ATI RN
Transcultural Concepts in Nursing Care 6th Edition Test Bank Questions
Question 1 of 5
While assessing for ballottement, a nurse notes that the patella rebounds against the fingers. What does this finding indicate?
Correct Answer: A
Rationale: Ballottement is a physical examination technique used to determine the presence of fluid in a joint, especially the knee joint. When assessing for ballottement, the nurse applies downward pressure on the patella and then releases it. If the patella rebounds or floats back up against the fingers, it indicates the presence of excess fluid within the joint space. This finding is commonly seen in conditions such as knee joint effusion or swelling due to inflammation, trauma, or certain medical conditions. It is an important clinical sign that can help in diagnosing the underlying cause of knee pain or swelling. In this scenario, the patella rebounding against the fingers while assessing for ballottement suggests fluid in the knee joint.
Question 2 of 5
A nursing student has been assigned to present a teaching project to the class, using each of Bloom's taxonomy domains. The student has planned several activities to include when presenting the project to the class. Which activities are within the affective domain? Select all that apply.
Correct Answer: C
Rationale: In this scenario, option C is within the affective domain of Bloom's taxonomy, which focuses on emotions, values, and attitudes. Asking class members to demonstrate a favorite nursing skill requires them to tap into their personal feelings, attitudes, and values towards nursing practice. This activity encourages self-reflection and emotional engagement, which are key components of the affective domain. Options A and B are within the cognitive domain of Bloom's taxonomy, which involves knowledge, comprehension, and critical thinking. Option A involves reading, summarizing, and presenting information, which primarily engages cognitive skills. Option B focuses on listing technical skills, which also falls under the cognitive domain. Option D falls within the affective domain as it asks class members to reflect on their emotions and experiences related to providing direct client care. However, it does not involve a demonstration of a nursing skill as in option C, making option D less relevant to the affective domain in this context. In an educational context, understanding the different domains of Bloom's taxonomy is crucial for designing effective teaching strategies. By incorporating activities that target various domains, educators can promote holistic learning and cater to different aspects of student development.
Question 3 of 5
The nurse asks the client to repeat the information taught during the discharge teaching session. The client states, "I have forgotten everything you just said." Which action by the nurse would is appropriate at this time?
Correct Answer: D
Rationale: Asking the client about their preferred learning strategies is the appropriate action at this time. Everyone learns in different ways, and by identifying the client's preferred learning style, the nurse can tailor the teaching session to be more effective and memorable for the client. Understanding how the client learns best can help in providing information in a way that is easier for them to retain and recall later. It also demonstrates a client-centered approach to teaching, which can improve communication and understanding between the client and the healthcare provider.
Question 4 of 5
A client diagnosed with cardiomyopathy asks the nurse to explain the different types of the disease. Which is inappropriate for the nurse to include in the teaching session?
Correct Answer: D
Rationale: Arrhythmogenic right ventricular dysplasia (ARVD) is not a type of cardiomyopathy; it is a separate condition that affects the heart muscle. The other options, dilated cardiomyopathy, restrictive cardiomyopathy, and hypertrophic cardiomyopathy, are all types of cardiomyopathy that involve the heart muscle becoming weak, stiff, or abnormally thick. It is important for the nurse to clarify this distinction in order to provide accurate information to the client.
Question 5 of 5
The nurse is documenting assessment findings on a client with angina. Which term should the nurse use to describe chest pain that occurs at night and is unrelated to activity?
Correct Answer: B
Rationale: Prinzmetal angina, also known as variant angina or vasospastic angina, is characterized by chest pain that occurs at rest, often during the night or early morning, and is unrelated to activity or emotional stress. This type of angina is caused by transient coronary artery vasospasm, which leads to a temporary reduction in blood flow to the heart. Patients with Prinzmetal angina may have normal coronary arteries or minimal atherosclerosis. It differs from stable and unstable angina, which are typically triggered by physical or emotional stress. Nonanginal pain refers to chest discomfort that is not related to cardiac causes.