ATI RN
Theories of Health Behavior Change Questions
Question 1 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 2 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 3 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.
Question 4 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 5 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.