ATI RN
ATI RN Nutrition Online Practice 2019
1. A factor contributing to the risk for dehydration in the older adult is that _____.
- A. drinking fluids causes loss of bladder control
- B. older adults do not seem to notice mouth dryness as readily as younger people
- C. increased fluid intake will decrease the intake of nutrient-dense foods
- D. changes in intestinal motility contribute to excess fluid loss
Correct answer: C
Rationale: Older adults may not notice mouth dryness as readily as younger individuals, increasing their risk for dehydration, especially if they do not consciously increase fluid intake.
2. Understanding the causes of mental disorders is important because ________
- A. effective treatment is not possible without such an understanding.
- B. classification of disorders cannot be done without such information.
- C. such knowledge might make both the prevention and cure of mental disorders possible.
- D. disagreements about the causes of psychopathology have long limited the advancements made in the study of abnormal psychology.
Correct answer: C
Rationale: Understanding the causes of mental disorders is crucial because it can potentially lead to both prevention and cure. By identifying the root causes, strategies can be developed to prevent the onset of disorders, and effective treatments can be tailored to address these causes directly. This approach can make treatments more efficient, as addressing the underlying factors contributing to the disorder can result in better outcomes for individuals. Choices A and B are incorrect because while understanding causes is important for effective treatment and classification, the primary focus is on prevention and cure. Choice D, while highlighting the impact of disagreements on advancements in abnormal psychology, does not directly address the importance of understanding causes for prevention and cure.
3. Which condition refers to the heart being unable to pump sufficient blood to meet the body's needs?
- A. Heart failure
- B. Myocardial infarction
- C. Cardiomyopathy
- D. Pericarditis
Correct answer: A
Rationale: The correct answer is A, heart failure. This condition occurs when the heart can't pump enough blood to fulfill the body's requirements. Myocardial infarction (choice B) is the medical term for a heart attack, which is caused by a blockage in the coronary arteries. Cardiomyopathy (choice C) is a disease of the heart muscle that makes it harder for the heart to pump blood. Pericarditis (choice D) is the inflammation of the pericardium, the thin sac-like membrane surrounding the heart, and does not specifically involve the heart's inability to pump sufficient blood.
4. The client recently survived a plane crash and is assessed by the nurse. Which client statement would cause the nurse to suspect that the client may be experiencing PTSD?
- A. I believe that I was meant to survive this accident so that I can focus on the important things in life
- B. Although I have nightmares sometimes, I have started going to church to show gratitude for surviving the crash
- C. I am so afraid that I will never be able to fly again, but I know that it will take a while
- D. I keep having these thoughts about the crash that just pop into my mind at random times
Correct answer: D: "I keep having these thoughts about the crash that just pop into my mind at random times"
Rationale: Experiencing intrusive thoughts about a traumatic event, such as a plane crash, that occur unexpectedly and repeatedly is a common symptom of Post-Traumatic Stress Disorder (PTSD). These thoughts can be distressing and are often a key indicator of PTSD. Options A, B, and C demonstrate coping mechanisms and fears related to the traumatic event but do not specifically address the hallmark symptom of intrusive thoughts. Therefore, option D is the correct choice as it aligns with a potential symptom of PTSD.
5. What is the best position for examining the rectum?
- A. Prone
- B. Sim's
- C. Knee-chest
- D. Lithotomy
Correct answer: C
Rationale: The knee-chest position is the most optimal position for examining the rectum. In this position, the patient kneels on the examination table with their chest resting on it, creating a straight line from the head to the lower back. This position allows for easier access and visualization of the rectal area, making it the preferred choice for rectal examinations. Prone position (choice A) is lying face down and is not ideal for rectal exams as it does not provide good access. Sim's position (choice B) is lying on the left side with the right knee and thigh flexed, also not ideal for rectal exams. Lithotomy position (choice D) is lying on the back with legs flexed and feet in stirrups, primarily used for gynecological exams and surgery, not for rectal examinations.