ATI RN
Pharmacology and the Nursing Process 9th Edition Test Bank Questions
Question 1 of 5
Which of the following questions or statements would be appropriate in eliciting further information when conducting a health history interview?
Correct Answer: C
Rationale: The correct answer is C because it encourages the patient to provide more detailed information about the cause of their pain, which can help in understanding the underlying health issues. Choice A is judgmental and may make the patient defensive. Choice B is closed-ended and does not prompt for specific details. Choice D is directive and may not be well-received by the patient. Asking the patient to elaborate on what caused their pain allows for a more open-ended response, leading to a more thorough health history assessment.
Question 2 of 5
In the nursing diagnosis 'Disturbed Self-Esteem related to presence of large scar over left side of face,' what part of the nursing diagnosis is 'presence of large scar over left side of face'?
Correct Answer: A
Rationale: The correct answer is A: Etiology. Etiology in a nursing diagnosis refers to the cause or contributing factors that lead to the identified problem. In this case, the presence of a large scar over the left side of the face is the underlying cause of the disturbed self-esteem. It directly influences the client's self-perception and self-worth. The problem (B) is the disturbed self-esteem itself, not the scar. Defining characteristics (C) are the signs and symptoms that support the nursing diagnosis. Client need (D) is a broader concept that encompasses the overall needs of the client, whereas etiology specifically focuses on the cause of the problem.
Question 3 of 5
Which of the following is an example of a well-stated nursing intervention?
Correct Answer: B
Rationale: The correct answer is B because it provides a specific action (offering water) at regular intervals (every 2 hours) to promote hydration, which is a clear and measurable nursing intervention. Choice A is too prescriptive and lacks flexibility. Choice C is reactive and not proactive. Choice D is vague and lacks specific guidance on how to achieve the desired outcome. By offering water consistently, the nurse ensures proactive care and helps meet the client's hydration needs effectively.
Question 4 of 5
Which action best demonstrates the nurse’s role in ensuring continuity of care during the evaluation phase?
Correct Answer: B
Rationale: The correct answer is B: Communicating the client’s progress to the interdisciplinary team. During the evaluation phase, the nurse plays a crucial role in ensuring continuity of care by effectively communicating the client’s progress to the interdisciplinary team. This action allows for collaborative decision-making based on the latest information, promotes coordination of care, and ensures that all team members are informed and involved in the client's care plan. Rewriting the care plan (A) is important but may not be the most immediate action during the evaluation phase. Reassessing the client (C) is valuable for gathering additional data but may not directly contribute to continuity of care during this phase. Providing emotional support (D) is essential but may not specifically address continuity of care during evaluation.
Question 5 of 5
A 36-year-old man is scheduled for a unilateral orchiectomy for treatment of testicular cancer. He is withdrawn and does not interact with the nurse. Which action is most appropriate?
Correct Answer: D
Rationale: Step-by-step rationale for choosing answer D as correct: 1. Acknowledges patient's withdrawn behavior 2. Demonstrates empathy and concern 3. Open-ended question allows patient to express feelings 4. Encourages patient to communicate concerns Summary: - Option A assumes a specific problem without patient input - Option B focuses on verbalization, not necessarily addressing underlying concerns - Option C makes assumptions about patient's worries without allowing him to express himself