound by removing necrotic tissue and promoting healing by secondary intention. Here's the rationale: 1. Wet-to-dry dressings involve moistening the gauze dressing with saline solution before placing it on the wound. 2. As the dressing dries, it adheres to the wound bed and necrotic tissue, helping to remove it during dressing changes. 3. This debridement process helps in promoting healing by allowing healthy tissue to grow and fill in the wound. 4. The wet-to-dry dressing method is specifically indicated for wounds with necrotic tissue, like foot ulcers in diabetic clients. In summary, the other choices are incorrect because A focuses on maintaining a moist environment, B on protecting the wound, and D on preventing infection and minimizing discomfort, which are not the primary purposes of wet-to-dry dressings in this context.
Question 4 of 5
In teaching a female client who is HIV-positive about pregnancy, the nurse would know more teaching is necessary when the client says:
Correct Answer: B
Rationale: The correct answer is B because starting birth control pills does not prevent HIV transmission. The nurse should educate the client that HIV can still be transmitted to the baby during pregnancy, childbirth, or breastfeeding. Starting birth control pills does not address the risk of HIV transmission to the baby. Choices A, C, and D demonstrate understanding of HIV transmission risks and prevention methods, showing the need for further education. A acknowledges the risk of vertical transmission, C acknowledges the possibility of preventing transmission, and D recognizes the need for a C-section to reduce the risk of transmission during childbirth.
Question 5 of 5
While monitoring a client for the development of disseminated intravascular coagulation (DIC), the nurse should take note of what assessment parameters?
Correct Answer: A
Rationale: Rationale: 1. Platelet count: DIC causes excessive clotting leading to platelet consumption. 2. Prothrombin time (PT): Evaluates the extrinsic pathway of coagulation, prolonged in DIC. 3. Partial thromboplastin time (PTT): Assesses intrinsic pathway, also prolonged in DIC. Therefore, A is correct for monitoring DIC. Summary: B is incorrect because blood glucose and WBC count are not directly related to DIC. C is incorrect as thrombin time, calcium, and potassium levels are not specific to DIC. D is incorrect as fibrinogen level is not included in standard DIC monitoring.