ATI RN
RN ATI Capstone Proctored Comprehensive Assessment 2019 B
1. A client with diabetes mellitus is prescribed prednisone for a rash. Which statement by the client indicates the need for further teaching?
- A. I might have trouble falling asleep while taking prednisone
- B. I might feel emotional when I am on this medicine
- C. I might need to increase my regular insulin during this time
- D. I will gradually stop the prednisone when my rash goes away
Correct answer: D
Rationale: The correct answer is D. Prednisone should never be stopped abruptly; it must be tapered down. Stopping it suddenly can lead to adrenal insufficiency. Choices A, B, and C are all potential side effects or considerations when taking prednisone and do not indicate a need for further teaching.
2. Which of the following is a recommended approach for handling aggressive behavior in a mental health setting?
- A. Encourage the client to express their feelings through physical activity
- B. Avoid making eye contact to prevent escalation
- C. Use pharmacological interventions immediately
- D. Maintain eye contact, offer clear choices, and set boundaries
Correct answer: D
Rationale: The recommended approach for handling aggressive behavior in a mental health setting is to maintain eye contact, offer clear choices, and set boundaries. This approach can help de-escalate the situation by establishing communication and structure. Choice A is incorrect as encouraging physical activity may not be suitable during an aggressive episode. Choice B is incorrect because avoiding eye contact can hinder communication and resolution. Choice C is also incorrect as pharmacological interventions should not be the immediate go-to method for managing aggression unless absolutely necessary.
3. What is the primary focus of secondary prevention in community mental health care?
- A. Teaching stress-reduction techniques
- B. Early detection of mental illness
- C. Leading support groups for clients with substance use disorder
- D. Rehabilitation and prevention of further issues
Correct answer: B
Rationale: The correct answer is B: Early detection of mental illness. Secondary prevention in community mental health care focuses on identifying mental health issues at an early stage to provide timely interventions. Choice A, teaching stress-reduction techniques, is more aligned with primary prevention aimed at preventing the onset of mental health problems. Choice C, leading support groups for clients with substance use disorder, pertains more to providing specific interventions for individuals with substance use issues rather than the general focus of secondary prevention. Choice D, rehabilitation and prevention of further issues, is more related to tertiary prevention, which involves addressing existing mental health conditions and preventing complications or recurrence.
4. A healthcare provider is completing discharge teaching to a client about nutrition therapy for wound healing following major surgery. Which of the following vitamins that promote wound healing should the healthcare provider include in the teaching? (SATA)
- A. Vitamin B12
- B. Vitamin C
- C. Vitamin K
- D. Vitamin D
Correct answer: B
Rationale: The correct answer is Vitamin C. Vitamin C is essential for wound healing due to its role in collagen production. Collagen is crucial for wound repair and the formation of new tissue. Vitamin B12 is important for nerve function and DNA synthesis but is not directly related to wound healing. Vitamin K is essential for blood clotting and bone health but does not directly promote wound healing. Vitamin D plays a role in bone health and immune function but is not a primary vitamin involved in wound healing.
5. A nurse is performing a pain assessment for a client who is alert. The nurse should recognize that which of the following measures is the most reliable indicator of pain?
- A. Self-report of pain
- B. Nonverbal behavior
- C. Severity of the condition
- D. Vital signs
Correct answer: A
Rationale: The correct answer is A: Self-report of pain. Pain is a subjective experience, and the most reliable way to assess it is through the client's self-report. While nonverbal behaviors and vital signs can provide additional information, they are not as reliable as the client's own report of pain. The severity of the condition may influence the experience of pain but is not a direct indicator of the client's pain level.
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