ATI RN
Public Health Theories of Behavior Change Questions
Question 1 of 5
Nurse Deric is supervising a group of elderly clients in a residential home setting. The nurse knows that the elderly are at greater risk of developing sensory deprivation for what reason?
Correct Answer: B
Rationale: The correct answer is B: Decreased visual, auditory, and gustatory abilities. Elderly individuals often experience sensory decline as they age, leading to decreased vision, hearing, and taste. This puts them at greater risk of sensory deprivation, as they may struggle to perceive and interact with their environment effectively. A: Increased sensitivity to the side effects of medications - While elderly individuals may be more sensitive to medication side effects due to age-related changes in metabolism, this does not directly relate to sensory deprivation. C: Isolation from their families and familiar surroundings - While social isolation can impact mental health, it does not directly cause sensory deprivation. D: Decrease musculoskeletal function and mobility - While decreased mobility can lead to reduced sensory input, it is not the primary reason why the elderly are at greater risk of sensory deprivation.
Question 2 of 5
Ms. X has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this client?
Correct Answer: A
Rationale: Rationale for Correct Answer (A): 1. Condylomata acuminata is caused by HPV, which is a risk factor for cervical cancer. 2. Regular Pap smears are essential for early detection of cervical cancer. 3. Annual Pap smears can help monitor any abnormal changes in the cervix. 4. Providing this information empowers the client to take proactive steps for their health. Summary of Incorrect Choices: B. Metronidazole is not the standard treatment for genital warts; it is used for bacterial infections. C. Condoms reduce but do not eliminate the risk of transmission of HPV. D. HPV can be transmitted through oral sex, so this statement is incorrect.
Question 3 of 5
Anthony suffers burns on the legs, which nursing intervention helps prevent contractures?
Correct Answer: A
Rationale: The correct answer is A: Applying knee splints. This intervention helps prevent contractures by maintaining the proper alignment of the joints and preventing the shortening of muscles and connective tissues. Elevating the foot of the bed may help with swelling but does not directly prevent contractures. Hyperextending the client's palms and performing shoulder range-of-motion exercises are not relevant to preventing contractures in burned legs.
Question 4 of 5
A male client arriving in the emergency department is receiving cardiopulmonary resuscitation from paramedics who are giving ventilations through an endotracheal (ET) tube that they placed in the client's home. During a pause in compressions, the cardiac monitor shows narrow QRS complexes and a heart rate of beats/minute with a palpable pulse. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Check endotracheal tube placement. The first step should be to ensure the proper placement of the endotracheal tube to confirm adequate ventilation and oxygenation. This is crucial in maintaining the client's airway and preventing complications. Checking the ET tube placement takes priority over other actions as ineffective ventilation can lead to further deterioration. A: Starting an L.V. line and administering amiodarone is not the priority in this scenario as the client has a palpable pulse and narrow QRS complexes, indicating a perfusing rhythm. C: Obtaining an arterial blood gas sample is important but not the immediate priority compared to verifying the ET tube placement. D: Administering atropine is not indicated in this case because the client has a perfusing rhythm. In summary, checking the endotracheal tube placement is the priority to ensure proper ventilation and oxygenation, while the other options are not immediately necessary in this situation.
Question 5 of 5
When prioritizing care, which of the following clients should the nurse Olivia assess first?
Correct Answer: B
Rationale: The correct answer is B because Guillain-Barre syndrome is a rapidly progressive neurological disorder that can lead to life-threatening complications like respiratory failure. Assessing this client first is crucial to monitor for any signs of respiratory distress or deterioration. The other options are not immediate priorities as they are either stable post-surgery (A), post-myocardial infarction for 3 days (C), or with diverticulitis (D) which does not pose an immediate life-threatening risk compared to Guillain-Barre syndrome.