ATI RN
Public Health Theories of Behavior Change Questions
Question 1 of 4
What is one of the primary reasons contributing to the ongoing shortage of nursing faculty in academia?
Correct Answer: D
Rationale: The correct answer is D) retirement of current nursing faculty without adequate replacements. This is a primary reason contributing to the ongoing shortage of nursing faculty in academia. As experienced faculty members retire, there is a growing gap in the workforce that is not being filled quickly enough with qualified individuals. This shortage is exacerbated by the fact that transitioning from clinical practice to academia often requires additional education and experience, making it challenging to attract new faculty members. Option A) decreased interest among nurses in pursuing teaching careers is not the primary reason for the shortage. While this may contribute to the issue, it is not as significant as the retirement of current faculty. Option B) sufficient funding and resources for nursing education programs, while important, is not the primary reason for the shortage of nursing faculty. Adequate funding can help support education programs, but the shortage is more closely tied to the availability of qualified faculty. Option C) limited demand for nursing education due to declining student enrollment is not a primary reason for the shortage of nursing faculty. In fact, the demand for nurses and nursing education remains high, highlighting the need for more faculty to educate future nurses. In an educational context, understanding the factors contributing to the shortage of nursing faculty is crucial for nursing students, educators, and policymakers. By recognizing the primary reasons behind this shortage, steps can be taken to address the issue through targeted recruitment efforts, professional development opportunities, and support for transitioning from clinical practice to academia. This knowledge can also inform decisions around resource allocation and policy development to ensure a sustainable pipeline of qualified nursing faculty in the future.
Question 2 of 4
A client who is taking paroxetine (Paxil) reports to the nurse that he has been nauseated since beginning the medication. Which of the following actions is indicated initially?
Correct Answer: C
Rationale: In this scenario, the most appropriate initial action is to suggest that the client take the medication with food (Option C). Paroxetine is known to commonly cause nausea as a side effect when first starting the medication. Taking it with food can help alleviate this side effect by reducing stomach irritation. Option A should be avoided because abruptly stopping an antidepressant like paroxetine can lead to withdrawal symptoms and is not recommended without medical guidance. Option B is incorrect as while the nausea may improve with time, taking the medication with food can provide more immediate relief. Option D is not warranted as the first step since many antidepressants can cause nausea initially, and switching may not necessarily resolve the issue. Educationally, this question highlights the importance of managing common side effects of medications in clinical practice. It emphasizes the significance of simple interventions like taking medications with food to mitigate side effects and improve patient adherence and comfort during treatment. Understanding these practical strategies is essential for nurses and healthcare providers involved in medication management and patient care.
Question 3 of 4
Which of the following would not be included as a symptom of drug-induced parkinsonism?
Correct Answer: D
Rationale: In the context of drug-induced parkinsonism, the correct answer is D) Tachycardia, as it is not a common symptom associated with this condition. Drug-induced parkinsonism is characterized by symptoms that mimic Parkinson's disease due to the use of certain medications, such as antipsychotics. A) Stooped posture is a common symptom in drug-induced parkinsonism, as it reflects the postural changes seen in Parkinson's disease. B) Cogwheel rigidity is another common symptom, referring to the jerky resistance to passive movement typical of parkinsonian rigidity. C) Drooling is also commonly seen in drug-induced parkinsonism due to the changes in facial muscles and swallowing difficulties. Understanding the differentiation of symptoms in drug-induced parkinsonism is crucial for healthcare professionals to provide accurate diagnoses and appropriate treatment plans. Recognizing these distinctions can prevent misdiagnosis and ensure proper management of patients experiencing these symptoms. This information is vital in the field of public health as it enhances the quality of care provided to individuals with drug-induced parkinsonism, ultimately contributing to improved health outcomes and patient well-being.
Question 4 of 4
A client has a lithium level of 1.2 mEq/L. Which of the following interventions by the nurse is indicated?
Correct Answer: D
Rationale: In this scenario, the correct intervention by the nurse is option D) Continue to monitor with no changes. Rationale for the correct answer: A lithium level of 1.2 mEq/L falls within the therapeutic range for treating bipolar disorder. It is crucial for the nurse to continue monitoring the client's lithium levels regularly to ensure they remain within the therapeutic range. Making no immediate changes allows for ongoing assessment and avoids unnecessary adjustments that could potentially disrupt the client's treatment plan. Rationale for why the other options are incorrect: A) Calling the physician for an increase in dosage is premature and unnecessary since the current lithium level is within the therapeutic range. B) Withholding the next dose and calling the physician could lead to fluctuations in the client's lithium levels and disrupt their treatment regimen. C) Increasing fluid intake is not indicated in this situation as the lithium level is already within the therapeutic range and does not require immediate action. Educational context: Understanding the therapeutic range of medications like lithium is essential for nurses working in mental health settings. Regular monitoring of medication levels, like lithium, is crucial to ensure optimal treatment outcomes while minimizing the risk of toxicity. Nurses play a key role in medication management and must make informed decisions based on clinical assessment and evidence-based guidelines to provide safe and effective care to clients.