ATI RN
Theories of Health Behavior Change Questions
Question 1 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 2 of 5
Nurse Evangeline teaches an elderly client how to use a standard aluminum walker. Which of the following behaviors, if demonstrated by the client, indicates that the nurse's teaching was effective?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates the proper technique for using a standard aluminum walker. By pushing the walker forward 12 inches first and then taking small steps while leaning on the walker, the client ensures stability and support. This method helps prevent falls and promotes safe mobility. Option B is incorrect because lifting the walker may lead to instability and increase the risk of falling. Option C is incorrect because supporting weight on the walker while advancing may not provide adequate support. Option D is incorrect because sliding the walker forward may cause the client to lose balance and stability.
Question 3 of 5
Nurse Ron begins to teach a male client how to perform colostomy irrigations. The nurse would evaluate that the instructions were understood when the client states, "I should:
Correct Answer: B
Rationale: The correct answer is B because keeping the irrigating container less than 18 inches above the stoma helps regulate the flow rate of the solution, preventing discomfort or damage to the stoma. Placing the container too high can cause rapid flow, leading to cramping or leakage. Choices A, C, and D are incorrect. Choice A is incorrect because the client should actually lie on his back, not the left side, to facilitate the irrigation process. Choice C is incorrect as instilling too much solution can cause discomfort or damage to the bowel. Choice D is incorrect because the client should not insert the catheter deeper if cramping occurs, as this could cause injury to the bowel.
Question 4 of 5
Nurse Tristan is caring for a male client in acute renal failure. The nurse should expect hypertonic glucose, insulin infusions, and sodium bicarbonate to be used to treat:
Correct Answer: C
Rationale: The correct answer is C, hyperkalemia. In acute renal failure, the kidneys are unable to excrete potassium effectively, leading to elevated levels in the blood. Hypertonic glucose with insulin helps shift potassium into the cells, reducing blood levels. Sodium bicarbonate can also help by correcting acidosis, which can worsen hyperkalemia. A: Hypernatremia involves high sodium levels, treated with fluid restriction or diuretics. B: Hypokalemia is low potassium levels, treated with potassium supplementation. D: Hypercalcemia is high calcium levels, treated with hydration and medications to lower calcium levels.
Question 5 of 5
A male client with inflammatory bowel disease undergoes an ileostomy. On the first day after surgery, Nurse Oliver notes that the client's stoma appears dusky. How should the nurse interpret this finding?
Correct Answer: A
Rationale: The correct answer is A: Blood supply to the stoma has been interrupted. A dusky appearance of the stoma indicates poor blood supply, which can lead to tissue ischemia and necrosis. This is a critical finding that requires immediate intervention to prevent further complications. In contrast, the other options are incorrect. Option B is incorrect because a dusky stoma is not a normal finding post-ileostomy surgery. Option C is incorrect as adjusting the ostomy bag will not address the underlying issue of compromised blood supply. Option D is incorrect as an intestinal obstruction would present with different symptoms and would not cause the stoma to appear dusky.