ATI RN
Nutrition ATI Proctored Exam 2023
1. On the study “effects of effective nurse-patient communication in decreasing anxiety of post operative patients†What is the Dependent variable?
- A. Effective Nurse-patient communication
- B. Communication
- C. Anxiety level
- D. Post operative patient
Correct answer: B
Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.
2. Which neurotransmitter released by the parasympathetic nervous system can decrease heart rate?
- A. Acetylcholine
- B. Norepinephrine
- C. Dopamine
- D. Serotonin
Correct answer: A
Rationale: Acetylcholine is the correct answer. It is a neurotransmitter released by the parasympathetic nervous system that can decrease heart rate. Norepinephrine, dopamine, and serotonin are neurotransmitters that usually have different effects on the body and are not specifically associated with decreasing heart rate. Norepinephrine, for example, is often related to the fight-or-flight response and can increase heart rate.
3. The ANA recommends that nursing in the health care organization change its focus. This requires a shift from a technical model to which of the following?
- A. Professional
- B. Industrial
- C. Random
- D. Organized
Correct answer: A
Rationale: The correct answer is A: Professional. The American Nurses Association (ANA) recommends shifting the focus in healthcare organizations from a technical model to a professional model. This change emphasizes the level of nurse competence required to provide quality care. Choice B, Industrial, is incorrect as it does not align with the focus on professionalism in nursing. Choice C, Random, is unrelated to the context of the question. Choice D, Organized, while a positive attribute, is not the specific focus recommended by the ANA for nursing in healthcare organizations.
4. Dr. Kali works with clients to help them learn deep relaxation. Next, he has them list their fears from least to most anxiety-provoking. Finally, Dr. Kali slowly exposes his clients to each of their fears and assists them in gaining control of their anxiety. His approach is best known as?
- A. Systematic desensitization
- B. Aversion therapy
- C. Flooding
- D. Fear therapy
Correct answer: A
Rationale: The correct answer is A, systematic desensitization. This therapy involves a step-by-step exposure to feared stimuli, helping individuals manage and reduce their anxiety. In this case, Dr. Kali's method of listing fears from least to most anxiety-provoking and gradually exposing clients to them aligns with the principles of systematic desensitization. Choices B, C, and D are incorrect. Aversion therapy involves associating an undesirable behavior with an unpleasant stimulus, flooding involves immediate and intense exposure to feared stimuli, and 'fear therapy' is a broad term that does not specifically describe the systematic exposure and relaxation techniques used in systematic desensitization.
5. A nurse in the neurologic ICU has orders to infuse a hypertonic solution into a patient with increased intracranial pressure. This solution will increase the number of dissolved particles in the patient's blood, creating pressure for fluids in the tissues to shift into the capillaries and increase the blood volume. This process is best described as which of the following?
- A. Hydrostatic pressure
- B. Osmosis and osmolality
- C. Diffusion
- D. Active transport
Correct answer: B
Rationale: The correct answer is B: Osmosis and osmolality. Osmosis is the movement of fluid from a region of low solute concentration to a region of high solute concentration across a semipermeable membrane. In this case, the hypertonic solution increases the number of dissolved particles in the blood, causing fluids to shift into the capillaries due to the osmotic pressure gradient. Osmolality refers to the concentration of solutes in a solution. Hydrostatic pressure refers to changes in water or volume related to water pressure, not the movement of fluids due to solute concentration differences. Diffusion is the movement of solutes from an area of greater concentration to lesser concentration; in an intact vascular system, solutes are unable to move freely, so diffusion does not play a significant role in this scenario. Active transport involves the movement of molecules against the concentration gradient with the use of energy, typically at the cellular level, and is not related to the vascular volume changes described in the question.