ATI RN
Public Health Theories of Behavior Change Questions
Question 1 of 5
Which of the following methods allows the use of any group of research subject?
Correct Answer: B
Rationale: The correct answer is B: Convenience. Convenience sampling allows researchers to select any available group of subjects easily accessible to them. This method is often used when specific groups are difficult to reach or when time and resources are limited. Rationale: 1. Purposive sampling (A) involves selecting specific subjects based on predetermined criteria, limiting the flexibility to choose any group. 2. Snow-ball sampling (C) relies on referrals from initial subjects, leading to a biased sample and not allowing for any group selection. 3. Quota sampling (D) involves selecting subjects based on specific characteristics to ensure representation, which also restricts the use of any group. In summary, convenience sampling is the only method that allows for the use of any group of research subjects, making it the correct choice in this scenario.
Question 2 of 5
Nurse Ron is caring for a male client taking an anticoagulant. The nurse should teach the client to:
Correct Answer: B
Rationale: The correct answer is B: Avoid foods high in vitamin K. Anticoagulants work by preventing blood clotting, and vitamin K is essential for blood clotting. Consuming foods high in vitamin K can interfere with the effectiveness of the anticoagulant medication, leading to potential bleeding risks. Therefore, the nurse should educate the client to avoid such foods to maintain the therapeutic levels of the anticoagulant. Incorrect choices: A: Reporting incidents of diarrhea is important but not directly related to anticoagulant therapy. C: Using a straight razor when shaving can increase the risk of cuts and bleeding, which is contraindicated for a client on anticoagulants. D: Taking aspirin for pain relief is not recommended for a client on anticoagulants due to the increased risk of bleeding.
Question 3 of 5
A male client undergone a colon resection. While turning him, wound dehiscence with evisceration occurs. Nurse Trish first response is to:
Correct Answer: B
Rationale: The correct response is to place a saline-soaked sterile dressing on the wound. This step helps to prevent infection, maintain moisture, and protect the exposed tissues. Calling the physician is important, but immediate action to cover the wound is crucial. Taking blood pressure and pulse can wait until the wound is stabilized. Pulling the dehiscence closed can cause further damage and should not be done by the nurse.
Question 4 of 5
A 77-year-old male client is admitted with a diagnosis of dehydration and change in mental status. He's being hydrated with L.V. fluids. When the nurse takes his vital signs, she notes he has a fever of 103°F (39.4°C) a cough producing yellow sputum and pleuritic chest pain. The nurse suspects this client may have which of the following conditions?
Correct Answer: C
Rationale: The correct answer is C: Pneumonia. Given the client's symptoms of fever, cough with yellow sputum, pleuritic chest pain, and dehydration, pneumonia is the most likely diagnosis. Fever, productive cough, and chest pain are common symptoms of pneumonia. The presence of pleuritic chest pain indicates an inflammation of the pleura, which is a common feature of pneumonia. Dehydration can also contribute to the development of pneumonia. ARDS (choice A) typically presents with acute respiratory distress and is not supported by the client's symptoms. MI (choice B) presents with chest pain but typically not associated with fever, cough, or sputum production. Tuberculosis (choice D) can present with cough and sputum production but is less likely given the client's age and acute presentation.
Question 5 of 5
Robert, a 57-year-old client with acute arterial occlusion of the left leg undergoes an emergency embolectomy. Six hours later, the nurse isn't able to obtain pulses in his left foot using Doppler ultrasound. The nurse immediately notifies the physician, and asks her to prepare the client for surgery. As the nurse enters the client's room to prepare him, he states that he won't have any more surgery. Which of the following is the best initial response by the nurse?
Correct Answer: A
Rationale: The correct initial response by the nurse in this scenario is A: Explain the risks of not having the surgery. This is the best initial response because the nurse needs to ensure the client fully understands the consequences of refusing the surgery. By explaining the risks, the nurse can provide the client with necessary information to make an informed decision about their healthcare. Notifying the physician immediately (choice B) is important, but the immediate concern is addressing the client's refusal. Notifying the nursing supervisor (choice C) is not as crucial as addressing the client directly. Recording the client's refusal in the nurses' notes (choice D) should be done after addressing the client's concerns and providing necessary information.