ATI RN
Multi Dimensional Care | Exam | Rasmusson
1. A client does not understand why vision loss due to glaucoma is irreversible. What is the nurse’s best explanation?
- A. Once retinal detachment occurs, it does not return to its normal state
- B. Once the tissue has necrosed from high-pressure, it does not regenerate
- C. Glaucoma always leads to permanent blindness
- D. Once bacterial infection has caused damage, the tissue does not regenerate
Correct answer: Once the tissue has necrosed from high-pressure, it does not regenerate
Rationale: The correct explanation for irreversible vision loss in glaucoma is that once the tissue has necrosed from high pressure, it does not regenerate. This necrosis occurs due to the damage caused by increased intraocular pressure, which leads to irreversible damage to the optic nerve and retinal tissue. Choices A, C, and D are incorrect because they do not directly address the specific mechanism of irreversible vision loss in glaucoma, which is necrosis due to high pressure.
2. A client being treated for chronic cholecystitis should be given which of the following instructions?
- A. Increase rest
- B. Avoid antacids
- C. Increase protein in diet
- D. Use anticholinergics as prescribed
Correct answer: D
Rationale: Using anticholinergics as prescribed can help manage the symptoms of chronic cholecystitis.
3. Which of the following is NOT one of the three basic areas of concern into which practical nurse management responsibilities can be categorized?
- A. Managing patients' legal affairs
- B. Managing the hypothalamus: The hypothalamus is a small area in the brain located just below the thalamus. It plays a crucial role in controlling various bodily functions, including temperature regulation, hunger, and thirst, sleep-wake cycles, and hormone regulation. The hypothalamus is also involved in the control of the autonomic nervous system and the release of hormones from the pituitary gland.
- C. Managing work center operations
- D. Managing personnel
Correct answer: A
Rationale: Managing patients' legal affairs is not a basic area of concern in practical nurse management responsibilities. The primary areas typically include managing work center operations, managing personnel, and overseeing patient care. Choice B, managing the hypothalamus, is irrelevant to nurse management responsibilities and is not a standard area of concern in this context. Choice C, managing work center operations, and Choice D, managing personnel, align more closely with the core responsibilities and concerns of practical nurse management roles.
4. Which of the following presents an important emerging challenge to changes in health care?
- A. Decreased immigration
- B. Nursing staff shortages
- C. Bioterrorism
- D. Increased surgical procedures
Correct answer: C
Rationale: Bioterrorism is considered an important emerging challenge to changes in health care due to its potential to disrupt healthcare systems, cause mass casualties, and create public health emergencies. Choices A, B, and D are not directly related to emerging challenges in health care. While nursing staff shortages are a significant issue, bioterrorism poses a different kind of threat that requires specific preparedness and response strategies.
5. According to Erikson, the danger in middle childhood is __________, reflected in the pessimism of children who lack confidence in their ability to do things well.
- A. shame
- B. mistrust
- C. inferiority
- D. despair
Correct answer: C
Rationale: According to Erikson's psychosocial theory, the danger in middle childhood is 'inferiority.' During this stage, children may develop a sense of inadequacy and inferiority if they are unable to master the social and academic tasks expected of them. This feeling of inferiority can lead to low self-esteem and pessimism about their abilities. Choice A, 'shame,' is more closely associated with Erikson's stage of autonomy vs. shame and doubt in early childhood. Choice B, 'mistrust,' is linked to Erikson's stage of trust vs. mistrust in infancy. Choice D, 'despair,' is related to Erikson's stage of integrity vs. despair in late adulthood.
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