ATI RN
Basic Principles of Long-Term Patient Care Developing a Therapeutic Community Questions
Question 1 of 5
Thyroid hormones primarily regulate the following:
Correct Answer: D
Rationale: Thyroid hormones, such as T3 and T4, are primarily responsible for regulating metabolism and growth in the body. They control how the body uses energy and help in the synthesis of proteins. Thyroid hormones do not directly influence heart rate and respiration (Choice A), bile production and potassium levels (Choice B), or kidney and liver function (Choice C). Thus, the correct answer is D as it aligns with the known functions of thyroid hormones.
Question 2 of 5
When using a pulse oximetry device
Correct Answer: D
Rationale: The correct answer is D: Supine position. When using a pulse oximetry device, the supine position can lead to inaccurate readings due to potential compression of blood vessels. This can result in false low oxygen saturation readings. Avoiding the supine position ensures accurate readings. Choices A, B, and C are incorrect because excessive fluids, loose tape, and other factors do not directly impact the accuracy of pulse oximetry readings like the supine position does.
Question 3 of 5
One important way to try to resolve a conflict is to
Correct Answer: C
Rationale: Certainly. The correct answer is C: Consider a compromise. This is because compromising involves finding a middle ground that is acceptable to all parties, promoting cooperation and reaching a mutually beneficial solution. It acknowledges the needs and perspectives of both sides, fostering understanding and maintaining relationships. In contrast, A (Never meet halfway) is rigid and ignores the importance of finding common ground. B (Always challenge policy) may escalate conflict and hinder finding a resolution. D (Antagonize coworkers) is counterproductive and worsens the situation by creating hostility. In summary, choosing to consider a compromise is the most effective and constructive approach to resolving conflicts.
Question 4 of 5
An operating room nurse is preparing for a surgical procedure for an infant. The nurses perioperative care is based on what physiologic factor that puts infants at greater risk from surgery than adults?
Correct Answer: C
Rationale: The correct answer is C) lower total blood volume. Infants have a relatively lower total blood volume compared to adults, which means they have less blood available to compensate for blood loss during surgery. This puts them at a greater risk for complications like hypovolemia, which can lead to decreased tissue perfusion and oxygen delivery to vital organs, potentially resulting in serious consequences. Option A, increased vascular rigidity, is incorrect because infants actually have more compliant and easily distensible blood vessels compared to adults. This characteristic can actually be beneficial in certain situations, such as in cases of increased intracranial pressure. Option B, diminished chest expansion, is also incorrect as infants have more compliant chest walls and higher diaphragmatic placement, allowing for good chest expansion and ventilation. Option D, decreased peripheral circulation, is not the physiologic factor that puts infants at greater risk from surgery than adults. In fact, infants tend to have good peripheral circulation due to their high heart rate and well-functioning cardiovascular system. In an educational context, understanding the unique physiological factors of infants is crucial for healthcare providers working with pediatric patients. This knowledge is essential for providing safe and effective care during surgical procedures, enabling healthcare professionals to anticipate and manage potential risks associated with surgery in this vulnerable population.
Question 5 of 5
A nurse is conducting a health history for a patient with a skin problem. What question or statement would be most useful in eliciting information about personal hygiene?
Correct Answer: C
Rationale: The correct answer, option C, "Tell me about what you do to take care of your skin," is the most appropriate because it is an open-ended question that encourages the patient to provide detailed information about their personal hygiene practices without feeling judged. This approach promotes a therapeutic relationship between the nurse and the patient, allowing for a more comprehensive understanding of the patient's habits and needs. Option A, "Perhaps you don't recognize your bad body odor," is judgmental and may make the patient defensive, hindering open communication. Option B, "You must eat a lot of greasy foods to have this acne," makes assumptions about the patient's diet without any evidence, potentially leading to misinformation. Option D, "Why do you only take a bath once a week?" is accusatory and may embarrass the patient, making them less likely to disclose their personal hygiene practices. In an educational context, it is crucial for healthcare providers to ask open-ended, non-judgmental questions to gather accurate information from patients. This fosters trust, respect, and effective communication, which are essential in providing quality patient care, especially in the context of developing a therapeutic community within a healthcare setting. By understanding the rationale behind using open-ended questions, healthcare professionals can enhance their patient interactions and ultimately improve patient outcomes.