ATI RN
Theories of Health Behavior Change Questions
Question 1 of 5
George should be taught about testicular examinations during:
Correct Answer: D
Rationale: The correct answer is D because testicular examinations are most effective when started before age 20 to detect any abnormalities early. This is crucial for early detection of testicular cancer, which is more common in younger men. Teaching about testicular examinations after age 40 or after sexual activity starts is not ideal as it may delay the detection of potential issues. Waiting until after age 69 is too late for proactive prevention. Starting before age 20 ensures that individuals are informed and proactive about their testicular health from a young age.
Question 2 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 3 of 5
Antonio with lung cancer develops Horner's syndrome when the tumor invades the ribs and affects the sympathetic nerve ganglia. When assessing for signs and symptoms of this syndrome, the nurse should note:
Correct Answer: A
Rationale: The correct answer is A: miosis, partial eyelid ptosis, and anhidrosis on the affected side of the face. Horner's syndrome results from disruption of sympathetic nerve pathway, leading to these specific symptoms. Miosis (constricted pupil) occurs due to unopposed parasympathetic activity, partial eyelid ptosis (drooping eyelid) due to loss of sympathetic innervation to the eyelid muscle, and anhidrosis (lack of sweating) due to loss of sympathetic innervation to sweat glands. These symptoms are classic in Horner's syndrome. Choice B is incorrect because the symptoms listed are more indicative of general symptoms of lung cancer rather than specific to Horner's syndrome. Choice C is incorrect as it describes symptoms related to brachial plexopathy, not Horner's syndrome. Choice D is incorrect as hoarseness and dysphagia are not typical symptoms of Horner's syndrome.
Question 4 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 5 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.