ATI RN
Basic Nursing Care Needs of the Patient PPT Questions
Question 1 of 5
The disappearance of signs and symptoms of cancer is called
Correct Answer: B
Rationale: The correct answer is B: Remission. Remission refers to the disappearance of signs and symptoms of cancer, indicating a response to treatment. Metastasis (A) is the spread of cancer to other parts of the body, not the disappearance of symptoms. Breakthrough (C) typically refers to the development of new symptoms or complications during treatment. Intervention (D) involves taking action to address a problem, not specifically related to the disappearance of cancer symptoms. Therefore, remission is the most appropriate term for the disappearance of signs and symptoms of cancer.
Question 2 of 5
The stage of dying in which a person prepares for death is identified as
Correct Answer: D
Rationale: The correct answer is D: Acceptance. During the stage of acceptance, a person comes to terms with their impending death and begins to make peace with it. This stage involves a sense of calmness and readiness. Bargaining (A) involves trying to negotiate with a higher power to avoid death. Depression (B) entails feelings of sadness and hopelessness. Denial (C) is characterized by refusing to accept the reality of death. Acceptance is the final stage of the dying process as described by Elisabeth Kübler-Ross, indicating readiness and peace.
Question 3 of 5
A student is assessing a postoperative patient who has developed pneumonia. The plan of care includes positioning the patient in the Fowlers or semi-Fowlers position. What is the rationale for this position?
Correct Answer: D
Rationale: The correct answer is D) It promotes full aeration of the lungs. The rationale behind positioning a postoperative patient with pneumonia in the Fowler's or semi-Fowler's position is to optimize lung expansion and ventilation. By elevating the head of the bed, gravity helps to improve the mechanics of breathing, allowing for better expansion of the lungs and increased oxygenation. This position also helps improve ventilation-perfusion matching, which is crucial for effective gas exchange in patients with pneumonia. Option A) It increases blood flow to the heart: While positioning can impact venous return to the heart, the primary goal in this scenario is to optimize lung function rather than focus solely on cardiac output. Option B) The patient will be more comfortable and have less pain: Comfort is important in patient care, but in this case, the priority is to address the respiratory complications associated with pneumonia. Option C) It facilitates nursing assessments of skin color and temperature: Although positioning can impact skin assessment, the main reason for choosing the Fowler's position in this case is to improve respiratory function rather than skin assessment. In an educational context, understanding the rationale behind positioning postoperative patients with pneumonia in the Fowler's position is essential for nursing students to provide optimal care. By grasping the physiological principles behind this intervention, students can enhance their critical thinking skills and make informed clinical decisions to promote positive patient outcomes.
Question 4 of 5
The mother of a 2 year old tells the nurse she always cleans the childs ears with a hairpin. What would the nurse tell the mother?
Correct Answer: C
Rationale: The correct answer is C) That is dangerous; you might puncture the eardrum. This response is correct because using a hairpin to clean a child's ears is extremely risky and can lead to serious injury, such as puncturing the eardrum. As a nurse, it is crucial to educate parents on safe and appropriate methods for ear hygiene to prevent harm to the child. Option A) Thats not good. Use a Q-tip or your finger instead. is incorrect because using Q-tips or fingers to clean the ears is also not recommended as they can push wax deeper into the ear canal, leading to impaction or injury. It is important to promote safe practices for ear care. Option B) You really like to keep your child clean. Good for you! is incorrect as it does not address the potential danger of using a hairpin for ear cleaning. While it is important to acknowledge a parent's efforts to keep their child clean, safety should always be the top priority. Option D) Show me exactly how you use the hairpin. is incorrect as it does not address the immediate need to educate the mother on the dangers of using a hairpin for ear cleaning. It is essential to provide clear guidance and information to prevent any harm to the child. In an educational context, this scenario highlights the importance of effective patient and parent education in nursing practice. Nurses play a critical role in promoting health literacy and guiding individuals towards safe and evidence-based practices. By providing accurate information and guidance, nurses can empower parents to make informed decisions that promote the well-being of their children.
Question 5 of 5
A patient at a community health center is discussing a planned exercise program. The patient is being treated for cardiovascular disease. What would the nurse recommend?
Correct Answer: D
Rationale: The correct answer is D) See your doctor and have a checkup first. This is the recommended course of action because patients with cardiovascular disease need medical clearance before starting any exercise program. It is crucial for the healthcare provider to assess the patient's current health status, cardiovascular function, and overall suitability for exercise to prevent any potential complications or exacerbation of their condition. Option A) Begin the exercise program immediately is incorrect because without proper medical evaluation, the patient may unknowingly engage in activities that could be harmful to their health. Option B) It would be best if you did not exercise is not the best recommendation as physical activity is beneficial for cardiovascular patients when done under appropriate supervision and guidance. Option C) Be sure to take your pulse before you begin is not sufficient advice for a patient with cardiovascular disease. While monitoring heart rate during exercise is important, it does not replace the need for a comprehensive medical evaluation before starting an exercise program. In an educational context, it is essential for nurses to understand the importance of individualized care for patients with cardiovascular disease. They must be able to recognize the need for medical clearance before recommending any exercise program to ensure patient safety and well-being. By emphasizing the significance of pre-exercise evaluation, nurses can contribute to optimizing patient outcomes and promoting a healthy lifestyle tailored to each individual's unique needs.