ATI RN
Medical Surgical Nursing Practice Questions Questions
Question 1 of 5
When is role playing best used as a teaching strategy (select all that apply)?
Correct Answer: A
Rationale: The correct answers are 'To rehearse behaviors or feelings,' 'With mature and confident participants,' and 'In combination with almost any other teaching strategy.' Role-playing is most effective when used to practice behaviors or feelings and when combined with other strategies. It is less suitable for teaching motor skills or providing basic information.
Question 2 of 5
Which statement(s) about older people are only myths and illustrate the concept of ageism (select all that apply)?
Correct Answer: B
Rationale: The correct answer is B) Old people are not sexually active. This statement is a myth and an example of ageism, which is a form of discrimination based on age. It is important to debunk this myth as older adults can and do engage in sexual activity for as long as they desire. Option A) Can't teach an old dog new tricks is a common saying but does not apply to older people in reality. Older adults are capable of learning new things and adapting to change. Option C) Most old people live independently is a generalization that may not be true for all older adults. While many older individuals do live independently, some may require varying levels of support or care. Option D) Most older adults can no longer synthesize new information is a misconception. Cognitive abilities may change with age, but many older adults can still learn and process new information effectively. In an educational context, it is essential to address ageism and challenge stereotypes about older adults. Healthcare professionals, including nurses, need to provide care that is respectful and individualized regardless of a patient's age. Understanding the diversity within the older population is crucial for delivering quality care.
Question 3 of 5
An 80-year-old woman is brought to the emergency department by her daughter, who says her mother has refused to eat for 6 days. The mother says she stays in her room all of the time because the family is mean to her when she eats or watches TV with them. She says her daughter brings her only one meal a day and that meal is cold leftovers from the family’s meals days before.
Correct Answer: A
Rationale: The correct answer is A) Neglect. In the case presented, the elderly woman is experiencing neglect in multiple forms. Neglect involves the failure to provide the basic needs and care required for an individual's well-being, which includes food, shelter, and emotional support. The woman's refusal to eat, isolation, and lack of appropriate meals all point towards neglect. Option B) Emotional abuse may seem plausible due to the woman's statements about feeling mistreated by her family, but the primary issue here is the neglect in meeting her basic needs rather than direct emotional abuse. Option C) Weight loss is a consequence of the neglect and lack of adequate nutrition, rather than the primary issue being addressed in this scenario. Option D) Decreased muscle mass could be a consequence of prolonged malnutrition due to neglect, but it is not the most appropriate answer in this context. In an educational context, understanding different forms of elder abuse and neglect is crucial for healthcare professionals, particularly in pharmacology and nursing. Recognizing the signs and symptoms of neglect allows for early intervention and appropriate referrals to social services to ensure the safety and well-being of vulnerable individuals. It also highlights the importance of a holistic approach to patient care, considering not only physical but also emotional and social needs.
Question 4 of 5
When teaching a 69-year-old patient about self-care, what will promote health (select all that apply)?
Correct Answer: D
Rationale: In the context of pharmacology and medical-surgical nursing, promoting health in a 69-year-old patient requires a comprehensive approach. In this scenario, demonstrating balancing techniques (Option D) is the most appropriate choice. As individuals age, they may experience a decline in balance which can lead to falls and injuries. By teaching balancing techniques, the patient can improve their stability and reduce the risk of falls, promoting overall health and well-being. Proper diet (Option A) is undoubtedly essential for health, but it is not the most pertinent option in this specific scenario. While a healthy diet is crucial for overall health, it may not directly address the specific needs of a 69-year-old patient in terms of balance and fall prevention. Immunizations (Option B) are crucial for preventing infectious diseases, but they do not directly address the self-care needs related to balance and fall prevention in this case. Teaching chair yoga (Option C) can be beneficial for improving flexibility, strength, and relaxation but may not be as directly relevant to addressing balance issues compared to demonstrating balancing techniques. In an educational context, it's important to tailor self-care instructions to the specific needs of each patient based on their age, health status, and individual challenges. By focusing on demonstrating balancing techniques for a senior patient, nurses can directly address a common issue in this population and empower patients to take proactive steps towards maintaining their health and independence.
Question 5 of 5
7. According to Traditional Chinese Medicine, when does disease occur?
Correct Answer: A
Rationale: In Traditional Chinese Medicine (TCM), the concept of disease occurrence is deeply rooted in the balance of yin and yang, and the flow of Qi (vital energy). Option A, "Yin and yang become imbalanced, altering the flow of Qi," is the correct answer because TCM believes that when there is an imbalance in yin and yang, the flow of Qi is disrupted, leading to illness. This disruption can manifest as symptoms within the body. Option B, "Acupoints in Qi channels become obstructed, preventing the release of Qi," is incorrect because while blockages in Qi channels can contribute to illness in TCM, it is the imbalance of yin and yang that is considered the primary cause. Option C, "The body’s natural healing abilities are impaired by obstruction of fluid channels," is incorrect as TCM focuses more on the balance of vital energies like Qi rather than fluid channels specifically. Option D, "The individual is out of harmony with nature and requires spiritualism and mysticism to reestablish balance," is incorrect as TCM primarily emphasizes the balance of yin and yang and the flow of Qi within the body to maintain health. Educationally, understanding the foundational principles of TCM is crucial for healthcare providers as it offers a different perspective on health and illness. By grasping concepts like yin, yang, and Qi, nurses and other healthcare professionals can provide more holistic care and support to patients who may seek or benefit from TCM practices.