ATI RN
Multidimensional Basis of Health Protective Behaviors Questions
Question 1 of 5
The term "blue bloater" refers to a male client which of the following conditions?
Correct Answer: C
Rationale: The term "blue bloater" refers to a male client with chronic obstructive bronchitis. This is because chronic obstructive bronchitis is characterized by chronic bronchial inflammation leading to cyanosis (blue) and bloating due to fluid retention. ARDS is characterized by severe respiratory failure, not consistent with the symptoms of a blue bloater. Asthma typically presents with wheezing and reversible airway obstruction, not bloating. Emphysema is characterized by shortness of breath and barrel chest, but not necessarily blue discoloration or bloating.
Question 2 of 5
The superego is that part of the psyche that:
Correct Answer: D
Rationale: The correct answer is D because the superego acts as the censoring portion of the mind, regulating behaviors based on moral and ethical standards. It's responsible for enforcing societal norms and values, leading to feelings of guilt or shame when these are violated. Choices A, B, and C are incorrect because the superego is not primarily focused on defense mechanisms, impulsivity, or decision-making processes. It is more concerned with moral judgments and self-control.
Question 3 of 5
The following are the appropriate nursing diagnosis for the client EXCEPT:
Correct Answer: D
Rationale: The correct answer is D, Impaired social interaction. This is because impaired social interaction pertains to difficulties in communication or interaction with others, which is not typically a nursing diagnosis but rather an outcome or potential problem. Choices A, B, and C are appropriate nursing diagnoses as they address common patient problems that nurses assess and intervene upon. A: Ineffective individual coping relates to a patient's inability to manage stress; B: Alteration in comfort, pain involves discomfort or pain that affects the patient's well-being; C: Altered role performance refers to changes in the patient's ability to fulfill expected roles.
Question 4 of 5
The parents express apprehensions on their ability to care for their maladaptive child. The nurse identifies what nursing diagnosis:
Correct Answer: D
Rationale: The correct answer is D: Ineffective coping. The parents' apprehensions indicate they are struggling to effectively manage the challenges of caring for their maladaptive child. This nursing diagnosis addresses their difficulty in dealing with stressors and adapting to the situation. Choice A (Hopelessness) focuses on feelings of despair, not directly related to coping. Choice B (Altered parenting role) pertains to changes in parenting responsibilities, not specifically addressing coping mechanisms. Choice C (Altered family process) refers to disruptions in family functioning, but does not pinpoint the parents' coping abilities. In contrast, choice D directly addresses the parents' struggle to cope with the situation, making it the most appropriate nursing diagnosis in this scenario.
Question 5 of 5
Situation: An old woman was brought for evaluation due to increasing forgetfulness and limitations in daily function. The daughter revealed that the client used her toothbrush to comb her hair. She is manifesting:
Correct Answer: C
Rationale: The correct answer is C: Agnosia. Agnosia is the inability to recognize or interpret sensory information correctly, such as mistaking a toothbrush for a comb due to cognitive impairment. In this case, the old woman's confusion in using a toothbrush to comb her hair indicates a sensory recognition issue. Apraxia (A) is the inability to execute purposeful movements, Aphasia (B) is the loss of ability to understand or express speech, and Amnesia (D) is the loss of memory, none of which are demonstrated in this scenario.