ATI RN
ATI Exit Exam 2023 Quizlet
1. A nurse is planning to teach a group of clients about preventing low back pain. Which of the following information should the nurse include?
- A. Wear low-heeled shoes.
- B. Elevate the legs while sitting.
- C. Engage in prolonged sitting to rest the back muscles.
- D. Sleep on a soft mattress to prevent strain on the back.
Correct answer: A
Rationale: The correct answer is A: 'Wear low-heeled shoes.' Wearing low-heeled shoes helps prevent back strain by promoting proper posture. High heels can cause an imbalance in the body's alignment, leading to increased stress on the lower back. Choices B, C, and D are incorrect. Elevating the legs while sitting can help with circulation but does not directly prevent low back pain. Engaging in prolonged sitting can actually contribute to low back pain due to decreased muscle activity and increased pressure on the spine. Sleeping on a soft mattress may not provide adequate support for the back, potentially worsening back pain instead of preventing it.
2. A nurse is caring for a client who is at risk for developing deep vein thrombosis (DVT). Which of the following actions should the nurse implement?
- A. Massage the client's legs every 2 hours.
- B. Encourage the client to remain on bed rest.
- C. Apply sequential compression devices to the client's legs.
- D. Administer anticoagulants as prescribed.
Correct answer: C
Rationale: The correct action the nurse should implement is to apply sequential compression devices to the client's legs. This intervention helps prevent venous stasis and reduce the risk of deep vein thrombosis (DVT). Massaging the client's legs may dislodge a clot and is contraindicated in this situation (choice A). Encouraging bed rest may increase the risk of DVT due to prolonged immobility (choice B). While administering anticoagulants is a common treatment for DVT, in this case, the question is about preventive measures, and using sequential compression devices is a non-pharmacological approach.
3. Which of the following best describes the concept of total quality management (TQM)?
- A. Top-down management
- B. Employee-centered approach
- C. Continuous improvement
- D. Quality control
Correct answer: C
Rationale: The correct answer is C: Continuous improvement. Total quality management (TQM) focuses on continuously improving all aspects of healthcare delivery to enhance patient care, safety, and overall quality. Choice A, 'Top-down management,' does not capture the essence of TQM, which involves involvement at all levels of an organization. Choice B, 'Employee-centered approach,' while important, is not the defining characteristic of TQM. Choice D, 'Quality control,' is a component of TQM but does not fully encompass its comprehensive approach to quality improvement.
4. How can attributional style influence the likelihood of developing depression?
- A. By fostering a positive attributional style, individuals can enhance their resilience against depression.
- B. Attributional style does not significantly influence the development of depression.
- C. By adopting a negative attributional style, individuals increase their vulnerability to depression.
- D. Attributional style influences the likelihood of developing depression by determining how individuals interpret and respond to events.
Correct answer: D
Rationale: The correct answer is D because attributional style plays a crucial role in influencing the likelihood of developing depression by shaping how individuals interpret and respond to events. A positive attributional style can indeed enhance resilience against depression by promoting adaptive coping mechanisms and positive interpretations of situations, which can buffer against the development of depressive symptoms. Conversely, a negative attributional style, characterized by attributing negative events to internal, stable, and global factors, can increase vulnerability to depression by fostering feelings of helplessness and hopelessness. Choices A and C provide accurate insights into how different attributional styles can impact the development of depression, making them incorrect. Choice B is incorrect as research indicates that attributional style does have a significant influence on the likelihood of developing depression.
5. Which of the following best describes the role of a clinical nurse specialist (CNS)?
- A. Direct patient care provider
- B. Administrator of healthcare facilities
- C. Consultant for nursing staff
- D. Policy maker in healthcare organizations
Correct answer: C
Rationale: The correct answer is C. A clinical nurse specialist (CNS) serves as a consultant for nursing staff, providing expert advice and guidance on clinical practice. Choice A, 'Direct patient care provider,' is incorrect as CNS typically focus more on education, research, and consultation rather than direct patient care. Choice B, 'Administrator of healthcare facilities,' is incorrect as this role is usually fulfilled by nurse administrators or nurse managers. Choice D, 'Policy maker in healthcare organizations,' is incorrect as policy-making roles are typically held by individuals in healthcare administration or government positions.
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