ATI RN
Theoretical Basis for Behavior Modification Questions
Question 1 of 5
Mrs. Cruz uses a cane for assistance in walking. Which of the following statements is true about a cane or other assistive devices?
Correct Answer: C
Rationale: The correct answer is C: The cane should be used on the unaffected side. This is because when using a cane, it should be placed on the side opposite the affected or weaker side to provide additional support and balance. Placing the cane on the unaffected side helps to reduce pressure on the affected side and provides more stability during walking. A is incorrect because the choice between a cane and a walker depends on the individual's specific needs and abilities. B is incorrect as placing the cane on the affected side would not provide optimal support and balance. D is incorrect as using a cane can help reduce stress on joints in clients with osteoarthritis, making it a helpful assistive device.
Question 2 of 5
A 23-year-old client is diagnosed with human immunodeficiency virus (HIV). After recovering from the initial shock of the diagnosis, the client expresses a desire to learn as much as possible about HIV and acquired immunodeficiency syndrome (AIDS). When teaching the client about the immune system, the nurse states that adaptive immunity is provided by which type of white blood cell?
Correct Answer: D
Rationale: The correct answer is D: Lymphocyte. Lymphocytes are a type of white blood cell that plays a crucial role in adaptive immunity by recognizing and remembering specific pathogens. They include B cells, which produce antibodies, and T cells, which directly attack infected cells. Neutrophils (A), basophils (B), and monocytes (C) are all important in the immune response but primarily function in innate immunity, not adaptive immunity. Neutrophils are phagocytes that engulf and destroy pathogens, basophils release inflammatory chemicals, and monocytes differentiate into macrophages that also phagocytize pathogens.
Question 3 of 5
Julius is admitted with complaints of severe pain in the lower right quadrant of the abdomen. To assist with pain relief, the nurse should take which of the following actions?
Correct Answer: D
Rationale: The correct answer is D because positioning the client with comfort measures and pillows can help alleviate pain by reducing pressure on the affected area. Changing positions frequently (Choice A) may exacerbate the pain. Administering Demerol (Choice B) without proper assessment and physician's order is not recommended. Applying warmth with a heating pad (Choice C) can worsen conditions like appendicitis.
Question 4 of 5
Matilda, with hyperthyroidism is to receive Lugol's iodine solution before a subtotal thyroidectomy is performed. The nurse is aware that this medication is given to:
Correct Answer: D
Rationale: Step 1: Lugol's iodine solution is given to decrease the size and vascularity of the thyroid gland. Step 2: By reducing the size and blood supply to the thyroid gland, surgery becomes safer and easier. Step 3: A, B, and C are incorrect: A: Lugol's iodine solution does not decrease the total basal metabolic rate. B: It does not maintain the function of the parathyroid glands. C: It does not block the formation of thyroxine; instead, it reduces the size and vascularity of the thyroid gland.
Question 5 of 5
Nurse Sherry is teaching male client regarding his permanent artificial pacemaker. Which information given by the nurse shows her knowledge deficit about the artificial cardiac pacemaker?
Correct Answer: D
Rationale: The correct answer is D because engaging in contact sports is not recommended for individuals with a permanent artificial pacemaker, as it can increase the risk of damage to the device or harm to the individual. Taking the pulse rate daily, using electrical appliances, and having regular follow-up care are all appropriate and necessary for managing a permanent artificial pacemaker. It is important for the nurse to provide accurate information to ensure the client's safety and well-being.